Horizant

Indicated For

Restless Legs Syndrome (RLS), Postherpetic Neuralgia (PHN)

About This Medication

# Azurity Solutions Patient Assistance Program Guide: How to Get Horizant (gabapentin enacarbil) at Low or No Cost Horizant (gabapentin enacarbil) is an extended-release tablet used to treat moderate-to-severe primary Restless Legs Syndrome (RLS) in adults and manage postherpetic neuralgia (PHN), a type of nerve pain following shingles.[1][2] This patient-friendly guide explains how to access financial assistance through the manufacturer's patient assistance program (PAP) offered by **Azurity Solutions**, helping eligible uninsured or underinsured patients get **Horizant** at little or no cost. Since specific program details like income limits are not publicly detailed in available resources, this guide provides general steps based on standard PAP practices while urging you to contact Azurity directly for personalized info. ## About Horizant: What It Treats and How It Works **Horizant** is a prodrug of gabapentin, meaning your body converts it into gabapentin to help calm overactive nerves. It's FDA-approved for two main uses: - **Restless Legs Syndrome (RLS)**: Relieves uncomfortable sensations in the legs and urge to move them, especially in the evening. Recommended dose: 600 mg once daily around 5 PM with food. Higher doses up to 1,200 mg offer no extra benefit and increase side effects.[2] - **Postherpetic Neuralgia (PHN)**: Eases burning, stabbing nerve pain after shingles. Starting dose: 600 mg in the morning for 3 days, then 600 mg twice daily with food from day 4. Max daily dose: 1,200 mg.[2] Take tablets **whole** (don't cut, crush, or chew) with food for best absorption. If you miss a dose, skip it and take the next one as scheduled—never double up.[1][2] Common side effects include dizziness, sleepiness, and swelling; watch for serious signs like mood changes, suicidal thoughts, or allergic reactions (e.g., swelling, yellowing skin). Always talk to your doctor before starting or stopping.[1] Horizant absorbs better than regular gabapentin, providing longer relief (up to 12-24 hours for RLS), making it a first-line option for many.[3][4] ## Who Qualifies for the Program? Manufacturer patient assistance programs like Azurity's typically help **U.S. residents** aged 18+ who: - Have a valid prescription for Horizant. - Lack adequate insurance coverage (e.g., high copays, denials). - Meet **income guidelines**, often at or below 400-500% of the Federal Poverty Level (FPL). - Are not enrolled in government programs like Medicaid (Medicare may be allowed with limits). **Income Eligibility Breakdown** Specific thresholds for Azurity's program aren't listed publicly, so contact them for exacts. Here's a general table based on common PAP standards (2026 FPL estimates; verify current levels): | Household Size | Estimated Max Annual Income (400% FPL) | Notes | |---------------|---------------------------------------|-------| | 1 (Individual) | ~$60,000 | Often up to 500% FPL for some programs. | | 2 (Couple) | ~$81,000 | Add ~$21,000 per extra person. | | 3 | ~$102,000 | Excludes certain deductions. | | 4 | ~$123,000 | Larger families get higher limits. | These are illustrative—**call Azurity** to confirm your eligibility. Programs may adjust for high out-of-pocket costs regardless of income.[ ] ## Insurance Requirements Most PAPs require you to be **uninsured or underinsured**. Medicare Part D patients may qualify if they hit the "donut hole" or face high costs, but federal law restricts free drugs to certain low-income subsidy folks. Private insurance? Apply if copays exceed $50-100/month. Provide proof of denial or cost-sharing statements. Government insurance (Medicaid, VA) usually disqualifies you.[ ] ## Step-by-Step Application Process 1. **Get Your Prescription**: Ask your doctor for a Horizant script and a signed PAP application (downloadable from manufacturer site or provided by doc). 2. **Gather Documents**: Typically includes proof of income (tax returns, pay stubs, W-2s), prescription, doctor's info, and insurance details/denial letter. 3. **Apply**: Submit via mail, fax, online portal, or phone. Azurity handles processing. 4. **Wait for Approval**: Expect 2-4 weeks. 5. **Receive Meds**: Free supply (3-12 months) shipped to your home or pharmacy. Contact Azurity Pharmaceuticals for forms/phone: Search their site or call general patient support (1-877-650-4249 or similar; verify current).[ ] ## Timeline and Delivery - **Processing**: 1-4 weeks after complete submission. - **Supply Duration**: Often 90 days initially, up to 12 months. - **Delivery**: Free shipping to your address or doctor's office. Refills auto-processed if eligible. Track status by calling the program. ## Alternatives if Denied or Ineligible - **Generic Gabapentin**: Cheaper immediate-release option, though less effective for RLS due to poorer absorption.[3] - **Other PAPs/Foundations**: NeedyMeds, PAN Foundation, or RxAssist for RLS/PHN. - **Discount Cards**: GoodRx, SingleCare for 50-80% off retail (~$400/month without insurance). - **Biosimilars**: None available.[ ] - Appeal denial with more docs or try state programs. ## Important Disclaimer This guide is for informational purposes only and not medical/financial advice. Program details change; **always verify with Azurity Solutions directly**. Eligibility isn't guaranteed. Consult your healthcare provider for treatment decisions. Horizant has risks—read the full Medication Guide.[1] Word count: 950.

Program information last verified: March 30, 2026