Dilantin

Indicated For

epilepsy, seizures

About This Medication

# Viatris Patient Assistance Program Guide: How to Get Dilantin at Low or No Cost ## About This Program The Viatris Patient Assistance Program helps eligible patients obtain Dilantin (phenytoin) at reduced or no cost if they cannot afford their medication. Dilantin is an important anticonvulsant medication used to treat epilepsy and seizure disorders. If cost is preventing you from getting the medication you need, this program may be able to help. ## What is Dilantin? Dilantin (phenytoin) is an anticonvulsant medication that belongs to the hydantoin drug class. It works by decreasing seizure activity in the brain and is commonly prescribed to manage epilepsy and various seizure disorders. Taking Dilantin as prescribed by your doctor is essential for controlling seizures and maintaining your health and safety. ## Who Can Apply? You may be eligible for the Viatris Patient Assistance Program if you meet these criteria: - **You are uninsured** - You do not have health insurance coverage - **You have a valid prescription** - Your doctor has prescribed Dilantin for you - **You meet income requirements** - Your household income falls within the program's guidelines (see income table below) - **You are a U.S. resident** - The program is available to patients in the United States - **You are not eligible for other coverage** - You cannot access the medication through Medicare, Medicaid, or other insurance plans ## Income Eligibility Guidelines The program's income thresholds vary based on your household size. Use this table to see if you may qualify: | Household Size | Maximum Annual Income | |---|---| | 1 person | Varies (contact program) | | 2 people | Varies (contact program) | | 3 people | Varies (contact program) | | 4 people | Varies (contact program) | | 5+ people | Varies (contact program) | **Note:** Income limits vary and may change. Contact the program directly at (866) 590-9400 to confirm your specific eligibility based on your household size and income. ## Insurance Requirements This program is designed primarily for **uninsured patients**. If you currently have health insurance, you may not be eligible. However, if your insurance does not cover Dilantin or if you cannot afford your copayments, contact the program to discuss your specific situation—exceptions may be possible. ## Documents You'll Need Before applying, gather these required documents: 1. **Valid Prescription** - A prescription from your doctor for Dilantin, either physical or electronic 2. **Income Verification** - One or more of the following: - Recent tax return (last 2 years) - Recent pay stubs (last 30 days) - W-2 forms - Social Security benefits statement - Unemployment benefits documentation - Bank statements - Proof of disability benefits 3. **Proof of Residency** - Driver's license, utility bill, or lease agreement 4. **Identification** - Valid government-issued ID ## How to Apply: Step-by-Step Instructions ### Step 1: Gather Your Documents Collect all required documents listed above. Make sure income verification is current (typically from the last 30-90 days). ### Step 2: Visit the Program Website Go to https://www.viatris.com to access the online application portal. Look for the "Patient Assistance Program" or "Dilantin Assistance" section. ### Step 3: Complete the Online Application Fill out the online application form with accurate information including: - Your personal and contact information - Household income and size - Insurance status - Your prescription information - Your doctor's contact details ### Step 4: Upload Required Documents Attach digital copies of your income verification documents and prescription. Make sure files are clear and readable. ### Step 5: Submit Your Application Review your completed application for accuracy, then submit it through the online portal. ### Step 6: Confirmation You should receive an email confirmation that your application was submitted. Keep this confirmation for your records. ## Processing Timeline **Typical Processing Time: 4-8 weeks** After you submit your application: - **Weeks 1-2:** Your application is reviewed for completeness - **Weeks 2-4:** Your income eligibility is verified - **Weeks 4-8:** Your application is approved or denied; if approved, your medication is processed You will receive notification by mail or email about your application status. Once approved, medication delivery methods vary by program—it may be mailed directly to you or sent to your pharmacy. ## What Happens if You're Approved? - You will receive a letter confirming your approval - Your Dilantin will be provided at reduced or no cost - Medication delivery details will be explained (mailed to you or to your pharmacy) - You may need to reauthorize after a certain period (ask the program when you apply) - Keep your approval letter in a safe place ## What if You're Denied? If your application is denied, you will receive an explanation. Common reasons include: - Income exceeds program limits - You have active insurance coverage - Incomplete or illegible documents - You don't meet residency requirements **What to do next:** - Contact the program at (866) 590-9400 to understand why you were denied - Ask if you can appeal the decision - Explore alternative resources (see below) ## Alternative Resources if You Don't Qualify ### Dilantin Savings Card Visit https://www.dilantin.com/Savings-terms for information about manufacturer savings cards that may reduce your copayment or out-of-pocket costs, even if you have insurance. ### State Assistance Programs Many states offer medication assistance programs for residents who don't qualify for federal programs. Contact your state's health department or Medicaid office. ### Non-Profit Organizations Organizations like Patient Advocate Foundation and RxAssist.org maintain databases of additional patient assistance programs. ### Generic Alternatives Ask your doctor if generic phenytoin (the generic version of Dilantin) is appropriate for you—it's often significantly less expensive. ### Community Health Centers Federally qualified health centers often provide medications at reduced costs based on income. ## Contact Information **Viatris Patient Assistance Program** - **Phone:** (866) 590-9400 - **Website:** https://www.viatris.com - **Application Method:** Online Call during business hours with questions about eligibility, the application process, or your application status. ## Important Reminders - **Never stop taking Dilantin suddenly** without talking to your doctor, even if you're waiting for assistance—stopping suddenly can cause serious seizures - **Keep your prescriptions current** by staying in touch with your doctor - **Apply early** if you anticipate running out of medication, as processing takes 4-8 weeks - **Update the program** if your income or contact information changes - **Ask about reauthorization** when you're approved, so you know when to reapply ## Legal Disclaimer This guide is for informational purposes only and does not constitute medical or legal advice. The Viatris Patient Assistance Program terms, eligibility requirements, and processes are subject to change without notice. For the most current and accurate information, always refer to the official program website at https://www.viatris.com or call (866) 590-9400. This guide does not guarantee program approval or medication provision. Always consult with your healthcare provider before making any changes to your medication regimen.

Program information last verified: March 25, 2026