The State Pharmacy Assistance Program (SPAP) is a State-funded program that will pay for Medicare Part D co-payments or co-insurance amounts for certain Hawaii residents.

Click here to access form DHS 8052 application and Instructions

Eligibility

Individuals must meet the following requirements to qualify for SPAP benefits:

• Resident of Hawaii;
• Age 65 years or older or disabled and are receiving or eligible for Medicare;
• Not a member of a retirement plan who is receiving a benefit from the Medicare Prescription Drug and Improvement and Modernization Act of 2003 (MMA, also known as “Medicare Part D”);
• Not enrolled in a public assistance program, other than the Hawaii Rx Plus program, that provides drug benefits other than those provided by Medicare Part D;
• Not enrolled in a private sector plan or insurance providing payments for prescription drugs;
• Gross household income does not exceed 150% of the Federal Poverty Level (FPL);
• Assets are within the limits set by the MMA;
• Enrolled in one of the SPAP eligible Medicare Part D plans.

Coverage

The program may pay all, or some of, the required co-payments or co-insurance actually paid for only for drug claims defined as covered under the federal Medicare Part D Prescription Drug Benefit Program. Coverage will start when the SPAP identification card from the State is received.

Recipients must be enrolled in one of the SPAP eligible Medicare Part D drug plans. Please call the SPAP office at 692-7999 or 1-866-878-9769 to get the latest plan list.

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