Application

1Step
See if you qualify. You qualify for Rx Outreach as long as your annual household income is:
  • $33,510 or less for a single person
  • $45,390 or less for a family of two
  • Add $11,880 for each additional person
  • $57,270 or less for a family of three
  • $69,150 or less for a family of four
2Step

See if your medicine is on the Rx Outreach Medication List:
Most drugs can be purchased for $20 for a 180-day supply. The list shows the administrative fees for all drugs offered. Administrative fees shown are for any dose, any strength. So even if you take more than one pill a day, our administrative fee is still the same!

3Step

Get a prescription from your doctor.
Prescriptions may be written with refills available for up to one year. Ask your doctor about a 180-day supply with one refill or a 90-day supply with three refills.

4Step
Complete an online application:

or, mail a completed application, your prescription(s) and your payment to:
Rx Outreach
P.O. Box 66536
St. Louis, MO 63166-6536