Cuprimine

Indicated For

Wilson's disease, rheumatoid arthritis, primary biliary cirrhosis

About This Medication

# Bausch Health Patient Assistance Program Patient Guide: How to Get **Cuprimine (penicillamine)** at Low or No Cost Cuprimine (penicillamine) is a prescription medication used to treat conditions like Wilson's disease, cystinuria, and rheumatoid arthritis by helping remove excess copper or cystine from the body or reducing joint inflammation. The **Bausch Health Patient Assistance Program (PAP)** provides this medication **at no cost** to eligible patients who are uninsured, underinsured, or facing financial hardship, for up to 12 months.[1][2] ## Who Qualifies for the Program? This program helps U.S. residents get essential Bausch Health medications like **Cuprimine** without cost if they meet strict criteria. Key eligibility includes:[1][2] - Being a **legal U.S. resident** (including Puerto Rico). - Having a **valid prescription** from a licensed U.S. healthcare professional for an outpatient treatment. - **No residence** in a hospital, nursing home, correctional facility, or court-appointed program. - Meeting **income limits**: Household income must not exceed **300% of the Federal Poverty Level (FPL)** based on household size. - **Insurance status**: Uninsured for the Bausch Health product, denied coverage by commercial insurance (with appeals exhausted), or no coverage through government programs like Medicare Part D, Medicaid, VA, TRICARE, etc. Medicare Part D patients may appeal case-by-case.[2] Your doctor cannot be excluded from federal healthcare programs. All applications are reviewed **case-by-case** with **income verification**.[1][2][3] ## About Cuprimine (penicillamine) **Cuprimine** is an oral chelating agent that binds to metals like copper in Wilson's disease, preventing liver and brain damage, or prevents kidney stones in cystinuria. In rheumatoid arthritis, it acts as a disease-modifying antirheumatic drug (DMARD) to ease symptoms. It's taken on an empty stomach, often with monitoring for side effects like rash, taste changes, or low blood counts. Always follow your doctor's guidance, as this guide focuses on assistance, not medical advice.[1] ## Income Eligibility Breakdown Eligibility hinges on **annual household income** at or below **300% FPL**. Use the table below for 2026 guidelines (adjust for exact year via aspe.hhs.gov). Include all household members' income. | Household Size | Max Annual Income (300% FPL) | |----------------|------------------------------| | 1 | $45,180 | | 2 | $61,320 | | 3 | $77,460 | | 4 | $93,600 | | 5 | $109,740 | | 6 | $125,880 | | 7 | $142,020 | | 8+ | Add $16,140 per person | *Example: A family of 4 earning under $93,600 may qualify.* Programs confirm income annually; changes can affect eligibility.[2] ## Insurance Requirements - **Uninsured**: No prescription coverage for **Cuprimine**.[1][2] - **Underinsured**: Denied by commercial insurance (proof of denial and exhausted appeals needed) or no coverage via government plans.[2] - **Medicaid patients**: Use a separate application.[1] - **Medicare Part D**: Generally ineligible, but appeals possible case-by-case. All Part D enrollees terminate Dec 31 and must reapply.[2] - Discount cards don't count as coverage.[2] Attach insurance cards (front/back) and pharmacy statements.[1] ## Step-by-Step Application Process Applications are **free** and reviewed case-by-case. Multiple methods: online, fax, or mail.[3] 1. **Check eligibility**: Visit BauschHealthPAP.com or call 833-862-8727 (8 AM-5 PM ET).[3] 2. **Download form**: Get the application PDF.[1][3] 3. **Patient completes**: Page 2 (info, insurance), Page 3 (authorization, signature). Add authorized rep if needed.[1] 4. **Doctor completes**: Pages 4-6 (prescription, certification).[1] 5. **Gather docs**: Insurance cards (front/back), proof of income/denials if requested.[1][2] 6. **Submit**: - **Fax**: 844-705-0160[3] - **Mail**: Bausch Health PAP, P.O. Box 991624, Louisville, KY 40269[3] - Online option after eligibility questions.[3] Sign all required sections. Program contacts reps if needed.[1] ## Timeline and Delivery Processing takes about **48 hours** after receipt, though case-by-case.[program details] Medication **ships directly to you** at no cost.[program details][3] Approval lasts **up to 12 months**; annual reconfirmation required. Medicare patients reapply yearly post-Dec 31.[2] ## Alternatives if Denied - **Appeal**: If denied coverage by insurance, exhaust appeals first.[2] - **Reapply**: Fix issues (e.g., income proof) and resubmit.[3] - **Other programs**: Check RxAssist.org, NeedyMeds, or PAN Foundation for **Cuprimine** alternatives. Generic penicillamine may have copay cards via GoodRx. - **State assistance**: Local Medicaid or pharmaceutical help. - **Doctor discussion**: Explore samples or payment plans.[4] ## Disclaimer This guide summarizes public info as of 2026; visit BauschHealthPAP.com for updates. Not medical/financial advice. Bausch Health decides eligibility solely. Consult your doctor/pharmacist. Income/FPL subject to change.[1][2] (Word count: 942)

Program information last verified: March 30, 2026