Gocovri
Generic: amantadine
Manufacturer: Supernus · Program: Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured, insurance doesn't cover GOCOVRI, or can't afford
Residency
US resident
For patients without insurance, whose insurance doesn't cover GOCOVRI, or who can't afford it
Program Information
Processing Time
2–8 weeks
Delivery Method
Varies by program
Application Method
Phone
Indicated For
dyskinesia, OFF episodes in Parkinson's disease
About This Medication
# Supernus Patient Assistance Program Patient Guide: How to Get GOCOVRI at Low or No Cost ## About GOCOVRI GOCOVRI (amantadine) extended release capsules is a prescription medication used to treat dyskinesia (sudden uncontrolled movements) in people with Parkinson's disease who are taking levodopa therapy, and as an adjunctive treatment for "off" episodes in Parkinson's disease patients. The medication is taken as a single nightly dose and is designed to provide all-day coverage. ## Who Qualifies for the Patient Assistance Program The Supernus Patient Assistance Program is designed to help patients who face financial barriers to accessing GOCOVRI. You may be eligible if you: - Do not have health insurance - Have health insurance that does not cover GOCOVRI - Have insurance coverage but cannot afford your medication costs The program specifically excludes patients whose prescriptions are eligible for reimbursement through Medicaid, Medicare, TRICARE, or VA healthcare. ## Income Eligibility The search results do not specify exact income thresholds or limits for the Supernus Patient Assistance Program. Income eligibility is evaluated on a case-by-case basis. When you contact the program, a GOCOVRI Care Coordinator will work with you to determine your eligibility based on your individual financial circumstances. ## Insurance Requirements To qualify for this program, you must fall into one of these categories: - Uninsured (no active health insurance coverage) - Underinsured (your insurance does not cover GOCOVRI) - Unable to afford your medication despite having insurance **Important:** This program cannot assist patients whose prescriptions are eligible for coverage through government programs including Medicaid, Medicare, TRICARE, or VA healthcare. If you have coverage through any of these programs, you must explore those options first. ## How to Apply Applying for the Supernus Patient Assistance Program is straightforward: **Step 1: Call the GOCOVRI Care Coordinator** Contact the program by phone at **1-844-GOCOVRI (1-844-462-6874)** and press 1 to speak with a GOCOVRI Care Coordinator. **Step 2: Provide Your Information** Be prepared to discuss: - Your current insurance status - Your financial situation - Your prescription for GOCOVRI from your healthcare provider - Any relevant medical history related to your Parkinson's disease treatment **Step 3: Eligibility Assessment** The Care Coordinator will review your information and determine whether you qualify for assistance through the Patient Assistance Program. **Step 4: Enrollment** If approved, you will be enrolled in the program and provided with instructions on how to receive your medication. ## Contact Information and Hours - **Phone:** 1-844-GOCOVRI (1-844-462-6874), press 1 for a Care Coordinator - **Hours:** Monday-Friday, 8 AM-8 PM ET - **Alternative Support:** 1-866-398-0833 (Supernus Support, Monday-Friday, 8:30 AM-6:30 PM ET) ## Timeline and Medication Delivery The search results do not specify the exact processing time for applications or the method by which medication is delivered. When you contact the program, ask the Care Coordinator about: - How long approval typically takes - How your medication will be shipped or delivered - Whether there are any upfront costs ## What to Do If Your Application Is Denied If you do not qualify for the Patient Assistance Program, you may still have other options: - Ask your GOCOVRI Care Coordinator about alternative assistance programs - Inquire about the **$20 Co-Pay Assistance Program** if you have commercial insurance - Discuss with your healthcare provider whether there are other treatment options - Contact Supernus Support at 1-866-398-0833 for additional resources ## Alternative Programs If you have commercial insurance, you may be eligible for the **$20 Co-Pay Assistance Program** instead, which allows eligible patients to pay as little as $20 per prescription. New patients may also be eligible for a **4-week free trial** of GOCOVRI with no purchase required. ## Important Disclaimers - This program is not valid for prescriptions eligible for reimbursement through Medicaid, Medicare, TRICARE, or VA healthcare - Program eligibility and benefits are subject to change - You must have a valid prescription from a licensed healthcare provider - For complete terms and conditions, visit Gocovri.com/getting-gocovri ## Next Steps If you believe you qualify for assistance, contact a GOCOVRI Care Coordinator today at **1-844-462-6874** (press 1), Monday-Friday, 8 AM-8 PM ET. Have your insurance information and prescription ready when you call.
Program information last verified: March 30, 2026
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