Downloadable Materials For Patients
Once you are enrolled in Access to Care, you will receive “Your Guide to Access to Care” as well as information about pharmacy programs and services covered. Be sure to read the forms thoroughly. All forms providing patient information are contained here.
- 2009 Annual Report
- Annual Report 2008
- Application form with English Instructions
- Application form with Spanish Instructions
- Drug Guide - English
- Drug Guide - Spanish
- English - Your Guide to Access to Care
- English Flyer - 2008
- English RX Outreach Forms
- Fact Sheet
- Polish Flyer - 2008
- Poster in English
- Poster in Spanish
- Services Not Covered
- Spanish Flyer - 2008
- Spanish Guide Book
- Spanish RX Outreach listing
This report contains information and highlights from 2008 at Access to Care.
The new formulary, effective 2/15/2010, for covered prescriptions medications, includes Walgreen's, Walmart, Target and Dominick's
Listing of covered drugs, including Walgreen's, Target, Walmart and Dominick's
The patient guidebook listing the rules of Access to Care.
Details the services provided by Access to Care.
RX Outreach is a mail order program for 90 day supplies of generic medication. This is a list of covered prescription drugs and how to apply to the program.
A one page summary of valuable information about Access to Care.
details the services of Access to Care in Polish.
Flyer that accompanies Guidebooks listing services NOT covered by Access to Care.
details the services of Access to Care.
Datails the rules and regulations of the Access to Care program in Spanish
RX Outreach is a mail order program providing 90 day supplies of prescriptions. This form provides a list of covered drugs and how to apply to RX Outreach.