FINTEPLA

Indicated For

Dravet syndrome, Lennox-Gastaut syndrome

About This Medication

# ONWARD Support Program Patient Guide: How to Get FINTEPLA (fenfluramine) at Low or No Cost FINTEPLA (fenfluramine) is a prescription oral solution approved to treat seizures in people with Lennox-Gastaut syndrome (LGS) or Dravet syndrome. The **ONWARD Support Program** from UCB helps uninsured or underinsured patients access FINTEPLA at low or no cost through needs-based assistance, while a separate copay program supports eligible commercially insured patients.[1][2] ## About FINTEPLA **FINTEPLA** is a specialized medication taken as an oral solution, typically dosed based on body weight. It's used for patients aged 2 years and older with LGS or Dravet syndrome to help reduce seizure frequency. Because of risks like valvular heart disease (VHD) and pulmonary arterial hypertension (PAH), FINTEPLA is only available through the **FINTEPLA REMS** program. This means prescribers must be certified, patients must enroll, and regular echocardiograms (heart ultrasounds) are required before starting, during treatment, and after stopping.[2][3][8] Your doctor will discuss these risks, teach you signs to watch for (like shortness of breath or heart valve issues), and schedule monitoring. FINTEPLA comes with dedicated support through ONWARD, including Care Coordinators who guide you from prescription to delivery.[1][2] ## Who Qualifies for the ONWARD Support Program? The ONWARD Support Program is designed for **uninsured or underinsured patients** who need help affording FINTEPLA. It's needs-based, meaning eligibility depends on your financial situation, but specific income thresholds aren't publicly listed—instead, you must contact the program for a personalized assessment.[program details] ### Income Eligibility Breakdown | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Contact program | Needs-based; no fixed FPL percentage listed | | Couple | Contact program | For uninsured/underinsured only | | Family of 3 | Contact program | Call (888) 964-3649 for details | | Family of 4 | Contact program | UCB reviews case-by-case | *Table based on program details; exact limits vary by situation. Government insurance like Medicare/Medicaid patients are typically ineligible for free drug but may have other options.*[program details][1] Qualifying patients are U.S. residents (including Puerto Rico) with a valid prescription and mailing address (no P.O. boxes). The program ships medication directly to your home.[program details][1] ## Insurance Requirements - **Uninsured or underinsured**: Primary target for free or low-cost FINTEPLA via ONWARD. - **Commercially insured** (employer or private plans): Use the **ONWARD Copay Assistance Program**—pay as little as **$0** or no more than **$25** per refill, plus coverage for echocardiograms. Excludes government programs like Medicare, Medicaid.[1][2][8] - **Government insurance**: Not eligible for copay or patient assistance programs, as they can't be used where government programs reimburse.[1] A **Care Coordinator** will review your insurance and match you to the best option. They handle REMS verification and signatures digitally.[2] ## Step-by-Step Application Process 1. **Talk to your doctor**: Get a FINTEPLA prescription. Your prescriber must be enrolled in FINTEPLA REMS (they can do this online).[3][4] 2. **Enroll in FINTEPLA REMS**: Download and submit the patient form to your doctor.[4][9] 3. **Start ONWARD enrollment**: Your doctor or you can submit the **Prescription Authorization and Patient Referral Form** via the **Provider Portal** at https://onwardproviderportal.com or by calling (888) 964-3649.[program details][2] 4. **Submit documents**: Provide the referral form and proof of income/insurance status as requested.[program details] 5. **Work with your Care Coordinator**: They'll verify everything, explore financial options, and approve if eligible. Multiple application methods are available (phone, online, form).[program details][1] 6. **Receive medication**: Shipped free to your home if approved.[program details] The **ONWARD Support App** offers on-the-go help for enrolled patients, including questions and resources.[7] ## Timeline and Delivery Processing time varies but aims to be streamlined—your Care Coordinator handles most steps. Once approved, medication ships directly to your door. Refills require **reauthorization**, so plan ahead with your doctor for ongoing prescriptions. Expect periodic REMS check-ins for heart monitoring.[program details][2][8] ## Alternatives if Denied - **Appeal**: Contact your Care Coordinator to discuss reasons and resubmit. - **Copay program**: Switch if you have commercial insurance ($0-$25 copays).[1] - **Other resources**: Check state programs, LGS Foundation, or general patient assistance like NeedyMeds. No biosimilars available.[program details][5] - **At-home Echo Program**: If travel is hard, eligible patients get free echocardiograms.[8] ## Reauthorization and Staying on Treatment **Reauthorization is required** for refills. Your doctor submits updates, including heart monitoring results. Over 2,000 patients have used FINTEPLA, some for 5+ years, with ONWARD support.[2] ## Important Disclaimer This guide is for informational purposes only and not medical advice. Eligibility, terms, and availability can change—UCB may modify or end programs without notice. Always consult your healthcare provider and contact ONWARD at (888) 964-3649 or https://onwardproviderportal.com for the latest details. Follow FINTEPLA REMS strictly for safety.

Program information last verified: March 30, 2026