Native and Non-Native Spouse Prescription Program

Chickasaw Nation Residents, Chickasaws At‑large
Application Available

This program provides prescription drug assistance for Native Americans and non-Native American spouses with active private or Medicare Part D Prescription Insurance (federally recognized tribes only).

Applicants must be a First American or non-First American spouse.

See contact information, program details or locations.

Apply

You Provide
  • Completed application (each participant must submit a separate application)
  • Copy of CDIB card (all participants)
  • Copy of tribal citizenship card (all participants)
  • Copy of prescription insurance card (front and back of card, all participants)
  • Copy of marriage license (all participants)
  • Signed Acknowledgement of Notice of Privacy Practices form (all participants)

Contact

Phone:
(855) 478-8725 (580) 421-8725
Fax:
(580) 421-8701
Email:
Mailing Address:
933 N. Country Club Rd., Ada, Oklahoma 74820

Events

No upcoming events.

Program Details

Prescription drug assistance for Native Americans and non-Native American spouses with active private or Medicare Part D Prescription Insurance (federally recognized tribes only).

Uninsured Chickasaw citizens younger than 19 years of age living outside of the Chickasaw Nation boundaries may contact the Chickasaw Nation Refill Center for alternative eligibility requirements for prescription assistance.

Once enrolled, participants may have prescriptions sent to the Chickasaw Nation Refill Center, where they will be reviewed and processed. Eligible prescriptions will be available by mail or pick-up at the pharmacy drive-thru.

All controlled substances must be picked up at the Chickasaw Nation Refill Center.

As refills are needed, participants may call the Chickasaw Nation Refill Center directly or utilize our website, email, mobile phone app or interactive telephone service for refill requests.

Private prescription insurance or Medicare Part D coverage is required for participants in the program.

For more information on this program, please visit our website at CNRefillCenter.net or email us at CNRefillCenter@Chickasaw.net.

Featured Program Expansions:

Refrigerated medications can be mailed to citizens as a part of the Prescription Mail Order Program.

Non-covered items:

  • Investigational drugs
  • IV Medications and IV drug administration devices
  • OTC (over-the-counter) medications
  • Compounded medications
Other Information

The Chickasaw Nation Refill Center values the health and wellness of all Native Americans. This program was created as a direct result of Chickasaw citizen feedback in order to help serve the needs of Chickasaws and other Native Americans by providing a medication assistance program.

Note: The Tribal Health Prescription Mail Order Program has been incorporated into the Native and non-Native spouse prescription program.

Locations

Chickasaw Nation Refill Center

Ada, Oklahoma 74820