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Federal Poverty Level 2026

Which medication assistance programs your income actually opens, and which one line closes most of them.

Manufacturer medication programs and government benefit programs both state eligibility as a percentage of the same federal poverty guideline, so one income figure can be checked against both. Of 36 verified programs that publish a numeric threshold, 31 are open to a household at or under 400% of the poverty level. Above that line only 11 remain, because 20 of them use 400% as their exact cutoff.

In dollars, 400% of the 2026 guideline is $63,840 for one person and $132,000 for a household of four, in the 48 contiguous states and DC.

The eligibility ladder

Each rung is an income threshold a program uses. The bar shows how many of the 36 programs remain open to a household at or below that rung.

150%
36 open
1 program cut off here
300%
35 open
3 programs cut off here
350%
32 open
1 program cut off here
400%
31 open
20 programs cut off here
500%
11 open
7 programs cut off here
600%
4 open
4 programs cut off here

The step from 400% to just above it is the one that matters: 31 programs down to 11. A household that crosses it by a single dollar loses 20 of them at once.

2026 poverty guidelines, and what 400% of them is

Published by the US Department of Health and Human Services as the 2026 Poverty Guidelines. Alaska and Hawaii have their own higher guidelines, which programs are required to use for residents of those states.

48 contiguous states and DC
People in household100% (poverty guideline)400% of guideline
1$15,960$63,840
2$21,640$86,560
3$27,320$109,280
4$33,000$132,000
5$38,680$154,720
6$44,360$177,440
7$50,040$200,160
8$55,720$222,880

For households larger than 8, add $5,680 for each additional person.

Alaska
People in household100% (poverty guideline)400% of guideline
1$19,950$79,800
2$27,050$108,200
3$34,150$136,600
4$41,250$165,000
5$48,350$193,400
6$55,450$221,800
7$62,550$250,200
8$69,650$278,600

For households larger than 8, add $7,100 for each additional person.

Hawaii
People in household100% (poverty guideline)400% of guideline
1$18,360$73,440
2$24,890$99,560
3$31,420$125,680
4$37,950$151,800
5$44,480$177,920
6$51,010$204,040
7$57,540$230,160
8$64,070$256,280

For households larger than 8, add $6,530 for each additional person.

The 36 programs, by the income line they draw

Every program below states a numeric income threshold and publishes a working application route. Thresholds are quoted as the program words them.

150%of the federal poverty level · 1 program

Medicare Extra Help (LIS)

Up to 150% of Federal Poverty Level (about $23,940/year for individuals in 2026). Resource limits also apply.

Saves an average of $5,000+ per year on prescription drug costs; copays reduced to $0-11 per prescription

1 medication listed·Non-profit program·checked 2026-08-04
Application page

300%of the federal poverty level · 3 programs

BMS Access Support

Up to 300% of Federal Poverty Level for free medication; higher for copay assistance

Free Eliquis for uninsured patients (retail cost ~$600/month); copay as low as $0 for insured patients

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

BMS Access Support for Opdivo

Up to 300% of Federal Poverty Level for free medication

Free Opdivo for qualifying patients (retail cost exceeds $15,000 per month)

2 medications listed·Manufacturer program·checked 2026-08-04
Application page

Eliquis 360 Support (via BMS/Pfizer)

Up to 300% of Federal Poverty Level for free medication; copay card for commercially insured

Free Eliquis for qualifying uninsured patients (retail ~$600/month); copay as low as $0 with savings card

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

350%of the federal poverty level · 1 program

Trelegy Ellipta Savings (via GSK)

Up to 350% of Federal Poverty Level for free medication through GSK Patient Assistance Program

Free Trelegy for qualifying patients (retail ~$550/month); copay as low as $0 with savings card

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

400%of the federal poverty level · 20 programs

AZ&Me Prescription Savings Program

Up to 400% of Federal Poverty Level

Free medications or copay savings up to $1,500+ per month

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

Boehringer Ingelheim Cares Foundation

Up to 400% of Federal Poverty Level

Free medication for qualifying patients (Jardiance costs $550+ per month retail)

