Providing Hope Close to Home

The Problem

More than 65 million Americans – nearly one in five – are uninsured or underinsured, leaving them vulnerable to one of the most pressing health inequity issues in the country: lack of access to essential medicine.

Patients living in poverty or working low-wage jobs often face impossible choices between food, rent, and life-sustaining prescriptions.

The consequences are staggering, 21% of adults report skipping or rationing medications due to cost (Kaiser Family Foundation study, 2023). Medication nonadherence contributes to an estimated 125,000 deaths and 10% of hospitalizations in the U.S. each year (Annals of Internal Medicine, 2018).

Our Solution

MAP USA is a bold solution to the nation’s medication access crisis. The program transforms surplus FDA approved medicine, health supplies and medical devices, along with purchased medicine into life-changing therapies for low-income, uninsured, and underinsured individuals. MAP is seeking a one-time philanthropic investment of $448,000 to expand MAP USA on a national scale. This is a moment of opportunity.

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Impact Goals

The startup investment requested in this proposal will fund the essential infrastructure, staffing, and systems required to launch MAP USA and position the program for national scale.

Over the 12-18 month startup phase, MAP USA will:

  1. Serve at least 170,000 thirty-day prescriptions to uninsured and underinsured patients through partner clinics and pharmacies by the end of Year 1.
  2. Engage and onboard 10-15 new beta clinic partners and transition all 130+ existing partners to updated agreements, compliance protocols, and the new ordering platform by Month 18.
  3. Establish a core formulary of 30+ essential medicines and secure a minimum of three new manufacturer or distributor sourcing agreements by Month 12.
  4. Achieve a 4:1 return on philanthropic investment in medicine value delivered to partner sites by the end of the startup period.
  5. Maintain a 95% partner retention rate among clinics and pharmacies enrolled in MAP USA during the startup phase.

These startup deliverables will lay the groundwork for MAP USA to expand medicine access to hundreds of thousands more patients in the years ahead.

By Year 5, MAP USA anticipates:

  1. Serving 500,000 patients annually through 1,000+ partner clinics and pharmacies.
  2. Distributing $200 million in medicine-value annually, with emphasis on chronic disease and maternal health.
  3. Improving medication adherence, lowering avoidable ER visits, and increasing clinic capacity through consistent formulary access.

Currently serving 130 partner clinics in 9 states

Program Growth

Help US Residents Receive the Health They Need

Planned Investment

To successfully launch MAP USA, MAP is seeking a one-time startup investment to build the core infrastructure required for national expansion. This includes establishing robust IT systems, ensuring legal and regulatory compliance, onboarding dedicated startup staff, and configuring logistics and distribution infrastructure.

MAP’s strong financial controls, experience managing complex in-kind logistics, and proven ability to steward foundation funding ensure that this investment will be deployed with efficiency, transparency, and accountability. MAP USA is ready to scale in alignment with foundation priorities and deliver measurable, lasting impact to communities most in need.

The breakdown below reflects the full scope of startup needs outlined in MAP’s internal growth plan.

IT Infrastructure & System
$100,000
Development and set up of a new inventory and partner management platform, including a rapid design contractor.

Legal, Licensing & Accreditation
$82,500
Legal support to revise partner contracts and medicine donor agreements, and to obtain required accreditations and licenses.

Staffing & Operational Expansion
$150,000
Initial staffing to support clinic onboarding, operations, and implementation of new systems.

Logistics & Facility Setup
$66,000
Configuration of fulfillment, storage, and distribution infrastructure to support expansion.

Contingency & Administrative Costs
$50,000
Flexible funding to address emerging startup needs and ensure timely execution.

Total
$448,500
Reflects variability in IT development, legal contracting, and accreditation requirements.

CategoryEstimated CostDescription
IT Infrastructure & System$100,000Development and set up of a new inventory and partner management platform, including a rapid design contractor.
Legal, Licensing & Accreditation$82,500Legal support to revise partner contracts and medicine donor agreements, and to obtain required accreditations and licenses.
Staffing & Operational Expansion$150,000Initial staffing to support clinic onboarding, operations, and implementation of new systems.
Logistics & Facility Setup$66,000Configuration of fulfillment, storage, and distribution infrastructure to support expansion.
Contingency & Administrative Costs$50,000Flexible funding to address emerging startup needs and ensure timely execution.
Total448,500Reflects variability in IT development, legal contracting, and accreditation requirements.
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