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The information you provide will be used to determine whether or not you will be eligible to receive assistance.
You cannot have:
- Medicaid Prescription coverage
- Medicare Prescription coverage
- Veteran’s Prescription coverage
- Any other type of Prescription coverage
You can have:
- Other health insurance or no health insurance at all
- Medicare A & B
- Supplemental Insurance
- Medication discount card
- Medicaid QMB, SLMB
- Medicare Discount card
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