Apply for Prescription Drug Program (PACE and PACENET)

Pennsylvania’s prescription assistance programs for older adults, PACE and PACENET, offer low-cost prescription medication to qualified residents, age 65 and older. PACE and PACENET work with Medicare Part D plans and other prescription drug plans such as retiree/union coverage, employer plans, Medicare Advantage (HMO, PPO) and Veterans’ Benefits (VA) to lower out-of-pocket costs for medications.

See the website for current eligibilty requirements.

You can apply by phone, online application or by mailing a paper application.

• Online Application

  Complete an ONLINE APPLICATION by visiting the PACE website.

• Apply by Phone

  Call to apply by phone. Please have income and insurance information available. 
  1-800-225-7223

• Print Your Application

  Send your completed application by mail, fax or email. Mail: PACE/PACENET, PO Box 8806, Harrisburg, PA 17105-8806 | Fax: 1-888-656-0372 | Email: papace@primetherapeutics.com​ 
  
  DOWNLOAD APPLICATION 
  DOWNLOAD SPANISH APPLICATION

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