Missouri Department of Social Services
221 West High Street • P.O.
Box 1527 •
Jefferson City, MO 65102-1527
MoRx is Missouri's State Pharmacy Assistance Program. MoRx was created by the 93rd General Assembly to provide prescription drug assistance to Missourian's in need by coordinating benefits with Medicare's (Part D) Prescription Drug Program.
Apply now. Enrollment is open year-round. 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, monthly premium or deductible.
You may qualify for MoRx if you are a Missouri resident; enrolled in a Medicare Part D Plan and single — with an annual gross household income of $21,660 or less or married — with an annual income of $29,140 or less.
Yes. Income must not exceed $21,660 annual gross income for an individual, or $29,140 annual 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.
Yes. MoRx will work with any approved Medicare Part D Plan including Medicare Advantage Drug Plans.
MoRx pays toward the medications covered on the Medicare Part D plan's drug formulary. Any drug covered by a member's Medicare Part D plan will also be covered by MoRx, except for the Part D excludible drugs.
Drugs not covered by a Medicare Part D plan are not covered by MoRx. Medicare Part D excludible drugs are not covered by MoRx.
Yes, as long as they are covered by the Part D plan and the drug is not a Medicare excludible drug.
Medicare Part D excluded drugs include benzodiazepines and barbiturates and specific over-the-counter drugs such as, vitamins, minerals, and limited cough and cold drugs. Dual eligible members (eligible for both Medicare and MO HealthNet) will continue to have coverage for these Medicare Part D excluded drugs, provided they meet the MO HealthNet requirements.
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 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 processing of your completed application, MoRx will mail to you a welcome letter and membership card.
You will need to show your MoRx membership card to your pharmacy each 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) and CLAIM at 1-800-390-3330, which provides free health insurance counseling to Medicare participants in Missouri.
07/01/09