Gralise

Indicated For

Postherpetic Neuralgia (PHN)

About This Medication

# Gralise Patient Guide: How to Get Gralise at Low or No Cost Gralise (gabapentin) is a once-daily prescription medication used to manage **postherpetic neuralgia (PHN)**, a type of nerve pain that follows shingles. Almatica Pharma, the manufacturer, offers a **copay savings card** that helps commercially insured patients pay as little as **$20-$28** out-of-pocket per fill, with the program covering up to **$550** or more depending on quantity[1][2][4][5]. This guide explains the program in simple terms, who qualifies, how to apply, and what to do if you don't. It's designed for patients seeking affordable access to Gralise. Note that this is **not a free drug program** but a copay assistance offer for those with commercial insurance[4][5]. ## About Gralise (Gabapentin) **Gralise** is an extended-release form of gabapentin, different from immediate-release versions like Neurontin due to its unique pharmacokinetics requiring once-daily dosing with your evening meal[3][4][9]. It's specifically FDA-approved for **postherpetic neuralgia (PHN)** in adults, the burning or stabbing pain persisting after shingles rash heals[9]. - **Strengths**: 300 mg, 450 mg, 600 mg, 750 mg tablets[3][4][9]. - **Dosing**: Start low and titrate up; take whole (don't crush/chew). Adjust for kidney issues; not for CrCl <30 mL/min or dialysis[9]. - **Key Warnings**: Risk of respiratory depression with opioids/CNS depressants; taper slowly if stopping[9]. Gralise helps many manage PHN pain effectively with one evening dose[4]. Always follow your doctor's instructions. ## Who Qualifies for the Gralise Copay Savings Program? This is a **copay card program**, not income-based assistance. Eligibility focuses on insurance and location: - **Commercial insurance** required (e.g., employer plans, marketplace)[4][5]. - **U.S. residents** only[5]. - **Exclusions**: Not for **Medicaid, Medicare Part D, TRICARE**, or other government programs[5]. - **One card per patient**, usable for fills and refills[5]. **No income limits** apply, making it accessible to a wide range of commercially insured patients[1][2][5]. If uninsured or on government insurance, see alternatives below. ## Income Eligibility Breakdown Since this is **not income-based**, there's no FPL threshold. However, for context: | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | None | Copay card for commercial insurance only[5] | | Couple | None | No income eligibility required[1][5] | | Family of 3 | None | Program pays up to $550 after $20-$28 patient copay[2][5] | | Family of 4 | None | Excludes government insurance[5] | This table highlights the lack of financial barriers beyond insurance type[1][5]. ## Insurance Requirements - **Must have commercial insurance**; patient pays first **$20-$28**, program covers up to **$550** (or $230 for ≤30 tablets, $300 for 31-60, $450 for more)[2][5]. - **Invalid for**: Medicare, Medicaid, VA, etc. Pharmacists verify via OCC code[5]. - **Coordination**: Works as secondary payer if out-of-pocket >$28[5]. If on Medicare, explore third-party options like Prescription Hope ($60/month flat, works with manufacturers)[7]. ## Step-by-Step Application Process 1. **Visit gralise.com**: Go to the savings card section[4]. 2. **Download the card**: Free PDF from www.gralise.com/gralise-copay-download[2]. One card lasts for multiple uses[5]. 3. **Get prescription**: Ensure valid Gralise Rx from doctor[5]. 4. **At pharmacy**: Present card with Rx. Patient pays $20-$28; rest covered up to max[2][5]. Reimbursement via Change Healthcare[2]. 5. **Refills**: Use same card[5]. **Phone support**: Call **1-855-439-2821** for questions[5]. No formal application form needed—just download and use[1][4]. ## Timeline and Delivery - **Instant activation**: Download and use immediately at pharmacy[4][5]. - **Processing**: Pharmacist submits; reimbursement direct[2]. - **Delivery**: Standard pharmacy pickup or mail if offered by your pharmacy. No manufacturer shipping[5]. Most patients access Gralise same-day with the card[4]. ## Alternatives if Denied or Ineligible - **Government insurance/Medicare**: Try **Prescription Hope** ($60/month flat fee, applies to manufacturer programs for 1,500+ meds including Gralise)[7]. Delivery in 2-4 weeks after paperwork[7]. - **Uninsured**: Check Almatica patient resources for other options[1][6]. Generic gabapentin available (cheaper, but not extended-release like Gralise)[9]. - **Denial reasons**: Wrong insurance—switch to commercial if possible or use above[5]. - **Biosimilars**: None listed; Horizant (another gabapentin ER) for PHN/RLS[8]. Contact doctor for switches. ## Disclaimer This guide is for informational purposes based on available program details as of latest data. Terms can change; verify at gralise.com or 1-855-439-2821[5]. Not medical/financial advice—consult healthcare provider/insurer. Program void where prohibited; patient certifies eligibility[5]. Almatica/ConnectiveRx not liable for misuse. 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Program information last verified: March 30, 2026