Dayvigo

Indicated For

insomnia

About This Medication

# DAYVIGO Patient Assistance Program Patient Guide: How to Get Dayvigo (lemborexant) at Low or No Cost Dayvigo (lemborexant) is a prescription medication used to treat insomnia in adults by helping you fall asleep faster and stay asleep longer. The **DAYVIGO Patient Assistance Program** from **Eisai Inc.** provides Dayvigo **at no cost** to eligible patients who are uninsured or underinsured and meet specific criteria, making it easier to access this sleep aid without high out-of-pocket expenses.[1][2][5] ## About Dayvigo (lemborexant) **Dayvigo** is an orexin receptor antagonist, a type of drug that blocks wakefulness-promoting signals in the brain. It's approved for adults with sleep maintenance insomnia (trouble staying asleep) or sleep onset insomnia (trouble falling asleep). You take it once nightly, right before bed, with at least 7 hours before planned wakeup. Common side effects include daytime sleepiness, headache, and somnolence—always follow your doctor's instructions and read the full prescribing information.[1][7] This program is ideal if cost is a barrier to starting or continuing Dayvigo, but note there's a separate **Instant Savings Card** for commercially insured patients (pay as little as $10/month, up to 12 uses/year; not for government insurance).[1][3] ## Who Qualifies for the DAYVIGO Patient Assistance Program? The program targets **patients in need** who cannot afford their medication. Key requirements include:[2][5] - **U.S. resident**. - **Uninsured or underinsured** (patients on Medicaid, Tricare, VA, Medicare, or other federal/state programs are **not eligible**).[1][2] - **Household income and size** considered (must indicate on form; specific FPL thresholds not publicly detailed—eligibility determined case-by-case).[2] - Prescription from a licensed U.S. healthcare provider. **Income Eligibility Breakdown** Exact income limits (e.g., % of Federal Poverty Level) are not specified publicly; eligibility is assessed individually based on household size and financial need. Contact the program or submit the form for a determination. Here's a general table based on typical patient assistance structures (confirm with Eisai for Dayvigo specifics): | Household Size | Estimated Max Annual Income (300% FPL example)* | |----------------|------------------------------------------------| | 1 (Individual) | ~$45,000 | | 2 (Couple) | ~$61,000 | | 3 | ~$77,000 | | 4 | ~$93,000 | *Hypothetical based on 2026 FPL; actual criteria apply. Program notes: 'Eligibility criteria apply; patients in need who meet program requirements'.[1][2][5] Always verify as thresholds can change. ## Insurance Requirements This program is for **patients without regard to insurance status** but explicitly excludes those on government programs like **Medicare, Medicaid, Medigap, VA, DoD, or Tricare**.[1][2] If you have commercial insurance, consider the separate Instant Savings Card instead. Cash-paying patients may not qualify for PAP but could explore savings options.[1][3] Underinsured patients (high copays/deductibles) may be eligible—program provides co-pay assistance where applicable.[5] ## Step-by-Step Application Process Applying is straightforward and free. Multiple methods available:[1][2][6] 1. **Contact Eisai**: Call **(866) 349-3026** (Mon-Fri, 8 AM-8 PM ET) to speak with a representative, check eligibility, or start enrollment.[1][2] 2. **Download the Form**: Get the **DAYVIGO Eisai Assistance Program Enrollment Form** (writable PDF) from eisaipatientsupport.com.[2][6] 3. **Complete the Form**: Fill in patient info, household size, income details, prescriber details, and check the PAP box. Your doctor must sign.[2] 4. **Gather Documents**: Primary requirement is the **Enrollment Form**. May need proof of income/residency (call to confirm).[2] 5. **Submit**: Fax to **844-737-3493**. Incomplete forms delay processing.[2] 6. **Wait for Decision**: Acceptance or denial letter faxed to your **physician** (not directly to you).[2] **Tip**: Have your prescription ready. Your doctor plays a key role. ## Timeline and Delivery Processing time isn't specified, but aim for quick turnaround—call for status updates. Once approved, medication is **shipped directly to your home** at no cost. Enrollment valid for **up to 1 year**.[2] Expect regular check-ins via Eisai support programs like DAYVIGO Together for education and adherence.[6] ## Alternatives if Denied or Ineligible - **Instant Savings Card**: For commercial insurance (not government plans)—pay $10/month, 12 fills/year. Activate online or call 1-866-4DAYVIGO.[1][3] - **Other Resources**: Check rxassist.org for Eisai programs or general aid. Explore state programs, generic alternatives (none listed as biosimilars), or low-cost clinics.[5][8] - **Appeal**: Contact (866) 349-3026 to discuss denial reasons (e.g., income, insurance) and resubmit if circumstances change.[2] - **Patient Support**: Join DAYVIGO Together for sleep tips and resources.[6] ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, terms, and availability can change—**always contact Eisai directly at (866) 349-3026** or visit eisaipatientsupport.com for the latest. Not medical advice; consult your doctor before starting Dayvigo. Eisai does not guarantee coverage or approval. Full terms at official sites.[1][2] (Word count: 942)

Program information last verified: March 30, 2026