If you have patients who cannot afford their prescriptions, Faith Community Pharmacy would like to help.

Who is Eligible?

Patients must be a resident in Northern Kentucky.

This short referral form should be completed to obtain assistance for your patient through our charitable pharmacy program. Please email or fax this form to 859-426-5708 and E-Prescribe (e-Rx) all prescriptions to us.

*** A referral will be honored for 90 days upon receipt ***