Introduction: Studies show improvements in fruit and vegetable (FV) consumption with produce prescription programs, yet little research examines how economic constraints influence participant experience. We conducted a qualitative study of patient experiences of a 3-month produce prescription program for hypertension including 3 safety-net clinics and 20 Farmers Markets (FMs). Methods: We interviewed 23 patient-participants (6-8 per clinic) focusing on: 1) beliefs about healthy eating and FMs; 2) clinic-based experiences; and 3) FM experiences. Interview transcripts were analyzed using qualitative analysis software, examining a priori themes regarding program processes and emergent themes. Two investigators independently coded 10% of the interviews, achieving 80% inter-coder reliability. Results: Participants were mostly middle-aged (mean: 62 years) African American (100%) women (78%). Economic constraints to FV consumption was a main theme. While few participants reported food insecurity when directly asked, many described economic precarity and reliance on food assistance programs to meet basic nutritional needs. Participants reported increased FM shopping and FV consumption during the program, yet faced challenges sustaining these improvements. Many were unable to integrate FV consumption and FM shopping into their long-term shopping and eating patterns after the program ended due to limited economic resources (e.g., transportation, gas, cash). Further, trying new FVs was seen as a risk only made worthwhile by program vouchers. These dynamics limited sustainability of behavior change despite substantial improvement during the program. Discussion: Future efforts should further integrate economic supports and consider expansion to grocery stores offering year-round FV access to support sustained behavior change beyond time-limited programming.