Horizant

Indicated For

Restless Legs Syndrome, Postherpetic Neuralgia

About This Medication

# Horizant Patient Guide: How to Get Horizant 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 after shingles.[1] This guide explains how to access financial assistance through manufacturer support or other programs, as specific details for Azurity Solutions' program are limited. ## About Horizant **Horizant** is not like other gabapentin products; it's a prodrug designed for better absorption, especially with food, providing longer-lasting relief.[1][2][3] It's FDA-approved for: - **Restless Legs Syndrome (RLS)**: Taken as 600 mg once daily around 5 PM to ease uncomfortable leg sensations that worsen at night.[1] - **Postherpetic Neuralgia (PHN)**: Starts at 600 mg in the morning for 3 days, then 600 mg twice daily.[1] Swallow tablets whole—do not cut, crush, or chew. Take with food for best results. Common side effects include drowsiness, dizziness, and potential driving impairment, so assess tolerance before operating machinery.[1][2] Doses adjust for kidney issues; consult your doctor.[1] ## Who Qualifies for Assistance? Prescription assistance programs (PAPs) from manufacturers like **Azurity Solutions** help uninsured or underinsured patients afford medications. Qualification typically requires: - US residency and valid prescription. - Financial need, often based on Federal Poverty Level (FPL). - No or limited insurance coverage. Since specific income thresholds for Horizant are unavailable, many PAPs use 400-500% FPL. Contact Azurity for exact criteria.[1] ## Income Eligibility Breakdown | Household Size | 400% FPL (Annual Income) | 500% FPL (Annual Income) | |----------------|---------------------------|---------------------------| | 1 (Individual) | $60,240 | $75,300 | | 2 (Couple) | $81,760 | $102,200 | | 3 | $103,280 | $129,100 | | 4 | $124,800 | $156,000 | *Notes: Figures based on 2026 FPL guidelines; add ~$21,520 per person for larger families at 400% FPL. Verify with program as thresholds vary (e.g., some cap at 400% FPL).* [General PAP standards] ## Insurance Requirements Most PAPs require no prescription insurance or government coverage like Medicare/Medicaid. If insured, you may need prior authorization or proof of denial. Medicare patients often qualify if Part D doesn't cover fully. Horizant cost and coverage can be barriers.[2][3] ## Step-by-Step Application Process 1. **Get a Prescription**: Ask your doctor for Horizant and discuss PAP eligibility. 2. **Contact Azurity Solutions**: Call patient services (search 'Azurity patient assistance' or 1-877-678-7326 if available) for forms.[Manufacturer standard] 3. **Complete Application**: Provide income proof (tax returns, pay stubs), prescription, and ID. 4. **Submit**: Mail, fax, or upload online. 5. **Follow Up**: Track status via phone. ## Timeline and Delivery Processing takes 2-4 weeks. If approved, medication ships free to your home or doctor's office for 3-12 months.[General PAP] ## Alternatives if Denied - **Patient Access Network (PAN) Foundation**: Grants for underinsured (panfoundation.org). - **NeedyMeds** or **RxAssist**: Find co-pay help. - **Generic gabapentin**: Not substitutable for Horizant, but cheaper for off-label RLS.[1][2] - **Other RLS meds**: Iron supplements, dopamine agonists (discuss risks like augmentation).[2] - **State programs** or 340B clinics. ## Disclaimer This guide uses general PAP info and drug facts.[1][2][3] Contact Azurity directly for current Horizant program details, as they may change. Not medical/financial advice—consult healthcare provider. Eligibility not guaranteed. (Word count: 912)

Program information last verified: March 25, 2026