MoRx is Missouri's State Pharmacy Assistance Program. MoRx was created by the 93rd General Assembly to coordinate benefits with Medicare's Prescription Drug Program (Part D), and to provide additional assistance for prescription drug costs to Missourians in need.
Enrollment began November 1, 2006 for eligible low-income Medicare beneficiaries. Benefits for new enrollees began January 1, 2007. More information on how you can enroll in MoRx.
No. Once enrolled, you never need to re-apply. MoRx members may receive a notice to update their information on file with the program, but no re-enrollment is required.
No. There is no enrollment fee or deductible.
Some Missourians enrolled in a Medicare Part D plan may be qualified to participate in MoRx. To choose a Medicare Part D plan contact: 1-800-MEDICARE (1-800-633-4227) or www.medicare.gov.
Yes. Income must not exceed $19,600 annual gross income for an individual, or $26,400 annual (combined) gross income for a married couple.
Annual gross income is all income received by you and your spouse, if married. This is the income you report on your income tax returns before any deductions.
No.
Yes. Individuals who qualify for both Medicare and MO HealthNet benefits will automatically be enrolled into MoRx.
No.
No.
MoRx will work with any approved Medicare PDPs including Medicare Advantage Drug Plans.
MoRx pays toward the out of pocket cost of the formulary of the Medicare Part D plans. Any drug covered by a member's Medicare Part D plan will also be covered by MoRx.
Drugs not covered by a Medicare Part D plan are not be covered by MoRx.
Yes, as long as they are covered by a Medicare Part D plan(s).
Medicare Part D excluded drugs include specific over-the-counter drugs, vitamins, minerals, limited cough and cold drugs, benzodiazepines and barbiturates. Dual eligible members (eligible for both Medicare and MO HealthNet) will continue to have coverage for these Medicare-excluded drugs, provided they meet the MO HealthNet edits.
No. The MoRx benefit will not cover a 90-day supply of medication. If your doctor writes a prescription for a 90-day supply, simply turn it into your pharmacy and ask them to fill it in 30 or 31 day increments. The MoRx benefit will cover up to a 31-day supply of each prescription at a time. You can get a full day's prescribed dosage for each day of the month with a maximum of 31 days each month.
Almost all Missouri pharmacies will work with MoRx. You must make sure the Medicare Part D plan you join has your preferred pharmacy in their Part D plan network of pharmacies.
No. MoRx does not work with mail order pharmacies. You can fill your prescriptions at any non-mail order pharmacy that is contracted with your Part D Plan and MoRx will provide wrap-around benefits. Many MoRx-participating pharmacies provide home delivery services at minimal or no additional charge.
Yes. Upon receipt and process of your acceptable application, MoRx will mail to you a membership card.
You will need to show your MoRx membership card to your pharmacist the first time you use MoRx.
You can call 1-800-Medicare (1-800-633-4227) or visit www.medicare.gov. Medicare can answer any questions you may have about your enrollment into a Part D plan, how to change plans or how to disenroll from a Part D plan. Medicare is also your best source for information if you are experiencing problems with your Part D plan.
The best sources for assistance are: Medicare or call 1-800-MEDICARE (1-800-633-4227); Area Agencies on Aging (AAA) and CLAIM at 1-800-390-3330, which provides free health insurance counseling to Medicare recipients in Missouri.
08/30/07
