To
provide eligible veterans and certain dependents and survivors of
veterans with prescription drugs and expendable medical supplies
from VA pharmacies upon presentation of prescription(s) from a VA
provider or VA authorized provider.
TYPES
OF ASSISTANCE:
Sale, Exchange, or Donation of Property and Goods. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Veterans
receiving Veterans Outpatient Care (64.011) can receive prescription
drugs and expendable medical supplies prescribed by a VA provider
or VA authorized provider. These prescriptions will be dispensed
by VA Pharmacies either directly to veterans or mailed upon request.
In territories where there are no VA pharmacies, payment for prescribed
drugs is provided for certain eligible veterans on a reimbursable
basis. Contact the Health Administration Center, Denver, CO, at
1-800-733-8387 for information. Widows and dependent children may
be eligible for reimbursement for medications through the ChampVA
program. Contact the Health Administration Center, Denver, Co for
information. Use Restrictions: Limited to drugs prescribed by VA
physicians, dentists, podiatrists or other VA provider or authorized
VA provider based on the VA National Formulary System. Veterans
receiving medications on an outpatient basis from VA facilities,
for the treatment of a nonservice-connected disability or condition,
are required to make a co-payment of $2.00 for each 30-day or less
supply of medication. Veterans receiving medications for the treatment
of a service-connected condition and veterans rated 50 percent or
more service-connected are exempt from the co- payment requirement
for medications. Prescriptions are not filled for alcoholic beverages
or dietary supplements used for weight control. Nonservice-connected
Veterans living abroad are ineligible for program benefits. However,
service-connected veterans may be eligible for reimbursement for
medications. Contact the Health Administration Center, Denver, CO,
at 1-800-733-8387 for information.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Veterans receiving outpatient care
(see Veterans Outpatient Care 64.011); service connected veterans
and World War I veterans if they are authorized non-VA care (Fee
Basis) are eligible for prescriptions. Also, veterans in receipt
of aid and attendance or housebound benefits are eligible for prescriptions.
Veterans whose pension payments have been discontinued because their
annual income exceeds the applicable maximum limitations may continue
to be eligible for prescription drugs and expendable medical supplies
until their income exceeds the maximum limitation by more than $1,000.
Beneficiary
Eligibility: Veterans receiving outpatient
care (see Veterans Outpatient Care 64.011); service connected
veterans and World War I veterans if they are authorized non-VA
care (Fee Basis) are eligible for prescriptions. Also, veterans
in receipt of aid and attendance or housebound benefits are eligible
for prescriptions. Veterans whose pension payments have been discontinued
because their annual income exceeds the applicable maximum limitations
may continue to be eligible for prescription drugs and expendable
medical supplies until their income exceeds the maximum limitation
by more than $1,000.
Credentials/Documentation:
Eligible veterans must furnish prescriptions(s) from a VA physician,
dentist, podiatrist, or VA authorized provider. Only veteran patients
in receipt of aid and attendance or housebound benefits may furnish
prescriptions from any licensed physician, dentist, or podiatrist.
Pre-application
Coordination: None. This program is excluded
from coverage under E.O. 12372.
Application
Procedure: Veterans should follow the application
process for Veterans Outpatient Care (64.011). Once veterans are
accepted for outpatient care the eligibility information is shared
with the pharmacy computer system, veterans may then present prescriptions
to a VA Pharmacy.
Award
Procedure: Not applicable.
Deadlines:
None.
Range
of Approval/Disapproval Time: Not applicable.
Appeals:
Not applicable.
Renewals:
Not applicable.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: Not applicable.
Length
and Time Phasing of Assistance: None.
POST
ASSISTANCE REQUIREMENTS:
Reports:
None.
Audits:
None.
Records:
None.
FINANCIAL
INFORMATION:
Account
Identification: 36-0160-0-1-703.
Obligations:
(Program Costs Excluding Salaries) FY 01 $1,825,261,000; FY 02
est $1,898,271,000; and FY 03 est $l,898,271,000.
Range
and Average of Financial Assistance: Not applicable.
VA Pamphlet 80-99-1, 38 CFR 17.60; "Federal Benefits for Veterans
and Dependents", $5.00, available from Superintendent of Documents,
Government Printing Office, Washington, DC 20402.
INFORMATION
CONTACTS:
Regional
or Local Office: Initial contact should be made
with the nearest Veterans Hospital Facility listed in Appendix IV
of the Catalog under Veterans Health Administration.
Headquarters
Office: Chief Consultant, Pharmacy Benefits
Management, Department of Veterans Affairs, Washington, DC 20420.
Telephone: (202) 273-8429.
