VA Form 10-0460: Request Prescription Drugs in State Homes

VA Form 10-0460: Request Prescription Drugs in State Homes – Veterans residing in state veterans homes (also known as State Nursing Homes) may qualify for VA-provided prescription medications through a specific process. VA Form 10-0460, officially titled Request for Prescription Drugs from an Eligible Veteran in a State Home, is the key document for this benefit.

This article explains eligibility, how to complete the form, submission steps, and important details for U.S. veterans and their families.

What Is VA Form 10-0460?

VA Form 10-0460 is a request form used by eligible veterans living in approved state veterans homes to obtain prescription drugs from the U.S. Department of Veterans Affairs (VA). It is governed by Title 38 of the Code of Federal Regulations, specifically sections related to state home programs (such as 38 CFR 17.96 and 51.42).

The form allows the VA to furnish medications when the veteran meets certain service-connected disability, housebound, or aid-and-attendance criteria. It is typically initiated by the state home on behalf of the veteran and involves coordination with a VA medical facility.

Download the official fillable PDF here:
Download VA Form 10-0460 (PDF)

Who Is Eligible for Prescription Drugs via VA Form 10-0460?

Eligibility is limited to veterans in state nursing homes who meet specific criteria outlined on the form. You must check one or more applicable boxes:

  • (1) Receiving increased VA compensation or pension due to being permanently housebound or in need of regular aid and attendance.
  • (2) In need of regular aid and attendance, previously received increased pension that was discontinued due to excess income (with income limits applying).
  • (3) 50% or 60% service-connected disability rating (or unemployability) and need nursing home care for non-service-connected reasons.
  • (4) Less than 50% service-connected rating, needing drugs specifically for a service-connected disability, with nursing home care for non-service-connected reasons.

Supporting documentation, such as a copy of the VA award letter for aid and attendance or housebound status, is often required.

Step-by-Step: How to Fill Out VA Form 10-0460

The form is straightforward but requires accurate information from both the veteran and the state home staff. Here’s a breakdown:

  1. Veteran Information: Provide full name, Social Security Number, date of admission to the state home, and details about aid-and-attendance or housebound award (including whether a copy is attached).
  2. Eligibility Certification: The veteran signs and dates the form, confirming eligibility under one of the categories.
  3. Diagnoses Section: List diagnoses for which the veteran was admitted, including diagnosis codes, names, and linking to eligibility category.
  4. Prescribing Physician and Medications: The state home representative or physician provides medication details and certifies the prescriptions.
  5. State Home and VA Facility Info: Include addresses and contact information.

Tip: Work closely with the state veterans home admissions or nursing staff, as they often complete much of the form.

How to Submit VA Form 10-0460?

  • The completed form is typically submitted by the State Home to the designated VA Facility.
  • Include any required attachments like award letters or prescription details.
  • Processing time varies; contact your local VA medical center or the state home administrator for status.

State homes must comply with VA per diem and survey requirements, which often include proper use of this form for medication requests.

Benefits of Using VA Form 10-0460

  • Provides access to VA formulary medications at no or low cost for qualifying veterans in state homes.
  • Supports long-term care residents who might otherwise face high out-of-pocket pharmacy expenses.
  • Coordinates care between the state facility and VA system.

This benefit is part of the broader VA State Veterans Home Program, which offers nursing home care supported by VA per diem payments.

Common Questions About VA Form 10-0460

Is the form still current?
The version available on VA.gov is the fillable PDF (NOV 2020 revision). Always use the latest official version from the VA website.

What if I’m not in a state veterans home?
This form is specific to residents of approved state homes. General VA prescription benefits are handled differently (e.g., through VA health care enrollment via VA Form 10-10EZ).

Need help?
Contact the state veterans home where you or your loved one resides, your local VA medical center, or visit VA.gov for resources.

Veterans and families should consult official VA sources or a Veterans Service Officer (VSO) for personalized guidance, as eligibility can depend on individual circumstances.

This article is for informational purposes only and is based on publicly available VA resources. Rules and forms may be updated—verify directly with the VA.