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Income Eligibility Guidelines

300% Over Federal Poverty Levels

Family Size
300% Above Federal Poverty Levels
 1
$36,420
 2
$49,380
 3
$62,340
 4
$75,300
 5
$88,260
 6
$101,220
 7
$114,180
 8
$127,140
Additional Family Members
$12,960

NOTE: Federal Poverty Guidelines do not include Hawaii and Alaska. Each medication has a defined income guideline. The illustrated 300% is the average.

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