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Prescription Assistance

FACT SHEET-2010

RHODE ISLAND PHARMACEUTICAL ASSISTANCE TO THE ELDERLY (RIPAE)

 

WHO QUALIFES FOR RIPAE: Rhode Island residents 65 or older, who meet specific income guidelines, are eligible to enroll in RIPAE. RIPAE members are mandated to have enrollment in a Medicare Part D plan. Member co-payments for prescriptions used to treat medical conditions listed in Category A are based on a sliding scale. RIPAE members 65 and older can purchase medications listed in Category B at the discounted RIPAE price.

Annual Income Levels for RIPAE members 65 and older:

Level

Single Person

Married Couple

State Pays

Member Pays

One

$0 to $20,934

$0 to $26,170

60%

40%

Two

$20,935 to $26,279

$26,171 to $32,851

30%

70%

Three

$26,280 to $45,991

$32,852 to $52,561

15%

85%

 For Level One RIPAE members who spend more than $1,500 in co-payments during the State Fiscal Year (July 1 through June 30) for Category A drugs, the state will pay 100% of their medication costs for the remainder of the fiscal year for conditions specified in this category. Other benefits, such as a discount on telephone bills and cable television rates, are also available to Level One RIPAE members.

RIPAE for disabled persons:

Rhode Island residents between the ages of 55 and 64, who are receiving Social Security Disability (SSDI) payments, and who meet specific income guidelines, can purchase Category A and B medications at the RIPAE discounted price.

 Annual Income Levels for RIPAE disabled RIPAE member age 55 to 64:

Level

Single Person

Married Couple

State Pays

Four

$0 to $45,991

$0 to $52,561

15%

Income calculations:

In determining eligibility for RIPAE, all sources of income, including Social Security benefits, are considered. While calculating eligibility for RIPAE, applicants may exclude all medical and pharmaceutical expenses that exceed three (3) percent of their annual income. The income guidelines for RIPAE are increased each year, beginning July 1, in accordance with the Social Security COLA.

RIPAE covers generic medications only, unless there is no generic available or a physician deems a brand name medically necessary.

CATEGORY A MEDICATIONS: Category A medications are used to treat Alzheimer’s disease, anti-infectives, arthritis, asthma and other chronic respiratory conditions, cancer, circulatory insufficiency, depression, diabetes (including insulin syringes), glaucoma, heart problems, high cholesterol, high blood pressure, osteoporosis, Parkinson’s disease, prescription minerals and vitamins for kidney patients, and urinary incontinence. Also, a limited allocation has been added to RIPAE to help cover the cost of injectable prescription drugs used to treat Multiple Sclerosis.

CATEGORY B MEDICATIONS: Category B medications cover all FDA-approved prescriptions not listed in Category A, except for medications prescribed for cosmetic purposes.

TO ENROLL IN RIPAE OR GET MORE INFORMATION: For RIPAE information, call the Department of Elderly Affairs at 462-3000 (Voice) or 462-0740 (TTY)

or THE POINT at 462-4444 (Voice) or 462-4445 (TTY).