Dexycu

Indicated For

Postoperative inflammation following cataract surgery

About This Medication

# EyePoint Assist Patient Guide: How to Get Dexycu at Low or No Cost Dexycu (dexamethasone intraocular suspension) is an innovative prescription eye medication injected into the eye during surgery to reduce inflammation and pain after cataract procedures. The **EyePoint Assist** program from **EyePoint Pharmaceuticals** helps eligible patients in the US and Puerto Rico access Dexycu at low or no cost if they are uninsured or underinsured and meet income requirements.[1] ## About Dexycu Dexycu is a sustained-release **intracameral suspension** of dexamethasone, administered once directly into the eye at the end of ocular surgery like cataract removal. Unlike eye drops, it provides consistent drug delivery for up to 30 days, helping prevent postoperative inflammation and discomfort without the need for daily drop regimens. This can improve patient compliance and outcomes, especially for those with dexterity issues or busy lifestyles. Always consult your eye doctor to see if Dexycu is right for your condition.[1] ## Who Qualifies for EyePoint Assist? The program targets patients facing financial barriers to Dexycu. Key eligibility factors include: - **Residency**: Must live in the US or Puerto Rico.[1] - **Insurance Status**: Uninsured or underinsured patients (those with coverage but high out-of-pocket costs).[1] - **Income-Based**: Household income and number of people in the household are required; specific thresholds are determined case-by-case based on federal poverty levels (FPL), though exact percentages are not publicly detailed.[1] - **Needs-Based**: Approval hinges on demonstrated financial need.[1] - **Exclusions**: Not for government beneficiaries like Medicare/Medicaid patients once enrolled (they lose eligibility).[2] Does not cover injection procedure costs.[1] **Note**: Eligibility can change; contact the program for personalized assessment. ## Income Eligibility Breakdown While precise FPL cutoffs aren't specified publicly, programs like this typically use 400-500% FPL or lower for qualification. Household size and income are verified during enrollment. Here's a general **2026 Federal Poverty Level (FPL) reference table** for context (annual income; Alaska/Hawaii higher): | Household Size | 100% FPL | 400% FPL | 500% FPL | |----------------|----------|----------|----------| | 1 (Individual) | $15,060 | $60,240 | $75,300 | | 2 (Couple) | $20,440 | $81,760 | $102,200| | 3 | $25,820 | $103,280| $129,100| | 4 | $31,200 | $124,800| $156,000| *Add ~$5,380 per extra person for 100% FPL.* Expect EyePoint Assist to require income proof like tax returns. Approval is not guaranteed even if below thresholds.[1][2] ## Insurance Requirements - **No Coverage Required**: Ideal for uninsured patients.[1] - **Underinsured Welcome**: Helps with out-of-pocket costs if insured but facing high copays.[1] - **Government Insurance**: Medicare, Medicaid, or VA patients generally ineligible once benefits start.[2] - **Commercial Insurance**: Program coordinates benefits investigation to minimize your costs.[1] The program assists with insurance navigation but won't cover administration fees.[1] ## Step-by-Step Application Process 1. **Discuss with Your Doctor**: Confirm Dexycu prescription and ask them to complete the enrollment form (available via program resources).[1][2] 2. **Gather Info**: Provide household income, number in household, insurance details (if any), diagnosis, and proof of residency.[1] 3. **Complete Enrollment Form**: Download or request the Patient Enrollment Form. Include patient authorization and HIPAA release.[2] 4. **Fax It In**: Send completed form to **1-866-783-3124**. Your doctor's office can help.[1][2] 5. **Wait for Review**: Team assesses eligibility within **5 business days**.[1] 6. **Approval Notification**: If approved, medication ships; if not, explore alternatives (see below).[1] **Required Documents** (typically): - Proof of income (e.g., pay stubs, tax returns). - Insurance cards (front/back) if applicable. - Photo ID. - Doctor-completed diagnosis section.[2] Patient must be 18+ and sign authorizations.[2] ## Timeline and Delivery - **Processing**: 5 business days post-fax.[1] - **Delivery**: Direct to pharmacy, doctor's office, or home (method confirmed upon approval). Exact shipping not specified—call for details.[1] - **Start Therapy Quickly**: Bridge options may exist for urgent needs, similar to related programs.[4] ## Alternatives if Denied or Ineligible - **Foundation Assistance**: Program can help apply to independent foundations for underinsured patients.[2] - **Other PAPs**: PAN Foundation, HealthWell, Good Days for eye conditions (866-316-7263).[5] - **Copay Programs**: Check Genentech Ophthalmology or similar for retinal/eye support (not Dexycu-specific).[3][5] - **Manufacturer Reconsideration**: Appeal with updated financials. - **Low-Income Subsidy**: Medicare Part D Extra Help if <150% FPL (apply via SSA).[7] - **Biosimilars/Generics**: None listed for Dexycu currently. Contact your doctor or social worker for personalized options.[5] ## Important Disclaimer This guide is for informational purposes only and based on available public data as of 2026. **EyePoint Pharmaceuticals reserves the right to modify, amend, or cancel EyePoint Assist anytime without notice.** Eligibility decisions are final. Not a substitute for medical/financial advice—consult healthcare providers. Program doesn't guarantee coverage or cover procedure costs. Report changes in insurance/income promptly to avoid issues. EyePoint Assist not liable for third-party actions.[1][2]

Program information last verified: March 30, 2026