Thursday, October 28, 2021

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Patient Eligibility Requirements and Application

Eligibility Requirements:
  • Client must reside in Louisiana
  • Income must be at or below 250% 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 (2016)

Income Guidelines (2016)

4506T Request for Transcript of Tax Return (2016)

Physician Participation

CMAP is a non-profit Central Fill Pharmacy which has acquired contracts with several drug manufacturers to provide us with bulk donation medications.  These contracts allow CMAP to offer free medications to your patients who meet certain guidelines.

What does this mean to you and your staff?

  1. Patients may now receive medications that they may otherwise be unable to afford.
  2. Less paperwork; no individual applications are required for these particular medications.
  3. Wait time for medications drastically reduced to less than a week.

Benefits of CMAP:

  1. Decreased wait time for medication delivery to clients compared to PAP
  2. Decreased paperwork for physicians
  3. Decreased paperwork for clients
  4. Creates centralized records that allow pharmacist counseling for
    drug interactions, difficult dosing requirements, etc.
  5. Provides patient-specific labeling on bottles that help with compliance


Agreement Form


Want to learn more?

Contact CMAP
Phone: 318-443-7494
Fax: 318-448-4473
Toll Free: 888-443-7494


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