Drug Assistant's Patient Registration Program connects you with our nationwide network of Patient Advocates who can help you apply for financial assistance. There is no charge for this registration service. (Your advocate may later charge a minor, pre-agreed fee IF they can obtain free drugs for you.)

Number of People in your household, Including Yourself	All States and Washington D.C., Except Alaska and Hawaii	Alaska	Hawaii
You	Less Than $32,490 a year	Less Than $40,590 a year	Less Than $37,380 a year
You + 1	Less Than $43,710 a year	Less Than $54,630 a year	Less Than $50,280 a year
You + 2	Less Than $54,930 a year	Less Than $68,670 a year	Less Than $63,180 a year
You + 3	Less Than $66,150 a year	Less Than $82,710 a year	Less Than $76,080 a year
Add this amount for each additional person*	$11,220 a year	$14,040 a year	$12,900 a year