Hysingla ER

Indicated For

chronic pain

About This Medication

# Purdue Pharma Patient Assistance Program Guide: How to Get Hysingla ER at Low or No Cost Hysingla ER (hydrocodone bitartrate) is an **extended-release opioid** medication used to manage severe, around-the-clock pain when other pain treatments are not enough. This patient-friendly guide explains the **Purdue Pharma Patient Assistance Program (PAP)**, which provides Hysingla ER tablets **free** to eligible uninsured patients with low income.[1][2] ## About Hysingla ER **Hysingla ER** is a **Schedule II controlled substance** (CII) containing hydrocodone bitartrate in extended-release tablets. It is taken **once daily** for chronic pain that requires long-term opioid treatment. The tablets are formulated with **abuse-deterrent properties** to make misuse harder, such as by crushing, chewing, snorting, or injecting, though risks remain.[3][5][8] Available strengths include 20, 30, 40, 60, 80, 100, and 120 mg.[8] **Important Safety Warnings**: - **Risk of addiction, abuse, and overdose**: Assess your risk before starting. Do not share or misuse.[3] - **Life-threatening respiratory depression**: Especially when starting or increasing dose. Swallow tablets **whole**—never crush, chew, or dissolve.[3] - **Opioid REMS**: Your doctor must complete education and counsel you on risks.[3] - Consult your doctor about interactions with CYP3A4 inhibitors/inducers and safe storage.[3] Always follow your prescription exactly and read the Medication Guide each time.[3] ## Who Qualifies for the Program? The **Purdue Pharma PAP** helps **uninsured** U.S. patients who cannot afford their medication. Key requirements:[1][6] - **No insurance**: Including no private insurance, Medicare, Medicaid, or other assistance programs.[1][6] - **Income at or below 139% of the Federal Poverty Level (FPL)**.[1] - **U.S. resident or legal entrant**.[1] - Valid prescription from a U.S. doctor. **Note**: This is **not** a copay card or savings program for insured patients—those have separate options like trial cards.[2][4][8] ## Income Eligibility Breakdown Eligibility is based on **household income** at or below **139% FPL**. Use the table below for 2026 guidelines (FPL updates annually; verify current levels at healthcare.gov). For households between sizes, prorate accordingly.[1] | Household Size | Max Annual Income (139% FPL) | |----------------|------------------------------| | 1 (Individual) | $21,139 | | 2 (Couple) | $28,794 | | 3 | $36,448 | | 4 | $44,102 | | +1 per member | +$7,654 | **Proof of Income**: Recent tax return, pay stubs (last 3 months), W-2, or benefit letters (e.g., SSI).[1] Deductions may apply for high medical costs—contact program for details. ## Insurance Requirements **Strictly no insurance allowed**. You must: - Have **no prescription drug coverage**.[1][6] - **Not qualify for Medicaid** or other government programs.[6] If you have Medicare Part D or any coverage, you are ineligible for this PAP. Check Purdue's **separate copay support** for insured patients.[2][4] ## Step-by-Step Application Process 1. **Contact for Application**: Your **doctor's office must call** 1-800-599-6070 to request the application form. Patients cannot apply alone.[1][6] 2. **Complete the Form**: - **Doctor section**: Physician completes, signs, and attaches a valid **prescription**.[1] - **Patient section**: Fill out, sign, and attach: - **Proof of income** (e.g., pay stubs, tax return).[1] - **Proof of residency** (e.g., utility bill, driver's license).[1] - No insurance proof (e.g., denial letter if applicable).[6] 3. **Mail Application**: Send to: **Purdue Pharma Patient Assistance Program** **PO Box 66547** **St. Louis, MO 63166-6547**[1][6] 4. **Wait for Review**: Applications are reviewed before shipping. Only approved patients receive medication.[6] **Tips**: Use original prescription each time. Keep copies of documents. Call 1-800-599-6070 for status.[1] ## Timeline and Delivery - **Processing Time**: Not specified; typically weeks. Medication ships only after approval.[6] - **Supply**: **Up to 30-day supply** per approval. Physician writes **new original script monthly**.[1][6] - **Delivery**: Ships **free to patient's home** via Federal Express.[6] - **Reauthorization**: Likely required monthly due to 30-day supply—doctor resubmits as needed.[1][6] ## Alternatives if Denied or Ineligible - **If insured**: Use Hysingla **Savings Program** or copay card via hysinglaer.com.[2][4][8] - **Other PAPs**: Search rxhope.com or needymeds.org for hydrocodone alternatives.[1] - **Generic options**: Discuss non-abuse-deterrent hydrocodone ER with your doctor (if appropriate). - **Government aid**: Apply for Medicaid, Medicare Extra Help, or state programs. - **Patient Access Foundations**: PAN Foundation or HealthWell for copay help. - **No biosimilars** available for this opioid.[ ] ## Disclaimer This guide is for informational purposes based on available program details as of 2026. **Eligibility, terms, and FPL levels change**—always verify with Purdue Pharma at 1-800-599-6070 or rxhope.com.[1] Not medical advice. **Hysingla ER has serious risks**; discuss with your doctor. Purdue Pharma reserves rights to modify/discontinue the program. Word count: 1028.

Program information last verified: March 30, 2026