This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Application for Srx/Drx Program is a legal document that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada.
Q: What is the Srx/Drx Program?
A: The Srx/Drx Program is a program in Nevada that provides assistance to qualified individuals in obtaining prescription drugs at reduced costs.
Q: Who is eligible for the Srx/Drx Program?
A: To be eligible for the Srx/Drx Program, individuals must meet certain income and residency requirements and be uninsured or underinsured.
Q: What documents do I need to submit with the application?
A: You may need to submit documents such as proof of income, residency, and insurance status with your Srx/Drx Program application.
Q: What are the benefits of the Srx/Drx Program?
A: The Srx/Drx Program can help individuals save money on their prescription drugs by providing discounts or subsidies for eligible medications.
Q: Is the Srx/Drx Program available in all areas of Nevada?
A: Yes, the Srx/Drx Program is available statewide in Nevada.
Q: Are there any fees or costs associated with the Srx/Drx Program?
A: There may be a small annual fee and co-payments for certain medications, but these costs are generally much lower than the regular retail prices.
Q: Can I use the Srx/Drx Program if I have insurance?
A: The Srx/Drx Program is primarily for individuals who are uninsured or underinsured, but it may be possible to use the program in certain circumstances.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.