Skip Global navigation and goto content

It's a New Day in Public Health.

The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Skip MegaMenu and goto content
 

Patients

Division of Emergency Preparedness and Community Support


Thank you for your interest in becoming a patient in the Florida Rx Connects program.

In addition to the eligibility criteria stated on the main page, patients must agree to the following:

  1. Eligible patients must complete a Patient Application and Dispensing form and submit to a participating repository to receive a donation.
  2. A repository may only dispense eligible donated drugs or supplies to Florida residents who are indigent (at or below 200% of the Federal Poverty Level), or uninsured or underinsured.
  3. Each eligible patient must have a valid prescription for the donated drug and present it to the Repository before the drug can be dispensed.
  4. Each patient must submit a signed and dated Patient Application and Dispensing Form to the repository, which includes a statement affirming that the patient meets the eligibility requirements and will inform the repository if the patient’s eligibility changes.
  5. A statement signed and dated by the eligible patient acknowledging receipt of notice that the prescription drug or supply was donated to the program, that the donors and participants in the program are immune from civil or criminal liability or disciplinary action, and that the eligible patient is not required to pay for the prescription drug or supply. (This statement is included on the Patient Application and Dispensing Form).


If you would like additional information about becoming a patient/recipient, please click here for the Patient Application and Dispensing form. You may also wish to reference the Florida Rx Connects Handbook.
Questions may be sent to: PrescriptionDrugRepositoryProgram@FLHealth.gov. Please allow at least 24 hours for a response.