North Carolina Association of Free Clinics

NC MedAssist Prescription Assistance Program

What is NC MedAssist?

• NC MedAssist is a statewide prescription assistance program created to assist uninsured and low-income North Carolinian’s gain access to prescription medications; eligible applicants have the opportunity to obtain donated FREE brand name and generic prescription medications necessary to stay healthy.

What Forms of ID Are Required to Prove NC Residency?

• Phone Bill, Lease Agreement or Utility Bill.

   

What is the Fee for Enrolling?

• Currently, you are not required to pay an enrollment fee; however, for future sustainability an annual enrollment fee may be administered.

What supporting documentation is needed? 

You should be prepared to provide the following information to complete the enrollment application:

1. Medical History, Allergies and a list of prescribed medications
2. Contact information for your personal physician
3. Prescription Drug Benefits (if applicable)
4. Documents supporting proof of income - the following will be accepted:

              1040 Tax Return(s) for current year

              1099 Benefits Statement(s) for current year

              4506 – T Form(s) (if applicable)

              Pay Stubs from employer

To find an Enrollment Site near you, CLICK HERE