Hysingla ER

Indicated For

severe chronic pain

About This Medication

# Purdue Pharma Patient Assistance Program Patient Guide: How to Get Hysingla ER at Low or No Cost ## About This Program The **Purdue Pharma Patient Assistance Program** helps uninsured patients access **Hysingla ER (hydrocodone bitartrate)**, an extended-release opioid pain medication, at no cost. This program is designed for patients who cannot afford their medication and meet specific eligibility requirements. ## About Hysingla ER Hysingla ER is a once-daily extended-release hydrocodone tablet used to treat moderate to severe chronic pain. It is the first hydrocodone product FDA-approved with abuse-deterrent properties that make it harder to misuse through chewing, snorting, or injection. However, it still carries serious risks including addiction, respiratory depression, and overdose, particularly when combined with other medications or alcohol. **Important Safety Information:** Hysingla ER tablets must be swallowed whole. Crushing, chewing, or dissolving tablets can cause rapid release of a potentially fatal dose. Even accidental ingestion of one dose by a child can be fatal. Before starting this medication, you must complete a REMS-compliant education program and discuss risks with your healthcare provider. ## Who Qualifies: Income and Insurance Requirements To qualify for the Purdue Pharma Patient Assistance Program, you must meet ALL of the following criteria: - **No insurance coverage** – You cannot have any prescription drug insurance, including Medicare Part D, Medicaid, or private insurance - **Income at or below 139% of the Federal Poverty Level** – Your household income must not exceed this threshold - **U.S. residency** – You must be a U.S. resident or legal entrant - **Not eligible for other assistance programs** – You cannot qualify for Medicaid or other medication assistance programs ### Income Eligibility Table (139% of Federal Poverty Level) The following table shows approximate maximum annual household income limits for 2026: | Household Size | Maximum Annual Income | |---|---| | 1 person | ~$18,735 | | 2 people | ~$25,245 | | 3 people | ~$31,755 | | 4 people | ~$38,265 | *Note: These figures are based on 139% of the Federal Poverty Level. Exact amounts may vary by year. Contact the program directly for current thresholds.* ## Step-by-Step Application Process ### Step 1: Contact Your Doctor Your doctor's office must initiate the application process. Have your doctor's office call the Purdue Pharma Patient Assistance Program at **1-800-599-6070** to request an application. ### Step 2: Gather Required Documents You will need to provide: - **Proof of income** – Recent pay stubs, tax returns, or benefit statements - **Proof of residency** – Utility bill, lease agreement, or government-issued ID - **Signed application** – Completed by you with your personal information ### Step 3: Your Doctor Completes Their Section Your doctor must: - Complete their section of the application - Sign the application - Attach a current prescription for Hysingla ER ### Step 4: Submit Your Application Your doctor's office will submit the completed application along with all required documents to: **Purdue Pharma Patient Assistance Program** P.O. Box 66547 St. Louis, MO 63166-6547 Phone: 1-800-599-6070 ### Step 5: Await Approval The program will review your application and notify you of approval or denial. Do not expect medication to be shipped before your application is reviewed and approved. ## Timeline and Medication Delivery **Processing Time:** The search results do not specify an exact processing timeline. Contact the program at 1-800-599-6070 for current processing times. **Medication Supply:** Once approved, you will receive up to a **30-day supply** of Hysingla ER. **Delivery Method:** Medication is shipped directly to your home via Federal Express. **Important:** Your doctor must write a new original prescription each month if you continue to need assistance. ## Insurance and Medicare Considerations This program is **only for uninsured patients**. If you have any of the following, you are **not eligible**: - Private health insurance - Medicare (including Medicare Part D) - Medicaid - Veterans benefits - Any other prescription drug coverage If you have insurance but cannot afford your copay, Purdue Pharma offers separate **copay support programs** for eligible patients. Ask your doctor about these alternatives. ## What If Your Application Is Denied? If you are denied, possible reasons include: - Income exceeds 139% of the Federal Poverty Level - You have insurance coverage - You qualify for Medicaid or another assistance program - Incomplete or missing documentation If denied, ask your doctor about: - Purdue's copay assistance programs (if you have insurance) - Patient trial cards that may provide free medication samples - Other manufacturer assistance programs - Community health centers or pharmaceutical patient advocacy organizations ## Reauthorization and Ongoing Support If you are approved, your doctor must submit a new prescription each month to continue receiving medication. There is no information in the program materials about automatic reauthorization periods. Contact the program to understand how long your approval lasts and when you may need to reapply. ## Important Disclaimers - This guide provides general information based on publicly available program details. Program requirements and eligibility may change. - Always verify current eligibility requirements by calling 1-800-599-6070 or visiting Purdue Pharma's official website. - This program does not cover the cost of doctor visits, REMS education programs, or other medical services—only the medication itself. - Hysingla ER carries serious risks of addiction, overdose, and death. Use only as prescribed and discuss all risks with your healthcare provider. - If you are struggling with opioid use or addiction, contact SAMHSA's National Helpline at 1-800-662-4357 (free, confidential, 24/7).

Program information last verified: March 30, 2026