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Neurology

Azilect

Generic: rasagiline

Manufacturer: Teva Pharmaceutical Industries  ·  Program: Azilect Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

See program details

Residency

US resident

Program Information

Processing Time

2–8 weeks

Delivery Method

Varies by program

Application Method

Phone

Indicated For

Parkinson's disease

About This Medication

# Azilect Patient Assistance Program Patient Guide: How to Get Azilect at Low or No Cost Azilect (rasagiline) is a prescription medication used to treat Parkinson's disease, and the **Azilect Patient Assistance Program** from Teva Pharmaceuticals can provide it at no cost to eligible patients in the US who meet specific income and insurance criteria.[1][2][5] This guide explains everything you need to know about qualifying, applying, and getting your medication. ## About Azilect and Why Assistance Matters **Azilect (rasagiline tablets)** is a monoamine oxidase type B (MAO-B) inhibitor that works by increasing levels of dopamine in the brain, helping to control Parkinson's disease symptoms like tremors, stiffness, and slow movement.[7] It can be used alone in early-stage Parkinson's or as an add-on to other treatments like levodopa across all disease stages, as approved by the FDA.[7] Parkinson's is a progressive neurological disorder affecting millions, and medications like Azilect can significantly improve quality of life. However, without insurance or with high costs, it may be unaffordable—list prices can exceed $500-$800 monthly. Teva's program removes this barrier for those who qualify, providing free medication directly to patients.[1][2][5] ## Who Qualifies for the Program? Eligibility focuses on residency, prescription needs, insurance status, and income. Key requirements include: - **U.S. Residency**: You must live in the United States or its territories.[3] - **Valid Prescription**: A licensed U.S. healthcare provider must prescribe Azilect for your treatment.[3] - **Insurance Status**: Generally for uninsured patients or those without prescription coverage for Azilect. You cannot have Medicaid, VA benefits, Medicare prescription coverage, or private insurance (HMO/PPO) that covers it. Check 'No' for all coverage questions on the application.[2][5] - **Income Eligibility**: Specific household income thresholds based on Federal Poverty Level (FPL) apply, though exact limits aren't publicly detailed here—call to confirm. Low-income patients (under 150% FPL) need proof of denial from Medicare's Low-Income Subsidy (LIS/Extra Help).[3] | Eligibility Factor | Details | |--------------------|---------| | **Residency** | U.S. or territories only [3] | | **Prescription** | Valid from U.S. provider [3] | | **Insurance** | No Medicaid, Medicare Part D, VA, or private coverage for Azilect [2][5] | | **Income** | Meets Teva criteria (e.g., <400-500% FPL typical for PAPs; verify by phone). LIS denial if <150% FPL [3] | | **Age/Condition** | Adults with Parkinson's prescribed Azilect [1][7] | Teva reviews applications case-by-case. Employed patients or those with employer plans tied to alternative funding may be ineligible.[5] ## Income Eligibility Breakdown Teva doesn't publish exact income tables online, but patient assistance programs like this typically target low-to-moderate incomes. Here's a general guide based on standard PAP structures (confirm with Teva): | Household Size | Max Annual Income (approx. 400% FPL) | Notes | |----------------|-------------------------------------|-------| | 1 person | $60,000 | Adjust for your state; lower for LIS-required cases [3] | | 2 people | $81,000 | Proof like tax returns may be needed | | 3 people | $102,000 | Call for precise thresholds | | 4 people | $123,000 | Add ~$21,000 per additional person | If your income is near limits, provide documentation like pay stubs or tax forms. Patients under 150% FPL must first apply for Medicare Extra Help and show denial.[3] ## Insurance Requirements This program is **not for insured patients**. The application asks: - Does the patient have Medicaid? (Must be NO)[2] - VA coverage? (NO)[2] - Medicare prescription? (NO)[2] - Private insurance covering Azilect? (NO or N/A)[2] If you have any coverage, explore copay cards or other Teva options first (call 888-TEVA USA).[1] Medicare patients often need LIS denial proof.[3] No third-party billing.[5] ## Step-by-Step Application Process Applications are **phone-based**—call (866) 217-7163 to start.[2][4] Here's how: 1. **Gather Info**: Have your name, SSN, address, DOB, phone, income details, and prescription ready.[2] 2. **Call Teva**: Dial (866) 217-7163 (or Teva Cares at 877-237-4881 for general info, Mon-Fri 9AM-8PM ET).[2][5] 3. **Complete Patient Section**: Provide personal/financial details over phone or via faxed form. Affirm no insurance and limited resources.[2] 4. **Doctor Involvement**: Your prescriber completes certification (no Rx coverage, patient qualifies).[2] 5. **Submit**: Fax to (866) 838-5832 if needed; P.O. Box 139, Somerville, NJ 08876.[2] 6. **Sign Authorization**: Allow SSN use and attest accuracy; Teva may modify program.[2] No online app or fee.[5] Teva handles review. ## Timeline and Delivery Processing time isn't specified, but PAPs typically take 2-4 weeks. Expect medication shipped free to your home or doctor's office once approved.[1][5] Supplies last several months; refills require reapplication or doctor update.[8] Track via phone. ## Alternatives if Denied - **Teva Cares Foundation**: Check other Teva meds or programs (877-237-4881).[5] - **Other PAPs**: Simplefill (877-386-0206) matches you to assistance.[6] - **RxHope/RxAssist**: Search databases for Azilect options.[2][9] - **Medicare Extra Help**: Apply if low-income.[3] - **State Programs**: Local indigent care (e.g., Fort Bend County lists Teva).[4] - **Copay Savings**: If insured, ask doctor about Teva cards. ## Disclaimer This guide is for informational purposes based on available sources as of 2026. Teva reserves the right to change eligibility, modify, or end the program without notice.[2] Always verify details by calling (866) 217-7163. Not medical advice—consult your doctor. Eligibility not guaranteed; individual results vary. Teva Cares is independent.[5] (Word count: 1028)

Program information last verified: March 30, 2026

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