Disability RX Program

The Disability Rx Program is Nevada’s prescription cost assistance program specifically for Medicare beneficiaries with disabilities — typically individuals under 65 who qualified for Medicare through Social Security Disability Insurance (SSDI) or another qualifying disability. It was established during the 1999 Nevada Legislative session and is funded by Nevada’s share of tobacco settlement funds. Program benefits are coordinated directly with Medicare Part D plans.

WHAT DOES DISABILITY RX COVER?

Disability Rx currently operates as a Part D Premium Subsidy program. Benefits include:

• A monthly Part D premium subsidy of up to $37.00, applied directly to your enrolled Part D or Medicare Advantage Prescription Drug (MAPD) plan

• Helps reduce out-of-pocket costs for eligible Nevadans with disabilities who don’t qualify for full Medicare Extra Help

• Supports enrollment in the Part D or MAPD plan that best fits your individual prescription needs

Note: Disability Rx no longer covers costs in the Medicare Part D coverage gap. The Donut Hole was permanently eliminated effective January 1, 2025 under the Inflation Reduction Act.

DO I QUALIFY FOR DISABILITY RX?

To qualify, you must meet all three of the following requirements:

1. Medicare Eligibility
You must be enrolled in Medicare and have an active Medicare Part D Prescription Drug Plan. If you qualify for Medicare Extra Help (Low Income Subsidy), you must apply for and use that benefit first — it may cover more of your costs than Disability Rx.

2. Income
Income limits are updated annually by Nevada Aging and Disability Services. Contact Nevada Aging at 1-800-307-4444 or visit aging.nv.gov to confirm current thresholds before applying. Nevada Care™ can also check your eligibility for free — call 702-840-1111.

3. Nevada Residency
You must have lived continuously in Nevada for at least 12 consecutive months prior to your application date.

WHAT ABOUT MEDICARE EXTRA HELP?

Medicare Extra Help (Low Income Subsidy) is a federal program that can significantly reduce or eliminate your Part D premium, deductible, and copays. As of 2024, Extra Help eligibility was expanded to cover individuals with income up to 150% of the Federal Poverty Level — more Nevada beneficiaries qualify now than ever before. If you qualify for Extra Help, it will typically save you more than Disability Rx alone.

Nevada Medicare checks your eligibility for both programs at no cost — call 702-840-1111.

To apply for Extra Help directly, contact Social Security at 1-800-772-1213.

HOW TO APPLY FOR DISABILITY RX

1. Confirm you meet the income, residency, and Medicare eligibility requirements above
2. Gather proof of income (most recent tax return or documentation of all income sources), proof of disability status, and proof of Nevada residency
3. Contact Nevada Aging and Disability Services at 1-800-307-4444 or apply at aging.nv.gov

HOW NEVADA MEDICARE CAN HELP

Not sure if you qualify for Disability Rx, Medicare Extra Help, or a lower-cost plan altogether?

Nevada Medicare reviews your full situation, checks every available option in your Nevada county, and helps you apply — completely free.

Call 702-840-1111 — Monday through Friday 8am–6pm, Saturday 8am–1pm. Or visit us at 2412 Stewart Ave, Las Vegas, NV 89101.