Assistance Fund: Epilepsy (Seizures): Waitlist

Funded
About
The Assistance Fund: Epilepsy (Seizures): Waitlist program offers crucial financial support for those prescribed FDA-approved epilepsy treatments such as Fycompa, Onfi, and others. By providing aid for copays, coinsurance, deductibles, and more, the Assistance Fund: Epilepsy (Seizures): Waitlist ensures access to necessary medications while maintaining affordability. Eligible patients with a primary diagnosis matching the program's focus can benefit significantly from this support, contingent on meeting specific criteria related to citizenship, diagnosis, insurance, and income. The Assistance Fund: Epilepsy (Seizures): Waitlist plays a pivotal role in aiding patients to manage their condition effectively by addressing financial barriers.
Insurance requirements: Commercially insured, Medicare / Medicaid
Enrollment Forms
Enrollment Form
Program Requirements
Valid only for residents in the US and Puerto Rico
Enrollment Required: Yes
Coverage Required: No
Needs Based: Yes
Activation Required: No
Program Details
Please note the following:
1. Copay grant programs provide assistance for copays, coinsurance, and deductibles for FDAapproved treatment for the disease named in the disease program ONLY
2. Financial assistance grant programs provide assistance for other eligible outofpocket costs, such as health insurance premiums and incidental medical expenses, in addition to copay, coinsurance, and deductible assistance on FDAapproved treatment for the disease named in the disease program
3. This fund may cover offlabel drugs
Copay and Financial assistance can be utilized by any innetwork pharmacy or site of care able to dispense the medication or provide treatment
Program offers conditional approval of 30 days of immediate assistance for open programs where funding is available
Patients will be asked to provide and verify demographic, insurance, and financial information (additional documentation may be requested)
Approved patients will be granted assistance through the end of the calendar year unless otherwise specified for the applicable program
Other Programs

Fycompa Instant Savings Card - Covered benefit

Coverage Required
Commercially Insured
Underinsured
Uninsured
Max Saving: $250012/year*
Pay as low as
$5/ mo

Fycompa Instant Savings Card - Non-covered benefit

Commercially Insured
Underinsured
Uninsured
Max Saving: $720/year*
Other Tools for Fycompa