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Bureau of Health Systems Development

Non-Renal Transplant Medications Program

pharmacy

The Non-Renal Transplant Medications Program makes post-surgical, transplant related medication available to eligible non-renal transplant recipients to support their long-term survival.

House Bill 2422 allocated $200,000 annually (subject to availability of funds) for contracts with hospitals licensed by the Department of Health Services that perform non-renal organ transplant operations.

Eligibility

All program participants must be non-renal, solid organ transplant recipients, Arizona residents and meet at least one of the following criteria:

  • Medicare enrollee with no prescription medication benefits.
  • Medicare enrollee with immunosuppressant coverage only. Note: Only those medications that are transplant-specific (see Covered Medications) and are not otherwise covered by Medicare are eligible for payment under this program.
  • Primary and/or secondary insurance enrollees with exhausted or insufficient prescription medication benefits. "Exhausted benefits" are those benefits that expire after a given time period or expenditure cap. "Insufficient" is defined as coverage that does not include the covered medications prescribed by this program.
  • Individuals without insurance who are ineligible for Arizona Health Care Cost Containment System (AHCCCS) coverage.

In addition to meeting one of the requirements above, program participants must have income levels at or below 400% of the current federal poverty level guidelines. See the chart below.

Federal Poverty Level Guidelines 2013 (400% FPL)
Family Size Gross Annual Income Less Than Gross Monthly Income Less Than
1 $45,960 $3,830
2 $62,040 $5,170
3 $78,120 $6,510
4 $94,200 $7,850
5 $110,280 $9,190
6 $126,360 $10,530
7 $142,440 $11,870
8 $158,520 $13,210
For families/households with more than 8 persons, add $4,020 pp.

Medications Covered

  • Anti-rejection, anti-viral, anti-bacterial and anti-hypertensive drugs prescribed by a medical doctor for transplant specific indications.
  • Medications for the treatment of conditions resulting from non-renal transplant. (Must present physician's justification for the condition.)
  • No over-the-counter drugs (e.g., Cepacol and/or Riopan) are provided.

Service Provider

University of Arizona Medical Center

Currently, University Medical Center (UMC) in Tucson, Arizona, is the sole contractor for provision of the Non-Renal Transplant Medications Program services. Patients can either pick up their medication at the outpatient pharmacy window (driving directions) at UMC in Tucson, or accommodations can be made to receive it by mail. Medications are limited to those anti-rejection, anti-viral, anti-bacterial and anti-hypertensive drugs prescribed by a medical doctor for transplant specific indications. No over-the-counter drugs (e.g., Cepacol and/or Riopan) are provided. For more information or questions about this program, please call 602-542-1219 or email Patricia Tarango.

Resources

Note: Information provided in PDF files.