Your annual out-of-pocket costs for eligible prescription medications will be capped at an amount not to exceed a set percentage of your household income. Eligible prescription medication costs for the remainder of the year from July 1 to June 30 will be paid through the Catastrophic Drug Program.
|Total annual household income||Percentage rate of annual income you pay on prescription medication costs before assistance|
|Up to $20,000||3%|
|Greater than $20,000 to $50,000||5%|
|Greater than $50,000 to $100,000||8%|
|Greater than $100,000||12%|
Annual household income: $25,000 x 5% = $1,250 cap
Once you have spent $1,250 for eligible prescription medications, you will be covered by the Catastrophic Drug Program for additional approved medication costs for the remainder of the year (July 1 – June 30).
If you apply past the program start date of July 1, your cap will be pro-rated to reflect the percentage of time remaining until June 30.