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Neurology

Fintepla

Generic: fenfluramine

Manufacturer: UCB  ·  Program:

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Eligibility Criteria

Insurance Requirement

Primarily for commercially insured patients; not valid with government insurance like Medicare/Medicaid

Residency

US resident or Commonwealth of Puerto Rico

Contact program for details; primarily copay assistance for commercially insured, no clear free medication PAP for uninsured identified

Program Information

Processing Time

4–8 weeks

Delivery Method

Varies by program

Application Method

Multiple

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • FINTEPLA prescription
  • Proof of residency
  • Insurance information

Indicated For

Dravet syndrome, Lennox-Gastaut syndrome

About This Medication

# ONWARD Copay Assistance Program Patient Guide: How to Get FINTEPLA (fenfluramine) at Low or No Cost FINTEPLA (fenfluramine), made by **UCB**, is an oral medication approved to treat seizures in children and adults with **Dravet syndrome** or **Lennox-Gastaut syndrome (LGS)**. The **ONWARD Copay Assistance Program** helps eligible, **commercially insured patients** reduce out-of-pocket costs for FINTEPLA to **as little as $0 per refill**, with most paying no more than **$25**, subject to program limits.[1][2][3] ## About FINTEPLA and Why Assistance Matters **FINTEPLA** works by reducing seizure frequency in rare epilepsy syndromes like Dravet and LGS, where patients often experience multiple seizures daily that can be hard to control with other treatments.[2] It's taken orally with or without food, dosed based on weight and response, but requires enrollment in the **FINTEPLA REMS** program due to risks like valvular heart disease (VHD) and pulmonary arterial hypertension (PAH). This means regular echocardiograms (heart ultrasounds) are mandatory—baseline before starting, periodically during treatment, and after stopping.[2][7] Seizure disorders like these affect families deeply, often leading to high medical costs, including copays, deductibles, and echocardiogram fees. Without help, a month's supply of FINTEPLA can be expensive. That's where **ONWARD** comes in: UCB's support hub matches you with a dedicated **Care Coordinator** to guide financial options, REMS enrollment, and treatment education.[1][4] ## Who Qualifies for the ONWARD Copay Assistance Program? This program is **primarily for commercially insured patients** (like employer or individual plans), **not government insurance**. Key requirements include:[1][3] - A valid **FINTEPLA prescription** from a licensed U.S. prescriber. - Residency in the **United States** or **Puerto Rico** with a valid mailing address (no P.O. boxes). - **No eligibility** if your prescription is reimbursed by **Medicaid, Medicare, or other federal/state programs**—certain state restrictions apply. - Commercially insured with out-of-pocket costs like copays, deductibles, or co-insurance for FINTEPLA **and echocardiograms**.[2][3] **No clear income limits** are published; it's not a traditional patient assistance program (PAP) for uninsured/low-income patients offering free medication. Contact ONWARD for uninsured options, as UCB has a general PAP but Fintepla details are limited.[6][8] ## Income Eligibility Breakdown The ONWARD program doesn't list strict **Federal Poverty Level (FPL)** thresholds, focusing instead on insurance type. Here's a summary table based on available info: | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Contact program | Primarily copay help for commercial insurance; no free drug PAP confirmed for uninsured.[6] | | Couple | Contact program | Annual maximums apply; covers copays up to $25 max per refill.[1] | | Family of 3 | Contact program | Assistance also for echocardiograms (copays/deductibles).[3] | | Family of 4+ | Contact program | UCB reserves right to change terms.[1][3] | **Call (833) 463-7547** for personalized eligibility—your Care Coordinator will review.[1][2] ## Insurance Requirements - **Valid for commercial/private insurance only**.[1][3] - **Invalid with Medicare, Medicaid, VA, Tricare, or similar**—using it could lead to program denial or repayment.[1] - Covers **FINTEPLA copays** and **echocardiogram costs** (e.g., if no local facility, UCB sends mobile sonographers).[2] If uninsured or government-insured, explore UCB's general PAP or state programs, but Fintepla isn't explicitly listed for free meds.[6][8] ## Step-by-Step Application Process 1. **Talk to your doctor**: Get a FINTEPLA prescription. They must be **FINTEPLA REMS certified**.[2][7] 2. **Call ONWARD at (833) 463-7547** (1-833-GO-DS-LGS): Your dedicated **Care Coordinator** handles enrollment, verifies insurance/REMS, collects signatures (digitally possible), and explores financial aid.[1][4] 3. **Submit documents**: - **FINTEPLA prescription**. - **Proof of residency** (e.g., utility bill, driver's license). - **Insurance information** (card, coverage details).[1] 4. **Sign up for ONWARD support**: Get matched with a Clinical Nurse Educator for education on dosing, side effects, and monitoring.[4] 5. **Pharmacy fills via restricted distribution**: FINTEPLA is only through REMS pharmacies.[7] No online application form specified; phone is primary.[1][2] ## Timeline and Delivery - **Processing**: Not specified, but Care Coordinators streamline start-up—often quick once docs are in.[4] - **Delivery**: Ships to your valid U.S./Puerto Rico address (no P.O. boxes). Refills covered up to annual max.[1] - **First dose**: After baseline echocardiogram and REMS enrollment.[2] Expect **personalized timeline** from your Coordinator—call for updates.[1] ## Alternatives if Denied or Ineligible - **Government insured**: Check state Medicaid epilepsy programs or 340B clinics. - **Uninsured/low-income**: UCB general PAP (ucb-usa.com) or RxAssist.org for similar drugs; no biosimilars for FINTEPLA.[6][8] - **Other aids**: NeedyMeds, PAN Foundation for epilepsy, or generic anti-seizure meds (discuss with doctor). - **Appeal**: Contact ONWARD to review denial reasons.[1] ## Important Disclaimer This guide is for informational purposes only and not medical/financial advice. Program terms can change; UCB may discontinue without notice. Eligibility varies—**always verify with ONWARD at (833) 463-7547**.[1][3] FINTEPLA has serious risks (see REMS at finteplarems.com); consult your doctor. Not health insurance.[1][2]

Program information last verified: March 25, 2026

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