AUSTEDO XR

Indicated For

Tardive Dyskinesia, Huntington's Disease Chorea

About This Medication

# Teva Cares Foundation Patient Assistance Program Patient Guide: How to Get AUSTEDO XR (deutetrabenazine) at Low or No Cost AUSTEDO XR (deutetrabenazine) is an extended-release oral tablet used to treat movement disorders like chorea in Huntington's disease and tardive dyskinesia in adults. The **Teva Cares Foundation Patient Assistance Program** provides this medication **at no cost** to eligible uninsured or underinsured U.S. patients who meet income and other criteria.[1][2][6] ## About AUSTEDO XR **AUSTEDO XR** helps reduce involuntary movements by adjusting brain chemicals called monoamines. It's taken once daily with or without food, starting at a low dose that your doctor adjusts based on your response. Common side effects include sleepiness, diarrhea, dry mouth, and fatigue—always discuss risks with your healthcare provider. This program ensures financial barriers don't stop your treatment.[1][6] ## Who Qualifies? To qualify, you must: - Live in the U.S. or its territories (including Puerto Rico).[1][6] - Have a valid prescription for AUSTEDO XR from a U.S.-licensed doctor.[1] - Meet **income limits** at or below **300% of the Federal Poverty Level (FPL)** (effective for 2025+ enrollments).[1][5] - Be uninsured, underinsured, or on Medicare/Medicaid without Part D coverage for this drug.[6][9] - If income <150% FPL, provide proof of denial from Low-Income Subsidy (LIS/Extra Help).[1] The program reviews applications case-by-case, focusing on those unable to afford meds despite insurance gaps.[2] ## Income Eligibility Breakdown Income is based on **total pre-tax household income**. Here's a table for 2025 guidelines (300% FPL; adjust annually via HHS.gov): | Household Size | Max Annual Income | |---------------|-------------------| | 1 | $45,180 | | 2 | $61,320 | | 3 | $77,460 | | 4 | $93,600 | | 5 | $109,740 | | 6 | $125,880 | | +1 person | +$16,240 | *Notes: Older apps (pre-2025) may use prior limits like 400% FPL; current patients re-enroll under old rules until 12/31/2025. Verify exact FPL at application.*[1][4][5] ## Insurance Requirements - **Uninsured**: No prescription coverage needed—just indicate on form.[1] - **Underinsured**: Provide prior authorization denial or formulary exception outcome.[1] - **Medicare/Medicaid**: Eligible if no Part D covers AUSTEDO XR; LIS denial required if low-income.[1][6][9] - Not for employer plans pushing PAP enrollment.[2] ## Step-by-Step Application Process 1. **Check Eligibility**: Review criteria on tevacares.org. Confirm AUSTEDO XR availability.[1][2] 2. **Gather Documents**: - Proof of income (tax returns, pay stubs, W-2s for all household members). - Proof of residency (utility bill, etc.). - Prescription for AUSTEDO XR. - Insurance details or denial letters.[1][5] 3. **Complete Application** (you and doctor sign): - **Online**: tevacaresportal.org (easiest).[5][6] - **Download**: tevacares.org, then fax 877-438-4404 or mail P.O. Box 501827, San Diego, CA 92150.[5][7] - **Phone**: Call **877-237-4881** (M-F, 9AM-8PM ET) for form.[2][7] 4. **Submit**: Include all docs; incomplete apps delay processing.[1][5] 5. **Wait for Review**: Expect contact in ~10 business days.[5] **Tip**: Sign consents for income verification to speed up.[5] ## Timeline and Delivery - **Processing**: 10 business days for decision if complete.[5] - **Approval**: Up to 12 months supply, shipped free to your home.[6][9] - **Reauthorization**: Required yearly; resubmit income/insurance proof.[1] Call 877-237-4881 for status. No fees ever.[2] ## Alternatives if Denied - **Other Teva Programs**: Check tevausa.com for copay cards or savings (if insured).[3] - **General Resources**: NeedyMeds.org, RxAssist.org, or PAN Foundation.[3] - **State Programs**: Medicaid expansion or 340B clinics. - **Manufacturer Copay**: If commercially insured, ask doctor about Teva support. - **Reapply**: Fix issues (e.g., missing docs) and resubmit.[5] ## Disclaimer This guide summarizes public info as of 2026; program rules change (e.g., FPL updates). It's not medical/financial advice—consult your doctor. Teva Cares isn't government aid; eligibility isn't guaranteed. Verify at tevacares.org or 877-237-4881. Word count: 942.

Program information last verified: March 30, 2026