Bunavail

Indicated For

Opioid Use Disorder (OUD)

About This Medication

# INSUPPORT Program Patient Guide: How to Get Bunavail (buprenorphine and naloxone) at Low or No Cost Bunavail (buprenorphine and naloxone) is a prescription medication used to treat opioid use disorder (OUD), helping patients manage withdrawal symptoms and reduce cravings as part of a comprehensive treatment plan including counseling.[1] The **INSUPPORT Program** from **Indivior** offers **copay assistance** for commercially insured patients and a **Patient Assistance Program (PAP)** for uninsured or underinsured patients who meet income criteria, potentially making your medication low or no cost.[1] ## Who Qualifies for INSUPPORT? The INSUPPORT Program has two main tracks to help different patients access treatment: - **Copay Assistance Program**: For patients with **commercial (private) insurance**. This can reduce your out-of-pocket costs to **as little as $0 per prescription**. However, **federal healthcare beneficiaries** like those on **Medicare, Medicaid, or TRICARE** are **not eligible** due to the Anti-Kickback Statute.[1][7] - **Patient Assistance Program (PAP)**: For **uninsured or underinsured patients** who meet **income eligibility criteria**. Specific income thresholds are not publicly detailed and are determined during enrollment, but they typically follow federal poverty guidelines adjusted for household size.[1] **Key Exclusion**: Government insurance programs (Medicare, Medicaid, etc.) cannot use copay cards.[1][7] Your insurance must not prohibit copay assistance for Bunavail.[7] ## About Bunavail and Why Assistance Matters **Bunavail** is a buccal film containing **buprenorphine** (a partial opioid agonist) and **naloxone** (an opioid antagonist) placed against the inner cheek to dissolve. It's FDA-approved for maintenance treatment of opioid dependence in adults, helping prevent relapse by stabilizing brain opioid receptors without producing a high.[1] Treatment success improves with counseling and behavioral therapy. OUD affects millions, and medication costs can be a barrier. INSUPPORT bridges this gap, ensuring eligible patients focus on recovery, not bills. Note: While INSUPPORT supports Indivior products like SUBLOCADE prominently, it extends to Bunavail as part of their access programs for OUD treatments.[1][4] ## Income Eligibility Breakdown For the PAP track, eligibility is based on income relative to the Federal Poverty Level (FPL). Exact thresholds vary yearly and by program but generally: | Household Size | Annual Income Limit (approx. 400-500% FPL) | Examples | |---------------|--------------------------------------------|----------| | 1 person | Up to $60,000 | Single adult | | 2 people | Up to $81,000 | Couple | | 3 people | Up to $102,000 | Family of 3 | | 4 people | Up to $123,000 | Family of 4 | | +1 person | Add ~$21,000 | Each additional | *Note: These are estimates; INSUPPORT verifies exact criteria during application. Copay assistance has no income limit for commercial insurance.*[1] ## Insurance Requirements - **Commercial Insurance Only for Copay Help**: Must cover Bunavail without prohibiting copay cards.[7] - **No Federal Programs**: Medicare, Medicaid, VA, TRICARE excluded from copay assistance.[1][7] - **Uninsured/Underinsured**: Qualify for PAP if income-eligible. - **Verification**: INSUPPORT checks benefits and provides coverage info.[3] ## Step-by-Step Application Process 1. **Talk to Your Doctor**: Discuss Bunavail and INSUPPORT. They confirm prescription and complete parts of the enrollment.[2][5] 2. **Complete Patient Enrollment Form**: Download from insupport.com or use INSUPPORT Portal (INSUPPORTportal.com).[2][5] Fill personal info, insurance details, and select programs (Copay or PAP).[2] 3. **Sign Patient Authorization**: Required for enrollment; valid 5 years but needs annual renewal.[7] Submit electronically via portal, email (enroll@insupport.com), or fax (844-814-0669).[2][7] 4. **Submit Application**: Doctor/HCP submits via portal, fax, or mail. Multiple methods available.[1][2] 5. **INSUPPORT Reviews**: They verify eligibility, insurance, and income (for PAP).[1] 6. **Receive Confirmation**: Welcome letter and Copay Card ID (if applicable).[9] **Pro Tip**: Use the online portal for fastest processing.[5][8] ## Timeline and Delivery - **Processing**: Typically days to weeks; exact time not specified but claims must be within 180 days of insurance EOB.[9] Reauthorization required annually or per calendar year.[1][7] - **Delivery**: Medication shipped directly to patient or pharmacy; copay applied at point-of-service.[1] - **Refills**: Ongoing with reauthorization; doctor resubmits as needed.[1] ## Alternatives if Denied or Ineligible - **Appeal**: Contact INSUPPORT (fax 844-814-0669, Mon-Fri 8am-8pm EST) to review denial.[7] - **Other PAPs**: NeedyMeds.org or RxAssist.org for OUD meds.[10] - **Grants**: OUD-specific grants via SAMHSA/HRSA; INSUPPORT has resources.[10] - **Generic Buprenorphine/Naloxone**: Cheaper sublingual films if appropriate.[1] - **State Programs**: Check local Medicaid waivers or community health centers. - **No Biosimilars**: None available currently.[1] ## Important Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility, terms, and benefits can change; Indivior reserves rights to modify/end program without notice.[2][7] Consult your doctor and INSUPPORT directly. See full terms at insupport.com. Always follow prescribed treatment; misuse of buprenorphine risks dependence/withdrawal. (Word count: 942)

Program information last verified: March 30, 2026