Official VA Form

VA Form 10-0460

Request for Prescription Drugs from an Eligible Veteran in a State Home

VA Form 10-0460 — Request for Prescription Drugs from an Eligible Veteran in a State Home is an official U.S. Department of Veterans Affairs form. The current version was last revised 2008-02-09. It is 3 pages long. Download the up-to-date PDF below — BaseNeed syncs form data directly from VA.gov so you always get the current edition.

Download the official PDF (VA.gov) →

Last revised: 2008-02-09
First issued: 2023-06-22
Pages: 3
Administered by: VHA

Frequently asked questions

What is VA Form 10-0460 used for?

Request for Prescription Drugs from an Eligible Veteran in a State Home. It is an official VA form, administered by VHA.

Where can I download the current VA Form 10-0460?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/vha-Form-10-0460-fill.pdf (last revised 2008-02-09).

How long is VA Form 10-0460?

VA Form 10-0460 is 3 pages long, last revised 2008-02-09.

Always the current version — synced from VA.gov. BaseNeed is not affiliated with the U.S. Department of Veterans Affairs.

You are not the first person to deal with this

BaseNeed is a members-only community for service members, veterans, spouses and their families. Nothing posted inside is public — not on Google, not on Facebook. That is the point: people talk about moves, money and paperwork there, and that only works behind a door.

Nearby form numbers

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VA Form 10-0455a — Clinical Trial Inclusion/Enrollment Report

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VA Form 10-0462 — Political Activities Fact Sheet and Certification

VA Form 10-0464a — Toxic Embedded Surveillance Center Fragment Collection Form Checklist

VA Form 10-0474 — Application for Biospecimen Storage at a For-Profit Institution