7 medications listed·Manufacturer program·checked 2026-08-04
Application page

Cosentyx Connect (via Novartis)

Up to 400% of Federal Poverty Level for free medication

Free Cosentyx for qualifying patients (retail ~$6,000/month); copay as low as $0 for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Dupixent MyWay

Up to 400% of Federal Poverty Level for free medication

Free Dupixent for qualifying uninsured patients (retail ~$3,500/month); copay as low as $0 with Dupixent MyWay

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Enbrel Support (via Amgen)

Up to 400% of Federal Poverty Level for free medication through Amgen Safety Net Foundation

Free Enbrel for qualifying patients (retail ~$6,500/month); copay assistance for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Entresto Savings (via Novartis)

Up to 400% of Federal Poverty Level for free medication through Novartis PAF

Free Entresto for qualifying patients (retail ~$600/month); copay as low as $10/month for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Farxiga Savings (via AstraZeneca)

Up to 400% of Federal Poverty Level for free medication through AZ&Me

Free Farxiga for qualifying patients (retail ~$550/month); copay savings for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Jardiance Savings (via Boehringer Ingelheim/Lilly)

Up to 400% of Federal Poverty Level for free medication

Free Jardiance for uninsured qualifying patients (retail ~$550/month); as low as $10/month with savings card

2 medications listed·Manufacturer program·checked 2026-08-04
Application page

Keytruda Assistance (via Merck Helps)

Up to 400% of Federal Poverty Level

Free Keytruda for qualifying uninsured patients (retail cost exceeds $13,000 per month)

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Lilly Cares

Up to 400% of Federal Poverty Level (about $63,840/year for individuals)

Free medication for qualifying patients (savings of $500 to $3,000+ per month depending on drug)

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

Merck Patient Assistance Program

Up to 400% of Federal Poverty Level

Free medication for qualifying patients (Keytruda costs $13,000+ per month)

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

Mounjaro Savings (via Lilly)

Up to 400% of Federal Poverty Level for free medication through Lilly Cares

Free Mounjaro for qualifying uninsured patients (retail ~$1,070/month); savings card may reduce copay to $25/month

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Novo Nordisk PAP (NovoCare)

Up to 400% of Federal Poverty Level (about $63,840/year for individuals)

Free medication (savings of $800 to $1,600+ per month for Ozempic/Wegovy)

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

Otezla Support (via Amgen)

Up to 400% of Federal Poverty Level for free medication through Amgen Safety Net Foundation

Free Otezla for qualifying patients (retail ~$3,800/month); copay as low as $0 for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Ozempic Savings (via NovoCare)

Up to 400% of Federal Poverty Level for free medication; savings card for commercially insured patients

Free Ozempic for uninsured eligible patients; as low as $25/month for commercially insured patients with savings card

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Pfizer RxPathways

Up to 400% of Federal Poverty Level (about $63,840/year for individuals)

Up to 100% off the cost of covered Pfizer medications

7 medications listed·Manufacturer program·checked 2026-08-04
Application page

Repatha Savings (via Amgen)

Up to 400% of Federal Poverty Level for free medication through Amgen Safety Net Foundation

Free Repatha for qualifying patients (retail ~$550/month); copay as low as $5/month for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Sanofi Patient Connection

Up to 400% of Federal Poverty Level

Free medication for qualifying patients (Dupixent alone costs $3,500+ per month without coverage)

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

Trulicity Savings (via Lilly)

Up to 400% of Federal Poverty Level for free medication through Lilly Cares

Free Trulicity for qualifying uninsured patients (retail ~$1,000/month); savings card may reduce copay to $25/month

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Wegovy Savings (via NovoCare)

Up to 400% of Federal Poverty Level for free medication

Free Wegovy for qualifying uninsured patients (retail ~$1,350/month); savings card may reduce insured copay

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

500%of the federal poverty level · 7 programs

Biktarvy Assistance (via Gilead Advancing Access)

