Maine State Pharmacy Assistance Programs (SPAP)
Maine Low Cost Drugs for the Elderly or Disabled Program
Eligiblity Requirements
- Applies to Maine residents.
- Income limit is 175% of the federal poverty level.
- Must be 62 years old or 19 years old or older and medically qualified for Social Security Disability Income (SDDI).
- If you spend 40% or more of household income on prescription drugs, the income limits increases.
Important Note
Basic Benefits:- 80% minus $2.00 of the cost of all generic prescription drugs on the Preferred Drug List.
- 80% minus $2.00 of the cost of brand-name medications on the Preferred Drug List for the treatment of diabetes, heart disase, high blood pressure, chronic lung disease (emphysema and asthma), arthritis, anticoagulation, Hyperlipidemia (high cholesteraol), incontinence, thyroid disease, osteoporosis, (bone density loss,), Parkinson’s Disease, glaucoma, Multiple Sclerosis, and ALS (Lou Gehrig’s Disease).
The Supplemental Benefit includes other drugs not covered in he basic Benefit. The drugs must be medically necessary and supplied from participating manufacturers. Actual savings vary from drug to drug. DEL Members pay the State’s negotiated MaineCare rate minus $2.00.
Catastrophic Spending Limit:
After a Member spends $1,000 on eligible prescription drugs, the State pays 80% of the cost of all eligible prescription drugs, regardless of any disease or condition. The drugs must be medically necessary and supplied from companies with agreements with the State. Eligible prescription drugs are only those drugs that were covered by DEL on May 31, 2001. The Catastrophic Spending Limit is tracked from August 1st each year to July 31st of the following year.
To request an application or for more information call: 1-866-796-2463, TTY: 1-800-606-0215.
Contact Information
Phone(866) 796-2463
Address
Office of MaineCare Services,
242 State Street
Augusta, ME 04333
Website
www.maine.gov/dhhs/beas/resource/lc_drugs.htm