ALPHAGAN P
Generic: brimonidine tartrate
Manufacturer: AbbVie · Program: myAbbVie Assist
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured; not for government insurance like Medicare/Medicaid
Residency
US resident
Income Threshold
Up to 400% FPL
Individual Income Limit
$75,000/year
Uninsured or underinsured US residents with income at or below 400% FPL
Program Information
Processing Time
2-4 weeks
Delivery Method
shipped to physician office
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- proof of income
- proof of residency
- prescription
- insurance information
Indicated For
open-angle glaucoma, ocular hypertension
About This Medication
# myAbbVie Assist Patient Guide: How to Get ALPHAGAN P (brimonidine tartrate) at Low or No Cost ALPHAGAN P (brimonidine tartrate) is a prescription eye drop used to lower **eye pressure** in people with **open-angle glaucoma** or **ocular hypertension**. The **myAbbVie Assist** program from **AbbVie** helps eligible **uninsured or underinsured US residents** get this medication **free** if your household income is at or below **400% of the Federal Poverty Level (FPL)**. ## About ALPHAGAN P **ALPHAGAN P** contains **brimonidine tartrate**, an **alpha-2 adrenergic agonist** that reduces **intraocular pressure (IOP)** by decreasing the production of **aqueous humor** in the eye and increasing its outflow. It's typically prescribed as **one drop in the affected eye(s) three times daily**, about 8 hours apart. Common side effects include **dry mouth**, **eye redness**, **burning or stinging**, **blurred vision**, and **fatigue**. Always follow your doctor's instructions and report any severe reactions like **allergic responses** or **eye pain**. This medication helps prevent **vision loss** from glaucoma but does not cure it. ## Who Qualifies for myAbbVie Assist? This program is for **US residents** (including DC, Puerto Rico, and US territories) who are **18 or older**, have a **valid prescription** for ALPHAGAN P, and meet **financial and insurance criteria**. You must be **uninsured** or **underinsured**—meaning your insurance doesn't fully cover the cost—and **not enrolled in government programs** like **Medicare**, **Medicaid**, VA, or Tricare (with exceptions noted below). Participation is **free**, and approved patients receive medication **at no cost** for up to one year, with **reauthorization** required annually. ## Income Eligibility Breakdown Eligibility is based on your **total household income** (before taxes) compared to **400% of the Federal Poverty Level (FPL)**. Income includes wages, Social Security, pensions, and more. Here's a breakdown of approximate thresholds (FPL adjusts yearly; check current guidelines via the program): | Household Size | Max Annual Income | |----------------|-------------------| | 1 (Individual) | $75,000 | | 2 (Couple) | $100,000 | | 3 | $125,000 | | 4 | $150,000 | | +1 per member | +$25,000 | **Notes**: These are estimates based on program data. The program uses electronic income verification (with your consent under the Fair Credit Reporting Act). If unverifiable, submit **tax returns**, **pay stubs**, or **W-2s**. Expenses like high medical costs may be considered via an optional form. ## Insurance Requirements - **Uninsured**: Fully eligible if income qualifies. - **Underinsured**: Eligible if private/commercial insurance leaves high out-of-pocket costs. - **Not eligible**: Government insurance (Medicare Part D, Medicaid, etc.). **Medicare patients** below **150% FPL** must first apply for **Extra Help (LIS)** and include a **denial letter**. Those above 150% FPL with Medicare are generally ineligible. No coverage from **alternate funding programs** (employer plans requiring PAP as prerequisite). If enrolled, you **cannot** use Medicare benefits or seek **TrOOP credit** for program meds. AbbVie notifies your plan. ## Step-by-Step Application Process myAbbVie Assist offers **multiple application methods**: **online**, **mail**, or **fax**. Processing takes **2-4 weeks** (online evaluations in ~2 business days, full review longer). Here's how: 1. **Prepare Documents**: Gather **proof of income** (tax return, pay stubs), **proof of residency** (utility bill, driver's license), **prescription** (from your doctor), and **insurance info** (front/back cards if applicable). Have electronic copies for online. 2. **Choose Method**: - **Online** (preferred): Visit AbbVie's Patient Access Support site, register, enter info, upload docs, consent to terms/HIPAA. Program contacts your doctor for prescription.[1] - **Paper**: Download form, complete pages 1-4, sign consents, attach docs, have doctor sign.[2] Mail/fax to: AbbVie Patient Access Support, D-617927, AP5 NE 1 N. Waukegan Rd., North Chicago, IL 60064 or call (800) 222-6885.[1] 3. **Doctor's Role**: They submit prescription and confirm details separately. 4. **Submit & Track**: Sign up for email/text updates. Program reviews and notifies you/doctor. 5. **Approval**: If approved, **medication ships to your doctor's office** for pickup. Schedule refills online. Call **(800) 222-6885** (Mon-Fri, 8am-5pm CST) for help.[8] ## Timeline and Delivery - **Submission to Review**: Online ~2 business days initial; full process **2-4 weeks**.[8] - **Delivery**: Ships **free to physician's office** within days of approval. Pick up there; doctor dispenses. - **Refills**: Annual supply based on prescription; **reauthorization** needed yearly with updated docs. Use portal to schedule.[1] ## Alternatives if Denied - **Appeal**: Contact program for reasons (e.g., income, insurance) and resubmit. - **Extra Help**: Medicare patients <150% FPL apply at SSA.gov. - **Other PAPs**: Check NeedyMeds.org or RxAssist.org for ALPHAGAN P alternatives. - **Copay Cards**: AbbVie Bridge for commercially insured <64 with coverage denials.[7] - **Generic Brimonidine**: Ask doctor about lower-cost options. - **State Programs**: Local Medicaid or charity clinics. No biosimilars available for ALPHAGAN P. ## Important Disclaimer This guide is for informational purposes only and based on program details as of latest data. **Eligibility/rules can change**; always verify with myAbbVie Assist at (800) 222-6885 or AbbVie.com/PatientAccessSupport. Not medical/financial advice. Consult your doctor for treatment; program not guaranteed. AbbVie may update terms; read privacy notice/HIPAA fully before applying. (Word count: 1028)
Program information last verified: March 29, 2026
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