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If you meet all five (5) eligibility criteria and funding is available, your application will be approved pending receipt and verification of supplemental documents.
Please check your e-mail for a link to complete the required Supplemental Documents through DocuSign.
Alternatively, if you submitted a paper application, please submit the Supplemental Documents by mail, fax, or drop-off at any SCVMC Outpatient Pharmacy. The Supplemental Documents are available on the Forms page of the MedAssist website.
Failure to submit the supplemental documents within thirty (30) calendar days of the date on your application form will result in your application being withdrawn.
Required supplemental documents checklist*
- Automated Clearing House (ACH) Registration
- W-9
*You will be contacted using the information you provided if any additional information or documents are required.
Please login to the portal here to check the details of your application approval and grant award or contact the MedAssist office.
If you applied by mail, fax, or drop-off at a SCVMC Outpatient Pharmacy, you will be notified of any changes to your application status by letter and/or phone.
Grant payments
Initial grant payment
Your first grant payment will be issued within ten (10) business days of your application approval date.
Future grant payments
To receive subsequent grant payments, you will need to sign a self-attestation form to confirm that you are regularly taking your medications.
You will also need to confirm that you will use the MedAssist grant to purchase the prescription medications covered by the MedAssist program. You will need to show proof of the amount of your out-of-pocket expenditures for your prescriptions if you are audited by the MedAssist program.
The default method of payment is direct deposit. However you have the option to receive grant payments via paper check. Please select “check” for your payment method on the ACH Registration form to opt-out of direct deposit.
You can always check the details of your grant by logging into the portal or by contacting the MedAssist office.
