Who Is Eligible

Eligibility for pharmacy services is determined on the basis of income and expenses. The SVdP Georgia Community Pharmacy serves eligible patients with an income no greater than 200% of the federal poverty level (fpl) and uninsured individuals 18 years of age and older that live within the state of Georgia and have a valid prescription(s) for the medication needed.  Once a patient submits an online prescription request form, the SVdP Georgia Community Pharmacy staff will check to confirm eligibility.

HOUSEHOLD SIZE/MONTHLY INCOME CHART

Use this chart to determine if you are eligible for SVdP Georgia Community Pharmacy services. For questions regarding your eligibility, contact pharmacyapplication@svdpgeorgia.org.

FILLING OUT AN APPLICATION IS QUICK & EASY

Please fill out the form below and our pharmacy team will be in touch!

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Step 1 of 4

DOCUMENTS NEEDED FOR CERTIFICATION

Verification of your income and the income of all members of your household, including:
If you have no income, please upload:
Your total household monthly gross income must be at or below 200% FPL for participation in this program. (PLEASE REFER TO HOUSEHOLD SIZE/MONTHLY INCOME CHART)
Drop files here or
Max. file size: 50 MB.

    3 WAYS TO RECEIVE YOUR PRESCRIPTION MEDICATION

    1. Prescription pick-up at the St. Vincent de Paul Georgia Community Pharmacy at 2050 Chamblee Tucker Road Atlanta, GA 30341.
    2. Free prescription medication delivery within 20 miles of St. Vincent de Paul Georgia Community Pharmacy.
    3. Free shipping of prescription medications across Georgia through UPS.

    CONTACT US

    Contact the St. Vincent de Paul Georgia Community Pharmacy at pharmacyapplication@svdpgeorgia.org. To submit an application, fill out the form above.