Up to 500% of Federal Poverty Level for free medication

Free Biktarvy for qualifying patients (retail ~$3,600/month); copay coupon reduces cost for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Genentech Patient Foundation

Up to 500% of Federal Poverty Level

Free medication for qualifying patients (Ocrevus costs $70,000+ per year)

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

Gilead Advancing Access

Up to 500% of Federal Poverty Level

Free medication for qualifying patients (HIV treatments cost $3,000+ per month; hepatitis C cures cost $24,000+)

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

J&J Patient Assistance Foundation (JJPAF)

Up to 500% of Federal Poverty Level (about $79,800/year for individuals)

Free medication for qualifying patients (savings of $1,000 to $15,000+ per month)

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

Ocrevus Access Solutions (via Genentech)

Up to 500% of Federal Poverty Level for free medication

Free Ocrevus for qualifying patients (retail cost ~$70,000/year); copay assistance for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Stelara Support (via Janssen/J&J)

Up to 500% of Federal Poverty Level through JJPAF

Free Stelara for qualifying patients (retail ~$13,000 per dose); copay assistance for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Xarelto Savings (via Janssen/J&J)

Up to 500% of Federal Poverty Level for free medication through JJPAF

Free Xarelto for qualifying uninsured patients (retail ~$550/month); copay as low as $0 with savings card

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

600%of the federal poverty level · 4 programs

Humira Complete (via myAbbVie Assist)

Up to 600% of Federal Poverty Level (about $90,360/year for individuals)

Free Humira for uninsured patients (retail cost $6,900+/month); copay as low as $5/month for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

myAbbVie Assist

Up to 600% of Federal Poverty Level for most drugs

Free medication for qualifying patients (Humira alone costs $6,000+ per month without insurance)

8 medications listed·Manufacturer program·checked 2026-08-04
Application page

Rinvoq Complete (via AbbVie)

Up to 600% of Federal Poverty Level

Free Rinvoq for qualifying patients (retail ~$5,800/month); copay as low as $5 for insured patients

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

Skyrizi Complete (via AbbVie)

Up to 600% of Federal Poverty Level through myAbbVie Assist

Free Skyrizi for qualifying patients (retail ~$18,000 per quarterly dose); copay as low as $0 for insured

1 medication listed·Manufacturer program·checked 2026-08-04
Application page

What this page does not tell you

Income is not the only test. Most programs also set insurance conditions, and many are open only to people who are uninsured or underinsured. Meeting the income line is necessary, not sufficient.

19 of the 55 programs on record are not on this ladder, and the reasons are worth knowing because each one is a different kind of honest gap. 7 state a range rather than a single figure, and a range cannot sit on a rung without picking an end of it for them. 5 describe a whole category of programs rather than one program’s own published rule, so attributing their number to a single organisation would put words in its mouth. The rest state the rule in words, or apply no income test at all. None of this makes them worse programs. Check them directly.

Programs change their rules without notice. Every record here was checked on 2026-08-04 to 2026-08-04. Confirm the current threshold with the program itself before relying on anything you read here.

This is not medical or legal advice, and it is not an eligibility determination. Only the program can tell you whether you qualify.

Where to go next

This page answers one question: what your income opens. Each half of what comes next is covered in more depth elsewhere.

What your state adds, on top of this

Everything above is national. States run their own programs in addition, and they differ far more than the label suggests: of 47 jurisdictions with a listed program, only 13 are open to the general population. The rest require a specific diagnosis.

Provenance

Income guidelines are transcribed from the US Department of Health and Human Services, 2026 Poverty Guidelines, read on 2026-08-26. Program records are drawn from the assistance database maintained for OmniRx, each carrying its own verification date. The counts and the ladder on this page are computed from those records rather than stated by hand, so they move when the records move.

Nothing on this page is sold, sponsored, or placed. No program paid to appear, and the order is set by the income threshold each one publishes.

Compiled by Vincent Couey for Deep Synthesis. Last generated 2026-08-26.