• Client must reside in Louisiana
• Income must be at or below 200% Federal Poverty Level
• Client must not have any prescription coverage - Insurance, Medicaid or Medicare
• Client must be over 18 years of age

Required Forms for application to Cenla Medication Access Program

    CMAP Application (NEW for 2012)
    Income Guidelines (NEW for 2012)
    4506T Request for Transcript of Tax Return