Prescription Assistance for Connecticut

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Program Name	Connecticut Pharmaceutical Assistance Contract to the Elderly and Disabled Program (ConnPACE)
Phone	1-800-423-5026
Who is eligible	You must Be a Connecticut resident for 6 months prior to applying Be 65 years of age or older or be a disabled person over the age of 18 Pay a $30 annual enrollment fee per person Not be receiving Medicaid benefits Not have an insurance plan that pays for all or a portion of each prescription on a continuous basis or have a deductible insurance plan that includes prescriptions Have an adjusted gross income of less than $22,300 if single or $30,100 if married Sign up for Medicare Part D if Medicare eligible
Where to apply	P.O. Box 5011 Hartford , CT 06102
Link to state website	http://www.connpace.com/
Important Notes	Enrolled persons pay will never pay more than a $16.25 copayment for each prescription and ConnPACE pays the rest. An annual registration fee of $30 must accompany all applications. Applications can be obtained from participating pharmacies, senior centers, Municipal Agents for the Elderly, other social service organizations, or through ConnPACE. Generic drugs must be substituted for brand-name drugs, unless otherwise indicated by the prescribing physician. Please Note: Persons residing in the Hartford area or out of state will need to call 1-860-832-9265 instead of the toll free number listed above. Members will continue to receive State Pharmaceutical Assistance Program (SPAP) benefits regardless of whether they are enrolled in a Medicare Prescription Drug Plan (PDP), until May 15th, 2006. ConnPACE will pay 100% of the PDP premium. Deductible coverage and copayment will vary by income but will not exceed $16.25 per prescription.

Senior Care Concepts, 2008