BRIXADI

Indicated For

Opioid Use Disorder (OUD)

About This Medication

# BRIXADI Copay Savings Program Patient Guide: How to Get BRIXADI at Low or No Cost ## About BRIXADI BRIXADI (buprenorphine extended-release injection) is a prescription medication used to treat moderate to severe opioid use disorder (OUD) in adults. Unlike daily medications, BRIXADI is administered as an injection either once weekly or once monthly, delivering a steady, continuous release of buprenorphine without the daily fluctuations of other treatments. BRIXADI is designed to be used alongside counseling and behavioral therapy as part of a comprehensive treatment plan. ## Who Qualifies for the BRIXADI Copay Savings Program The BRIXADI Copay Savings Program is designed to help patients reduce their out-of-pocket medication costs. However, eligibility is limited to specific groups: **You are eligible if you:** - Have private (commercial) health insurance - Have a valid prescription for BRIXADI from a licensed healthcare provider - Are not enrolled in any federal or state healthcare program **You are NOT eligible if you:** - Are enrolled in Medicaid - Are enrolled in Medicare - Receive benefits through the Veterans Affairs (VA) - Receive benefits through the Department of Defense (DoD) - Are enrolled in TRICARE - Participate in any other federal or state patient assistance program or pharmaceutical assistance program ## Income Eligibility The BRIXADI Copay Savings Program does not have specific income thresholds or limits. If you have commercial insurance and meet the eligibility criteria above, you may qualify regardless of your income level. However, you cannot participate in this program if you also receive benefits from government healthcare programs like Medicaid or Medicare. ## Insurance Requirements This program is exclusively for patients with private commercial insurance. Your insurance plan must cover BRIXADI for the copay savings to apply. The amount you save depends on your specific insurance plan and copay structure. **Important:** If you have Medicaid, you may still be able to access BRIXADI at a low cost. In many states, Medicaid covers BRIXADI with copays as low as $4 to $8. Contact your state Medicaid program or your healthcare provider to learn about coverage in your state. ## How Much Will You Save? The BRIXADI Copay Savings Program provides copay assistance to eligible patients with commercial insurance. The exact savings depend on your insurance plan, but the program is designed to make BRIXADI more affordable by reducing your out-of-pocket costs at the pharmacy. ## Step-by-Step Application Process ### Step 1: Confirm Your Eligibility Before applying, verify that you have commercial insurance and are not enrolled in Medicaid, Medicare, VA, DoD, TRICARE, or other federal/state healthcare programs. ### Step 2: Obtain Your Prescription Work with your healthcare provider to get a valid prescription for BRIXADI. Your provider can help determine if BRIXADI is the right treatment option for you. ### Step 3: Enroll in the Program You have two options to enroll: **Option A: Self-Enrollment Online** - Visit the BRIXADI copay and savings website - Complete the online enrollment form - You will receive a copay identification number upon successful enrollment **Option B: Provider Enrollment** - Ask your healthcare provider to enroll you in the program - Your provider can submit an enrollment form on your behalf - You will still receive a copay identification number ### Step 4: Provide Your Copay ID Number Once enrolled, you'll receive a copay identification number. Provide this number to your healthcare provider and the specialty pharmacy that fills your BRIXADI prescription. ### Step 5: Fill Your Prescription BRIXADI is available only through a limited network of specialty pharmacies. The specialty pharmacy will use your copay identification number to apply the savings to your out-of-pocket cost when you fill your prescription. ## Timeline and Delivery **Processing Time:** The exact processing time for enrollment is not specified by the program, but you should receive your copay identification number shortly after completing your application. **Delivery Method:** BRIXADI is dispensed through specialty pharmacies only. Once your prescription is filled, the medication will be available for pickup or delivery according to your pharmacy's procedures. Your healthcare provider will administer the injection during your office visit. ## Getting Help with Your Application If you have questions about the program, need help with your application, or want to verify your eligibility, contact **Braeburn ByYourSide**: - **Phone:** (877) 279-7367 - **Hours:** Monday through Friday, 8 AM to 8 PM ET - **Services:** Insurance coverage investigation, prior authorization assistance, and general access questions You can also visit the BRIXADI copay and savings website for more information and to begin your application. ## What If You Don't Qualify? If you don't qualify for the BRIXADI Copay Savings Program because you have Medicaid or Medicare, you still have options: **Medicaid Patients:** Many states cover BRIXADI through Medicaid with copays as low as $4 to $8. Contact your state Medicaid program or your healthcare provider to learn about coverage. **Medicare Patients:** Contact your Medicare plan to learn about coverage options for BRIXADI. **Uninsured or Self-Pay Patients:** Explore other resources such as HelpRx, Medicine Assistance Tool, or NeedyMeds for potential discounts or assistance programs. **Contact Braeburn ByYourSide:** Even if you don't qualify for the copay savings program, Braeburn ByYourSide can help investigate your insurance coverage and discuss potential out-of-pocket costs. ## Reauthorization The BRIXADI Copay Savings Program requires reauthorization. This means you may need to renew your enrollment periodically to continue receiving copay assistance. Contact Braeburn ByYourSide or check the program website for information about reauthorization timelines and procedures. ## Important Disclaimer This guide provides general information about the BRIXADI Copay Savings Program. Program terms, conditions, and eligibility requirements are subject to change. This program is void where prohibited by law. For the most current and complete information about program eligibility, benefits, and application procedures, visit the official BRIXADI copay and savings website or contact Braeburn ByYourSide at (877) 279-7367. BRIXADI is a prescription medication and should only be used under the supervision of a licensed healthcare provider. Always discuss treatment options, potential side effects, and any concerns with your doctor before starting BRIXADI or any other medication.

Program information last verified: March 30, 2026