If you are having a medical emergency, call 911.

The Patient Assistance program is a program to assist patients in applying for no-cost or low-cost prescription medications through private drug manufacturers/programs.

In order to apply for prescription assistance:

  1. Call (405) 948-4900 ext. 469 or come to the Public Health department at 5208 W. Reno Ave. It is best to call first to make sure the Prescription Assistance Coordinator is in the office.
  2. Bring a copy of your federal tax return or (if you do not file) a copy of current proof of household income for one month and a list of your current medications. Proof of income will need to be resubmitted yearly in order to continue in the program.
  3. If you are determined to be eligible, an application for prescription assistance will be completed.


Eligibility varies per program. Each individual company will decide if you qualify for their particular program. Rules for qualification can vary within companies by the type of prescription requested.

Please note that the pharmaceutical companies may decide at any time to discontinue their program or change the program to where you no longer qualify. Do not assume that once qualified that you will continue to be qualified. Program approvals, renewals and term lengths of approvals are regulated by the individual companies and vary by program.

Note to patients:

  1. You must be an active patient.
  2. You must have been seen within the past year and keep all your medical appointments.
  3. The only medications that we can help you apply for are medications that have been prescribed by our providers. Otherwise, we can provide you with an application for your outside doctor to complete.
  4. You may need to use a written prescription to purchase the medication prescribed as it may take up to four weeks or longer for the medication to reach OKCIC. Some medications are shipped to the pharmacy and you will be notified that it has arrived. Other companies will send the medication directly to your home. Please keep all paperwork received with the medication so you will know how to re-order. There are also a few programs that will send you a pharmacy card to use with your prescription at any retail pharmacy for free medication. EACH PROGRAM VARIES.
  5. You MUST notify the Prescription Assistance Coordinator when you have four weeks of medication left so that a timely application for a refill can be made.
    • *Please note that due to the large volume of patients using Patient Assistance Programs, there may be a delay in pharmaceutical companies processing applications and prescriptions are not guaranteed to be received within that time frame. Also, some medications that are received at home have a different re-ordering policy that must be adhered to.

Oklahoma City Indian Clinic DOES NOT have any control over when the medications are shipped, when applications are processed or if a patient is approved for the program. This program is a public service provided by private drug manufacturers. The Prescription Assistance Coordinator only helps you utilize this service.

For more information or to request assistance, please call (405) 948-4900 ext. 469.

Click here to contact a consultant. If the link is not working, please use the email leta.s@okcic.com to contact OKCIC.

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