This program is offered to patients who do not have prescription coverage and qualify financially based on the pharmaceutical company requirements.  If you have Medicare, please look at the link provided of the guidelines you have to follow that is mandatory from Medicare. 

Information from Medicare for patients:

http://www.medicare.gov/Publications/Pubs/pdf/11065.pdf

Information from Medicare for Providers:

http://www.cms.hhs.gov/medlearn/matters/mmarticles/2005/SE0502.pdf