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Neurology

INGREZZA

Generic: valbenazine

Manufacturer: Neurocrine Biosciences  ·  Program: Neurocrine Access Support - Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured, without prescription coverage, or with qualifying financial needs; patients with commercial insurance may qualify for $0 copay through Savings Card

Residency

US resident or US territories

Program requires qualifying financial needs; specific thresholds not disclosed in available materials

Program Information

Processing Time

4–8 weeks

Delivery Method

shipped to patient

Application Method

Multiple

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Completed Patient Assistance Program Application
  • Prescriber signature and certification
  • Insurance card copy (if applicable)
  • Proof of residency

Indicated For

Tardive dyskinesia, Huntington's disease chorea

About This Medication

# Neurocrine Access Support - Patient Assistance Program Patient Guide: How to Get INGREZZA (valbenazine) at Low or No Cost This guide explains the **Neurocrine Access Support - Patient Assistance Program** from **Neurocrine Biosciences**, helping eligible patients access **INGREZZA (valbenazine)**—a prescription medication—for **tardive dyskinesia** or **Huntington's disease chorea** at no cost. It covers eligibility, application steps, and support options in simple terms. ## About INGREZZA (valbenazine) **INGREZZA (valbenazine)** is an oral capsule (available as standard capsules or **INGREZZA SPRINKLE**) approved to treat **tardive dyskinesia (TD)** in adults and **chorea** associated with Huntington's disease. TD causes involuntary movements like lip smacking or tongue thrusting, often from long-term antipsychotic use. Chorea involves jerky, uncontrolled movements. INGREZZA works by reducing these symptoms, helping patients regain control and improve daily life. Always consult your doctor for personalized advice, as it has a Boxed Warning for risks like sleepiness or neuroleptic malignant syndrome. ## Who Qualifies for the Program? The program supports patients with **financial need** who lack adequate coverage. Key qualifiers include: - **U.S. residents** (or territories). - **No prescription insurance** for INGREZZA, uninsured, or insured but with **qualifying financial hardship**. - Must meet **undisclosed financial criteria** assessed individually—no fixed Federal Poverty Level (FPL) percentage is public. **Commercially insured patients** may not qualify for free meds but can get a **Savings Card** for **$0 copay** (90% pay $10 or less). Medicare/Medicaid patients typically don't qualify for free drug but check other options. ## Income Eligibility Breakdown Specific income thresholds aren't publicly listed; Neurocrine reviews cases individually based on financial details provided. Here's a summary: | Household Size | Threshold | Notes | |---------------|-----------|-------| | Individual | Not specified | Assessed via household income, expenses, debts | | Couple | Not specified | Program contacts if more info needed | | Family of 3 | Not specified | Focus on 'qualifying financial needs' | | Family of 4+ | Not specified | No FPL % disclosed; submit details for review | Provide accurate financial info (income, bills) on the application. Specialists may call for clarification. ## Insurance Requirements - **Uninsured or no INGREZZA coverage**: Primary targets for free medication. - **Commercial insurance**: Use **Savings Card** for low/no copay instead. - **Medicare/Medicaid**: Generally ineligible for Patient Assistance Program (PAP); explore state programs or 30-Day Free Trial. - Attach insurance card copy if applicable; check 'no insurance' if uncovered. Call **1-844-647-3992** to verify coverage. ## Step-by-Step Application Process 1. **Talk to your doctor**: They prescribe INGREZZA and complete the application. 2. **Download or request form**: Get the **INGREZZA Patient Assistance Program Application** from https://ingrezza.neurocrineaccesssupport.com/ or call **(844) 647-3992** (8 AM-8 PM ET, Mon-Fri). 3. **Gather documents**: - Completed application (patient, prescriber sections). - **Prescriber signature and certification** of medical need. - **Insurance card copy** (or note no insurance). - **Proof of residency** (e.g., utility bill). - Financial details (income, household size). 4. **Submit**: Fax, mail, or upload via website/portal. Multiple methods available. 5. **Wait for review**: Neurocrine assesses eligibility. 6. **Approval**: If yes, medication ships free to you. Your doctor can also enroll you in the **INGREZZA 30-Day Free Trial** (1-month supply for new patients) via a separate form. ## Timeline and Delivery Processing time varies; expect **2-4 weeks** based on similar programs (not specified). Call for status updates. Approved meds are **shipped directly to your home** via specialty pharmacy—no pharmacy pickup needed. Track via Patient Tracker tool if enrolled. ## Alternatives if Denied - **Savings Card**: $0 copay for commercial insurance. - **30-Day Free Trial**: Free month for new patients. - **Appeal**: Resubmit with more financial proof. - **Other resources**: RxAssist.org, state Medicaid, or NeedyMeds for generics/alternatives (none listed as biosimilars). - **Contact support**: 1-844-647-3992 for personalized help. ## Important Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Eligibility, terms, and availability can change—**verify with Neurocrine** at 1-844-647-3992 or the website. Not medical/financial advice. Consult your healthcare provider. Program may collect personal health info for assistance, compliance, and research (with consent). Additional terms apply.

Program information last verified: March 30, 2026

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