Apply Now

Visit our portal page to begin your application today! It includes some easy to follow questions and the opportunity to submit your documents.

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Approval Process

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If you meet all five (5) eligibility criteria and funding is available, your application will be approved pending supplemental documents. 

Please check your e-mail for a link to complete the required Supplemental Documents through DocuSign.

Alternatively, if you applied by paper application, please submit the Supplemental Documents by mail, fax, or drop-off at any SCVMC Outpatient Pharmacy. The Supplemental Documents are available on the Forms page of the MedAssist website.

Failure to submit the supplemental documents within thirty (30) calendar days will result in your application being withdrawn.

Required Supplemental Documents Checklist*:

  1. Automated Clearing House (ACH) Registration
  2. W-9

*You will be contacted using the information you provided if any additional information or documents are required.

Please login to the portal here to check the details of your application approval and grant award or contact the MedAssist office.

If you applied by mail, fax, or drop-off at a SCVMC Outpatient Pharmacy, you will be notified of any changes to your application status by letter and/or phone.

Graphic of "What to Expect" 3-step process

Grant Payments

Upon approval of your application, you will be awarded a grant for each disease state or medical condition that you provided a valid prescription for. You may be eligible to receive up to three (3) grants.

Initial Grant Payment:
Your first grant payment will be issued within ten (10) business days of your application approval date.

Future Grant Payments
To receive subsequent grant payments, you will need to sign a self-attestation form to confirm that you are regularly taking your medications.

The default method of payment is direct deposit however you have the option to receive grant payments via paper check. Please select “check” for your payment method on the ACH Registration form to opt-out of direct deposit.

You can always check the details of your grant by logging into the portal here or by contacting the MedAssist office.

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Learn More About MedAssist

Ready to learn more about how our money back program can benefit you? Dive deeper into the program by exploring our website and discovering all the ways we can help you earn cash back. Don't miss out on this opportunity to save money and protect your health.

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Got questions about MedAssist?
Check out our FAQs for answers to some of the most commonly asked questions.

Get Answers

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A patient who is denied may appeal the denial in writing. An appeal must contain the basis for the appeal and the requested relief.

Learn More

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Contact Us

Don't hesitate to visit our contact us page and reach out to our team for assistance.

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