Hoosier Rx

Indiana

Indiana's State Pharmaceutical Assistance Program, HoosierRx, can help pay the monthly Part D premium, up to $70 per month, for members enrolled in a Medicare Part D Plan working with HoosierRx.
Contact Information
HoosierRx
P.O. Box 6224
Indianapolis, IN 46206-6224
1-(866) 267-4679 (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
  • Click here to visit the program's web site.
  • Eligibility:
    Be an Indiana resident, 65 years old or older. Have a yearly income of $16,485 or less for a single person, or $22,095 or less for a married couple living together. Have applied for the "Medicare Extra Help" through Social Security to pay for your Medicare Part D plan, and received either a "Notice of Award" or "Notice of Denial" from Social Security. Your Social Security "Notice of Denial" must be because your resources are above the limit established by law. Your Social Security "Notice of Award" must state that you are receiving partial extra help subsidy to help pay for your Medicare Part D premium.