Medicare lists no state prescription program for Hawaii. Under those income figures, 31 national programs are open to you regardless of which state you live in.
Hawaii uses its own federal poverty guidelines, which are higher than the figures published for the contiguous states. The numbers above are the Hawaii ones.
Medicare records no pharmaceutical assistance program for Hawaii in plan year 2026. That is worth knowing so you stop looking for one.
It is not the disadvantage it appears to be. In 34 other states the listed program is restricted to a specific diagnosis, so most residents there are in the same position as you. The largest source of free medication in the country is run by manufacturers, applies nationally, and pays no attention to state lines.
This layer is the same in every state, which is the useful part: it does not matter what Hawaii does or does not run.
See exactly which programs your household size and income open, and the 400% line where most of them stop.
Full eligibility rules, covered medications and application steps, program by program.
Why 34 states restrict their program to a diagnosis, and which 13 do not.
Discount cards and pharmacy cash pricing. No income test, no application, works for everyone.
Hawaii guidelines, published by the US Department of Health and Human Services as the 2026 Poverty Guidelines.
| People in household | 100% | 400% |
|---|---|---|
| 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.
This is not an eligibility determination. Only a program can tell you whether you qualify, and income is rarely the only test.
Programs change without notice. State program records were read from Medicare.gov State Pharmaceutical Assistance Program finder, plan year 2026 on 2026-08-26. Confirm current requirements with the program directly.
Compiled by Vincent Couey for Deep Synthesis. Nothing on this page is sold, sponsored or placed.