Program Descriptions
Program Number
64.012
Title
Veterans Prescription Service
Federal Agency
VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS
Authorization
Public Laws 91-500, 93-82, 94-581, and 101-508; 38 U.S.C. 612.
Status
Active
Objectives
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.
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.
Application and Award Process
Preapplication 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
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
(Salaries and Expenses) FY 07 $4,324,952,000; FY 08 est $4,688,246,000; and FY 09 est $5,100,409,000.
Range and Average of Financial Assistance
Not applicable.
Program Accomplishments
Data unavailable.
Regulations, Guidelines and Literature
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.
Web Site Address
http://www.va.gov
Related Programs
64.011, Veterans Dental CARE
93.774, Medicare-Supplementary Medical Insurance
93.778, Medical Assistance Program
Examples of Funded Projects
Not applicable.
Criteria for Selecting Proposals
Not applicable.
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