ALPHAGAN P

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):

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)