Vermont VPharm Prescription Assistance
Vermont's VPharm program helps eligible residents pay their Medicare Part D premium and lowers many drug copays to $1 or $2.
Vermont residents 65+ (or disabled under 65) enrolled in Medicare Part D with income at or below 225% of the federal poverty level can join VPharm for a $15-$50 monthly premium, which helps cover the Part D premium and lowers many copays to $1 or $2.
Most states no longer run a dedicated State Pharmaceutical Assistance Program (SPAP) — only a handful still do, largely because Medicare Part D, especially after the Inflation Reduction Act's reforms, now covers much of what these programs used to fill in. Vermont's VPharm is administered by the Department of Vermont Health Access (DVHA), part of the Agency of Human Services.
What VPharm Covers
VPharm works alongside a member's Medicare Part D plan. It helps pay the Part D plan premium and lowers many drug copays to $1 or $2 per prescription. VPharm is split into three tiers based on income: VPharm 1 (income up to 150% of the federal poverty level) has a $15 monthly premium, VPharm 2 (150.01%-175% FPL) has a $20 monthly premium, and VPharm 3 (175.01%-225% FPL) has a $50 monthly premium.
Who Qualifies
To qualify, you generally need to be a Vermont resident who:
- Is 65 years of age or older, or is under 65 with a qualifying disability
- Is enrolled in a Medicare Part D prescription drug plan
- Has income at or below 225% of the federal poverty level
Vermont also runs Medicare Savings Programs with their own income limits, which may reduce or eliminate the need for VPharm for some members — check both when applying.
How to Apply
VPharm is administered by the Department of Vermont Health Access. For current income limits by tier and to start an application, visit the official program page or call the DVHA member services line.
View program details on vermont.gov →Frequently Asked Questions
Who qualifies for VPharm in Vermont?
Vermont residents 65 or older, or under 65 with a qualifying disability, who are enrolled in a Medicare Part D plan and have income at or below 225% of the federal poverty level.
How much does VPharm cost and cover?
VPharm has three income tiers with monthly premiums of $15, $20, or $50. It helps pay your Part D plan premium and lowers many drug copays to $1 or $2 per prescription.
Does VPharm replace Medicare Part D?
No. VPharm requires you to already be enrolled in a Medicare Part D plan, and works alongside it to reduce your premium and copay costs.
Illustrative summary — verify exact current income limits and premium/copay amounts with the Department of Vermont Health Access before relying on this page for an application decision. This site is not affiliated with the State of Vermont.