Keppra XR

Indicated For

epilepsy, partial-onset seizures

About This Medication

# UCB Patient Assistance Program Guide: How to Get Keppra XR (levetiracetam ER) at Low or No Cost Keppra XR (levetiracetam extended-release) is a prescription medication used to treat partial-onset seizures in adults and children 12 years and older with epilepsy. The **UCB Patient Assistance Program** provides this medication at **no cost** to eligible patients who are uninsured or underinsured and meet specific income guidelines.[1][2][6] ## About Keppra XR and Why Assistance Matters **Keppra XR** is an extended-release form of levetiracetam, an anticonvulsant that helps control seizures by stabilizing electrical activity in the brain. It's taken once daily, making it convenient for long-term epilepsy management. However, without insurance, the cost can exceed $1,000 per month, creating a significant barrier for many patients.[6] The UCB Patient Assistance Program, offered by manufacturer **UCB**, ensures eligible patients receive free medication. This program covers Keppra XR alongside other UCB products like Keppra, Vimpat, Briviact, and Neupro. It's designed for those facing financial hardship, helping maintain seizure control and improve quality of life.[1][2][4][9] ## Who Qualifies for the Program? To qualify, you must: - Be a legal resident of the United States, District of Columbia, or Puerto Rico.[3][4] - Have a valid prescription for Keppra XR from a U.S.-licensed healthcare provider.[2][4] - Lack prescription coverage or have limited coverage (uninsured or underinsured; Medicare Part D may qualify in some cases).[3][7] - Not be eligible for Medicaid, Medicare Part D Low-Income Subsidy (Extra Help), or certain government plans like TRICARE.[4][7] - Meet **household income limits**, typically up to **300% of the Federal Poverty Level (FPL)**.[3] **Physician certification** is required, confirming the medication is medically necessary and used as labeled.[2][7] ## Income Eligibility Breakdown Income eligibility is based on **total household income** (before taxes) compared to the Federal Poverty Level, often up to **300% FPL**. Exact thresholds vary yearly; contact UCB for current figures as they adjust with FPL updates. Below is a sample table based on 2026 FPL guidelines (approximate; verify with program).[3] | Household Size | 100% FPL | 300% FPL (Eligibility Threshold) | |---------------|----------|---------------------------------| | 1 | $15,060 | $45,180 | | 2 | $20,440 | $61,320 | | 3 | $25,820 | $77,460 | | 4 | $31,200 | $93,600 | *Add ~$5,380 per additional person for 100% FPL; triple for 300%.* Notes: Income includes wages, Social Security, etc. Assets may be reviewed. Puerto Rico uses Government Health Insurance Plan guidelines.[3][4] ## Insurance Requirements - **Uninsured patients**: Fully eligible if other criteria met.[1][7] - **Underinsured/Commercial insurance**: May qualify for free drug or copay assistance (up to 24 months initial approval).[3][9] - **Medicare Part D**: Possible eligibility, but not if receiving Extra Help/Low-Income Subsidy. Government-insured patients approved calendar-year basis.[4][9] - **Ineligible**: Medicaid, Extra Help, TRICARE, or state-funded programs.[4][7] Physicians must verify no better coverage exists.[2] ## Step-by-Step Application Process 1. **Discuss with your doctor**: Ask them to confirm Keppra XR is appropriate and complete **Section 3** of the application, including a written prescription.[2][4] 2. **Download or request form**: Get the application from ucb-usa.com/Patients/Financial-Assistance or call (844) 599-CARE (2273).[1][5][9] 3. **Complete patient sections**: Fill **Section 1** (personal info) and **Section 2** (income details, household size). Sign to authorize verification.[2][4] 4. **Gather documents**: Proof of income (tax returns, pay stubs), residency, prescription. No full list specified, but income proof mandatory.[2] 5. **Submit**: Mail to UCB Patient Assistance Program, 2730 S. Edmonds Lane, Suite 300, Lewisville, TX 75067; fax or email ucb-pap@cardinalhealth.com; or call (855) 880-5262.[4] 6. **Physician submits**: Doctor sends their section with prescription.[2] Applications are verified; all info subject to checks.[2][4] ## Timeline and Delivery Processing takes **2-4 weeks** typically, though not explicitly stated—plan ahead to avoid gaps.[3] Approved patients get **12-24 months** supply (uninsured up to 24 months; re-verify every 90 days).[3][9] Medication ships directly to your home or doctor's office.[1] Refills require reauthorization.[3] ## Alternatives if Denied or Ineligible - **UCB Copay Assistance**: For commercial insurance; reduces copays.[3][9] - **Medicare Extra Help**: Apply if on Part D.[9] - **Third-party help**: Simplefill (877-386-0206) assists applications.[3] - **Foundations**: Epilepsy Foundation resources or general PAPs like RxAssist.org.[5][8] - **Generic levetiracetam ER**: Cheaper option if appropriate (discuss with doctor). - **State programs**: Check local Medicaid or charity clinics. Reapply if circumstances change.[3] ## Important Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and income limits can change; always verify directly with UCB at (844) 599-CARE or ucb-usa.com. Not legal/medical advice—consult your healthcare provider. UCB may update products/criteria; program not for clinics/hospitals.[1][2][4] Word count: 1028.

Program information last verified: March 30, 2026