Eligibility Requirements

Income Limit
Generally up to 138% FPL in expansion states (about $20,783/year for individuals). Non-expansion states have lower limits.
Insurance Requirements
Available to eligible low-income individuals, families, pregnant women, elderly, and disabled persons. Eligibility varies by state.

Covered Medications

The following medications are covered by Medicaid Prescription Drug Benefit:

Most FDA-approved prescription medications (state formularies vary)

How to Apply

Application Steps
  1. Speak with your healthcare provider about Medicaid Prescription Drug Benefit. Your doctor, nurse, or social worker can help determine if you qualify.
  2. Gather required documents: proof of income (tax return, pay stubs, or Social Security statement), valid prescription, and proof of U.S. residency.
  3. Submit your application online or by mail. Visit the program website below or call the program hotline for assistance.
  4. Wait for approval (typically 2 to 6 weeks). Once approved, medications will be shipped to your provider's office or a designated pharmacy.
Apply at Medicaid Prescription Drug Benefit →

Check If You Qualify

Use our free Assistance Finder tool to check eligibility for Medicaid Prescription Drug Benefit and other programs that may help reduce your medication costs.

Open Assistance Finder
Compare Prices
Find the cheapest pharmacy for Most FDA-approved prescription medications (state formularies vary)
Compare pharmacy prices near you on RxGrab
Natural Alternatives
Supplement alternatives for Most FDA-approved prescription medications (state formularies vary)
Explore evidence-based options on Health Britannica

Frequently Asked Questions

Does Medicaid cover all prescription medications?

Medicaid must cover most FDA-approved drugs from manufacturers that participate in the Medicaid Drug Rebate Program. States can maintain preferred drug lists, but must provide a process for obtaining non-preferred drugs when medically necessary.

How much do prescriptions cost on Medicaid?

Most Medicaid programs charge copays of $0-3 per prescription. Some states have no copays at all. Copays for preferred generics are typically $1-2, while brand-name drugs may cost $3-4.

How do I apply for Medicaid?

Apply through your state's Medicaid office, at HealthCare.gov during open enrollment, or in person at a local Department of Social Services. Many states offer year-round Medicaid enrollment for those who qualify.

Related Resources

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