| SERVICES | All Ages | SERVICE | FINANCIAL SUPPORT |
| FOR | CATEGORY |
| PHONE |
| MD Pharmacy Assistance Program | (800) 492-1974 |
| MD Dept. of Health & Mental Hygiene | OTHER PHONE |
| MPAP #78, P.O. Box 386 | (410) 225-5394 |
| Baltimore | MD | 21203-0386 | FAX |
| CONTACT PERSON | Staff |
| TITLE |
| E-MAIL/WEB ADDRESS |
| CLASSIFICATION OF ORGANIZATION | Public (MD DHMH) |
| PURPOSE | To provide very low-income MD residents with assistance in paying for prescriptions. |
| SERVICES | Assistance in paying for certain maintenance drugs used to treat long-term illnesses and |
| OFFERED | anti-infective drugs such as AZT. Also covers insulin, syringes and needles. GCHD's |
| GES staff can help complete forms. |
| REFERRAL SOURCES | Phone, walk-in, health department, physician, pharmacist. Applications |
| available at DSS, other agencies. |
| HOURS OF SERVICE | Mon. thru Fri., 8:00 AM to 5:00 PM |
| FEES FOR SERVICE | $5.00 co-pay for each prescription; sliding fee scale. |
| WAITING PERIOD | Yes, 30-40 working days. | WAITING LIST | No |
| HANDICAPPED ACCESSIBLE? | Yes |
| ACCOMMODATIONS FOR DISABLED? | TTY: 1-800-451-2045. Facility is accessible to |
| handicapped persons. |
| LOCATION OF | In Garrett Co., GCHD GES office: 14689 Garrett Hwy. (Rt. 219 N.), Oakland, |
| SERVICES | (301) 334-8253. |
| TRANSPORTATION | Consumer transports self or GTS will transport for a small fee. |
| ELIGILIBITY CRITERIA |
| AGES SERVED | All |
| GEOGRAPHIC AREA SERVED | State of Maryland |
| INCOME GUIDELINES | I person household: gross income/mo. under $729.16; assetts <$3,750. |
| 2 persons: gross income under $791.66; assetts <$4,500. |
| DOCUMENTS REQUIRED | Bank/state income tax statements; income stub; Soc Sec, |
| benefit/award ltr; proof of all income/pension sources. |
| OTHER | All application questions must be answered; if any are N/A, put "0" or "NONE." |
| VOLUNTEER | No | BROCHURE | Yes |
| OPPORTUNITIES | AVAILABLE? |
| DATE data verified: | 09/20/96 | DATE data updated: | 12/20/96 |
| ID# | 312 | Garrett County FAMILY SERVICES DIRECTORY - 1997 | Directory Page # | 142 |
