Contact info
- Phone
- 1-800-222-9123
Eligibility
- Eligibility is determined on case-by-case basis.
- *Note: Additional products may be available. Please contact the program for a complete product listing.
- Income limit, single
- Not published
- Income limit, couple
- Not published
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- Not published
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Not published
- Prescriber license number
- Not required
- Who can sign
- Not published
- Application can be faxed
- Not published
- Decision letter sent to
- Provider
Getting the medication
- Patient receives
- Varies
- Shipped to
- Not published
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- Not published
Medications covered
- Enfamil (infant formula)