South Carolina

Contact Information
1-(800) 763-0059 (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:
    You must be a South Carolina resident under the age of 65. You must meet income criteria as established by Welvista. You must not be covered by any form of health insurance, including Medicaid, Medicare, and Veteran's health benefits. If you or someone in your household has income, it must be at or below 200% of the Federal Property Level to qualify. Proof of all household income must be shown from one of the following sources: Current employer. Current unemployment compensation. Current child support or alimony. Current Social Security Retirement benefits or other Retirement benefits and be under 65 years of age. Current Social Security Disability benefits, Workers' Compensation, Pension, or Annuity. Patient eligibility is for up to one year. Patients may reapply each year for Welvista services. Welvista requires a $20 non-refundable application processing fee with each new or renewed application. This fee is an application fee and does not guarantee that a patient will be eligible for Welvista services. There is never a charge for the medication.
    Other Information:
    All Welvista services begin with a call to our toll-free number.