prescription and non prescription help
Saint Louise Pharmacy - Dispensary of Hope
Saint Louise Pharmacy
(Dispensary of Hope - Saint Thomas Rutherford
Phone: (615) 396-6167
Fax: (615) 396-6627
What do people need to bring?
State ID/DL
Social Security Card
Proof of Income: DHS benefit verification letter, check stub, bank statement
Shelter Letter: Proof Residency Letter from places like the Journey Home, Salvation Army, Room in the Inn, The Way of Hope)
Address:
1020 North Highland Ave. Murfreesboro, TN 37130
Hours of Operation:
Mon., Tue., Wed., Thur: 8:30AM — 5:30PM
Closed 1 PM — 2PM (lunch)
Fridays: 8:30AM - 1:00PM
Closed weekends.
*Arrive at least 30 minutes before closing because wait times may vary.
Forms:
Dispensary of Hope - Rutherford Application Forms
Dispensary of Hope - Rutherford Letters of Support (use when no income exists)
Dispensary of Hope - Rutherford Attention Letters
Dispensary of Hope - Rutherford Patient Responsibility Form
Community Helpers
Medicine Hours— Tuesday, Wednesday, Thursday —9:00-11:30 am and 1:30-3:30 pm—-no appointments necessary for medicine applicants
Medication Requirements
Please call our office for specifics. For any assistance that is offered by our organization, we require:
1. Federal or state identification, Social Security card, US passport or green card
2. Proof of income: check stub, bank statement (direct deposit) SSI award, Social Security, child support, DHS documentation.
3. Monthly expenses
4. Pertinent family information.
5. For medication assistance, documented medical history, and the actual written prescription or bottle for refill are required.
6. All prescriptions will be filled for no more than a 30-day supply
a. No prescription can be refilled before 30-day supply refill date.
b. $500 per month limit per client.
c. Each client can present 5 prescriptions per month not to exceed $500.
Additional Resources
Discount RX card program, 1-800-503-6897
Co-payment program; the form is online, 1-888-477-2669
Walmart $4 Prescriptions:
Publix-- RX list:
Walgreens RX list:
Sam’s Club RX list:
Cover TN Kids RX:
Blink discount RX program:
Target RX List:
Rite-Aid - generic list:
Need Generic Medication? Visit Greenhouse Ministries: