Epsolay
Generic: benzoyl peroxide
Manufacturer: Bausch Health · Program: Bausch Health Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Limited or no insurance coverage; eligible for Medicaid patients whose plans no longer cover
Residency
US resident
For eligible patients with limited or no insurance coverage; specific thresholds not detailed in sources
Program Information
Processing Time
2–8 weeks
Delivery Method
shipped to patient home
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- prescription
- proof of income
- proof of residency
- insurance information
Indicated For
rosacea
About This Medication
# Bausch Health Patient Assistance Program Patient Guide: How to Get **Epsolay** (benzoyl peroxide) at Low or No Cost This guide explains how uninsured or underinsured patients can access **Epsolay**, a topical benzoyl peroxide cream for treating inflammatory lesions of rosacea, through the Bausch Health Patient Assistance Program (PAP). The program provides free medication to eligible individuals meeting specific income and insurance criteria[1][2]. ## About Epsolay **Epsolay** (benzoyl peroxide cream, 5%) is a prescription skincare treatment designed for adults with papulopustular (inflammatory) rosacea, a common facial skin condition causing redness, bumps, and pustules. Unlike traditional benzoyl peroxide products, Epsolay uses a patented silica-based delivery system called Silibione, which helps the active ingredient penetrate the skin gently while minimizing dryness, irritation, or bleaching of fabrics. Apply a pea-sized amount once daily to affected areas after cleansing. It's not for open wounds or eyes, and common side effects include mild itching, burning, or redness, which often improve over time. Always follow your doctor's instructions and report persistent issues[1]. Epsolay offers relief from rosacea symptoms without oral antibiotics, making it suitable for long-term management. If you're struggling with rosacea flare-ups affecting your confidence or daily life, this program can make treatment accessible regardless of financial barriers. ## Who Qualifies for the Program? The Bausch Health PAP helps U.S. residents get free Bausch Health products like Epsolay if you meet these core requirements: - Legal U.S. resident (including Puerto Rico). - Valid prescription from a licensed U.S. healthcare provider for an outpatient treatment. - Limited or no insurance coverage for Epsolay. - Household income at or below **300% of the Federal Poverty Level (FPL)** based on family size. - Not residing in a hospital, nursing home, correctional facility, or similar institution[1][2][3]. **Medicaid patients** whose plans no longer cover Epsolay may qualify with a separate application. Medicare Part D enrollees can appeal for review on a case-by-case basis, but coverage typically disqualifies you. Discount cards don't count as insurance. All applications are reviewed individually at no cost[1][2]. ## Income Eligibility Breakdown Eligibility hinges on annual household income not exceeding **300% FPL**. This excludes child support, food stamps, and alimony. Use the table below for 2026 guidelines (adjust for your household; check aspe.hhs.gov for updates). | Household Size | 100% FPL | 300% FPL Threshold | |---------------|----------|---------------------| | 1 | $15,060 | **$45,180** | | 2 | $20,440 | **$61,320** | | 3 | $25,820 | **$77,460** | | 4 | $31,200 | **$93,600** | | +1 person | +$5,380 | **+$16,140** | *Example: A family of 3 qualifies if income ≤ $77,460 annually.* Provide proof like tax returns or pay stubs. Specific thresholds aren't always listed publicly, so call for confirmation[2][3]. ## Insurance Requirements You generally need **no prescription insurance coverage** for Epsolay. The program targets uninsured or underinsured patients: - **Uninsured**: Fully eligible if other criteria met. - **Medicaid**: Use the Medicaid-only form if your plan dropped coverage. - **Medicare Part D**: Appeal possible; reviewed case-by-case. Enrollees terminate December 31 annually. - **Commercial/Private Insurance**: Ineligible if it covers Epsolay. Attach front/back copies of insurance cards. Changes in status (e.g., gaining coverage) may end eligibility[1][2][3]. ## Step-by-Step Application Process Applying is straightforward with multiple options. Involves patient and prescriber sections. 1. **Check Eligibility**: Visit BauschHealthPAP.com or call (833) 862-8727 (8 AM-5 PM ET) to confirm[3]. 2. **Download Form**: Get the standard form (or Medicaid-only if applicable) from the website. Answer eligibility questions online first[1][3]. 3. **Complete Patient Sections**: Fill personal info, insurance details (page 2), sign authorization/certification (page 3). Include authorized rep if needed[1]. 4. **Prescriber Completes**: Doctor fills clinical info (pages 4-6), signs certification[1]. 5. **Gather Documents**: - Prescription for Epsolay. - Proof of income (e.g., 2025 tax return, W-2s, pay stubs). - Proof of residency (e.g., utility bill). - Insurance cards (front/back); pharmacy statements if no card[1]. 6. **Submit**: Fax to 844-705-0160 or mail to Bausch Health PAP, P.O. Box 991624, Louisville, KY 40269. Online submission possible[3]. No application fee. Expect case-by-case review[1]. ## Timeline and Delivery Processing time isn't specified publicly but typically takes weeks; call for status. Approved patients get up to **12 months** of free Epsolay, shipped directly to your home. Re-enrollment required annually—a notice arrives 60 days before expiration (or by Dec 31 for Medicare). Reconfirm income/insurance yearly[2]. ## Alternatives if Denied - **Reapply** after changes (e.g., income drop, insurance loss). - **Appeal** Medicare denials case-by-case. - Explore Bausch coupons, pharmacy discounts, or rosacea alternatives like Soolantra (ivermectin) via other PAPs. - State programs, NeedyMeds.org, or RxAssist.org for options. - Generic benzoyl peroxide (lower strength) over-the-counter[2]. ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and FPL can change—verify with Bausch Health at (833) 862-8727 or BauschHealthPAP.com. Not medical/financial advice; consult your doctor. Bausch Health reserves review rights; no guarantees[1][2]. (Word count: 1028)
Program information last verified: March 20, 2026
Ready to apply for Epsolay assistance?
ProvisionRX manages the complete application process. Start your application in about 15 minutes.