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Epilepsy (Seizure) Medication Program
Florida Department of Health in Putnam County
- 386-326-3200 or 800-440-0420
- chd54webmaster@flhealth.gov
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Fax
386-326-3350 -
Mailing Address
2801 Kennedy Street
Palatka, FL 32177
Program Description
Individuals who qualify, may receive EPILEPSY MEDICATIONS at no cost or a reduced cost through the Florida Department of Health in Putnam County.
Eligibility requirements:
Must be a bona-fide resident of Florida. An illegal alien living in Florida with the intent to remain meets the residency requirement for Epilepsy Medication Program.
Has a current prescription for epilepsy medications that is on the epilepsy formulary (Health Department can provide you this information).
Is uninsured or is lacking insurance that covers epilepsy medication.
Has a net family income at or below 100% of the Federal Poverty Guidelines 2014
Has no more than $2,500.00 in private funds, bank accounts, or assets other than a homestead.
More information about eligibility can be answered by calling 386-326-3200.
A current prescription is required, issued by a licensed healthcare practitioner authorized by law to prescribe medication and written within 3 months of application for the Epilepsy Medication Program and effective for up to 12 months after it is written. It must include the following:
- Person's name, typed or printed
- Person's date of birth
- Physician's state license number
- Physician's name, typed or printed
- Physician's phone number
- Date of prescription
- Type of epilepsy medication to be issued
- Medication dosage
- Amount of medication to be issued at each visit - up to 3 month supply
- Number of refills if allowed
Additional Resources
The following resources may provide Epilepsy medications if you are not eligible for this program:
Partnership for Prescription Assistance
Patient Advocate Foundation (PAF) Co-Pay Relief Program
1-866-512-3861
Connect with DOH