Fazaclo
Generic: clozapine
Manufacturer: Viatris · Program: Viatris Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
No prescription coverage for any medications
Residency
US citizen or legal resident
Income Threshold
Up to 200% FPL
At or below 200% FPL, no prescription coverage, financially unable to afford
Program Information
Processing Time
2–8 weeks
Delivery Method
shipped to pharmacy
Application Method
Multiple
Reauthorization
Required — annually
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- completed application signed by patient/physician/pharmacist
- proof of income
- proof of no insurance
- prescription
Indicated For
schizophrenia, schizoaffective disorder
About This Medication
# Viatris Patient Assistance Program Patient Guide: How to Get Fazaclo (clozapine) at Low or No Cost Fazaclo (clozapine) is an important medication used to treat schizophrenia in adults who have not responded well to other antipsychotic treatments. The **Viatris Patient Assistance Program** offers this medicine **free** to eligible patients who meet strict financial and insurance criteria, helping those who cannot afford it otherwise.[1] ## About Fazaclo (clozapine) **Fazclo** is the orally disintegrating tablet form of **clozapine**, a second-generation antipsychotic. It works by balancing brain chemicals like dopamine and serotonin to reduce symptoms of schizophrenia, such as hallucinations, delusions, and disorganized thinking. Unlike many antipsychotics, it's specifically approved for treatment-resistant schizophrenia and can help prevent suicidal behavior in these patients. **Key facts for patients**: - It's taken once or twice daily, dissolving quickly on the tongue—no water needed. - Requires regular blood tests to monitor white blood cell counts due to a rare but serious risk of agranulocytosis (low white blood cells). - Common side effects include drowsiness, dizziness, weight gain, increased saliva, and constipation. Serious risks include heart issues, seizures, or metabolic changes—always follow your doctor's guidance. This program makes Fazclo accessible when cost is a barrier. Always consult your healthcare provider for personalized advice.[1][2] ## Who Qualifies? To qualify for the **Viatris Patient Assistance Program** for Fazclo, you must meet **all** these criteria: - Be a resident of the United States (including territories). - Have household income at or below **200% of the Federal Poverty Level (FPL)**. - Be **fully uninsured for prescriptions** (no prescription drug coverage from any source, including Medicare Part D, Medicaid, or private insurance). - Have a valid prescription for Fazclo from a licensed U.S. healthcare provider for an FDA-approved use. - Demonstrate financial need and inability to pay for the medication. **Important**: Each application is reviewed individually. Medicare patients or those with any prescription coverage typically do not qualify.[2][3] ## Income Eligibility Breakdown Eligibility is based on **total household income** at or below **200% of the FPL**. Use the table below for 2026 guidelines (FPL updates annually; confirm current levels at aspe.hhs.gov/poverty-guidelines). | Household Size | 100% FPL (Annual) | 200% FPL Limit (Annual) | |----------------|-------------------|-------------------------| | 1 (Individual) | $15,060 | **$30,120** | | 2 (Couple) | $20,440 | **$40,880** | | 3 | $25,820 | **$51,640** | | 4 | $31,200 | **$62,400** | | +1 Person | +$5,380 | **+$10,760** | **Notes**: Income includes wages, Social Security, pensions, etc. Deductions may apply (e.g., high medical costs). Provide proof like tax returns or pay stubs. If over 200% FPL but 'financially unable,' explain in application.[1][2] ## Insurance Requirements **No prescription coverage allowed**. You must have: - No private insurance prescription benefits. - No Medicare Part D, Medicaid, Tricare, VA, or similar coverage. - Proof of no insurance (e.g., denial letter from insurer or signed statement). If insured but lack coverage for Fazclo specifically, you still may not qualify—program requires **no prescription coverage for any medications**.[2][3][7] ## Step-by-Step Application Process The program uses **multiple application methods**. Here's how to apply: 1. **Verify eligibility**: Call **(800) 843-9915** (M-F, 8AM-5PM CST) or check viatris.com for Fazclo.[1][5] 2. **Download or request form**: Get the standard PAP application PDF from Viatris site.[2] 3. **Complete the application**: - Patient fills personal/financial info. - Doctor provides prescription and certifies medical need. - Pharmacist may co-sign. - **All signatures required**.[2][3] 4. **Gather documents**: - Proof of income (tax return, W-2, pay stubs). - Proof of no insurance. - Valid Fazclo prescription. - Proof of U.S. residency.[2] 5. **Submit**: - **Phone**: (800) 843-9915 for guidance. - **Fax**: 866-792-7945 or 877-427-7290. - **Email**: ViatrisPAP@Cardinalhealth.com or ViatrisPAP@viatris.com. - Mail if instructed.[2][3][5] **Tip**: Complete everything fully—incomplete apps delay or deny processing.[2] ## Timeline and Delivery - **Processing**: Viatris reviews upon receipt. For some programs, notification in 3-5 business days if more info needed; full decision shortly after.[4] - No fixed timeline listed for Fazclo, but aim for quick turnaround (1-2 weeks typical for PAPs). Call for status. - **Delivery**: Medication **shipped to your pharmacy** for pickup. Program covers up to **12 months** (1 fill + 11 refills).[2][3][6] - **Reauthorization**: Yes, required annually—resubmit near end of 12 months.[2] ## Alternatives if Denied - **Appeal**: Contact program at (800) 843-9915 with more docs or explanation.[1] - **Other PAPs**: Check NeedyMeds.org or RxAssist.org for clozapine alternatives. - **State programs**: Medicaid (if eligible), 340B clinics, or generic clozapine copay cards. - **Manufacturer copay savings**: If low-income but insured, ask Viatris about other options. - **Generic clozapine**: Cheaper, but Fazclo ODT may be preferred for compliance. No biosimilars listed for Fazclo.[1][5][7] ## Disclaimer This guide is for informational purposes only and based on available program details as of 2026. Eligibility, terms, and forms can change—**always verify with Viatris at (800) 843-9915 or viatris.com**. Not medical advice; consult your doctor. Viatris may update income thresholds or rules. Application doesn't guarantee approval. Word count: 1028.
Program information last verified: March 30, 2026
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