Community Health Services

Corporate Office: Fremont, Ohio 419.334.3869
 

Prescription Assistance

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Community Health Services (CHS) is able to provide patient assistance with prescriptions.  Several medications can be received through the pharmaceutical companies at no cost to the patient.

In order to utilize the patient assistance program, patients must complete the following;

1.  Apply for the CHS sliding fee scale
. (including income verification)

2.  Schedule an appointment with their CHS Provider to obtain a prescription for the medication(s).

3.  Go to
www.needymeds.com and complete the appropriate application(s). 

Please follow the steps below.

  • Click on if your medication is a brand name or a generic medication.
  • Click on the first letter that your medication starts with.
  • Click on the name of your medication.
  • This will take you to the page that will give you all the information about your medication.  On this page you will see the income guidelines, the amount of medication you will receive as well as the patient assistance application that you will need to complete.

 

Once all of the three steps above have been completed, return the CHS sliding application, the prescription(s) and the completed patient assistance application (needymeds) to your CHS office and the Provider will sign the application.  Once the application has been completed the office will send it to the pharmaceutical company and notify you when the medication has arrived at our office for pick-up.  In order to pick up medications, patients must present their photo identification.

 

CHS Providers will only write prescriptions for certain patient assistance medications. 

 

  Medications updated May 2012:
  • Abilify  
  • Advair Diskus
  • Aggrenox
  • Amitiza
  • Antivert
  • Apidra 
  • Aricept
  • Asmanex Twisthaler
  • Atrovent HFA
  • Azor
  • Benicar
  • Benicar HCT
  • Byetta
  • Bystolic
  • Caduet
  • Celebrex
  • Chantix
  • Climara
  • Clondine
  • Combivent
  • Crestor
  • Cymbalta
  • Daliresp
  • Depakote
  • Detrol
  • Detrol LA
  • Diovan HCT
  • Dulera 
  • Effexor
  • Effexor XR
  • Effient
  • Flovent HFA
  • Foradil Aerolizer
  • Humalog
  • Humulin
  • Imitrex
  • Janumet
  • Janumet XR
  • Januvia
  • Kombligyze XR
  • Lamictal
  • Lantus
  • Levemir
  • Lexapro
  • Lipitor
  • Lovaza
  • Mirapex
  • Namenda
  • Nasonex
  • Neurontin
  • Nexium
  • Niaspan
  • Novolin
  • Novolog
  • Onglyza
  • Pentasa
  • Premarin
  • Premarin Cream
  • ProAir 
  • Proventil HFA
  • Pulmicort
  • Qvar
  • Requip*
  • Requip XL
  • Risperdal
  • Seroquel
  • Singular
  • Spiriva
  • Stratera
  • Symbicort
  • Topamax
  • Tricor
  • Trileptal
  • Tudorzaa Pressair
  • Uloric
  • Vagafem 
  • Ventolin HFA
  • Veramyst
  • Vesicare
  • Victoza
  • Vimovo
  • Vytorin
  • Wellbutrin XL*
  • Zoloft
  • Zomig
*No new applications being accepted for these programs. Only current enrollees may continue on these programs.