logo donation
logo
new patients 2 pharmacy volunteers partners Search our website events contact
home pagelink about 2 Spanish
2
1 1 1 1 1 1 1 1 1 1 1 space
 

 

 

right column

Formulary

Eligibility Requirements:  Montgomery County Resident, income at or below 250% of the Federal Poverty Level and Medically Uninsured. 

These are available based upon cost, long-term treatment, single vs. multi-dose, first line is standard of care; no refills; no narcotics/controlled substances. 

red bullet Formulary for Adults (Adobe PDF adobe acrobat logo )  

red bullet Formulary for Children (Adobe PDF adobe acrobat logo )