Kloxxado

Indicated For

opioid overdose

About This Medication

# Emergent BioSolutions Kloxxado Savings Card Patient Guide: How to Get Kloxxado at Low or No Cost Kloxxado (naloxone HCl) nasal spray 8 mg is a life-saving prescription medication used to reverse opioid overdoses, and Emergent BioSolutions offers a **Savings Card** that allows eligible patients to pay as little as $0 per box (up to 2 boxes per redemption) at participating pharmacies.[2][5][7] ## About Kloxxado **Kloxxado** is an opioid antagonist delivered as a higher-dose (8 mg) nasal spray for the emergency treatment of known or suspected opioid overdose in adults and children, addressing respiratory and central nervous system depression.[2][6][9] Unlike lower-dose options, its 8 mg dose is designed for situations where more naloxone may be needed, such as with potent opioids like fentanyl, though the clinical significance of the higher dose is still under study.[2][9] It's easy to use—no needles or special training required—and has a 3-year shelf life from manufacture.[2] **Important safety note**: Always call 911 immediately after administering Kloxxado, as its effects may wear off before the opioid does. Repeat doses every 2-3 minutes in alternating nostrils if needed until help arrives.[6] Kloxxado is available by prescription at retail pharmacies nationwide. If it's not in stock, pharmacies can order it within 1-2 days.[3] ## Who Qualifies for the Savings Card? The **Kloxxado Savings Card** is a manufacturer copay assistance program from Emergent BioSolutions, not a traditional patient assistance program (PAP) with strict income limits.[5][7] It's designed for quick access to reduce out-of-pocket costs. **Eligibility criteria**: - Must be 18 years or older. - Legal resident of the US or Puerto Rico. - Cannot be enrolled in government programs like **Medicare Part D, Medicaid, VA, TRICARE, FEHB, DOD, Medigap, or state pharmacy assistance programs**.[5] - Commercial insurance accepted (card used as secondary coverage); cash-paying patients also eligible.[5] - No other discounts can be combined.[5] This program prioritizes commercially insured or uninsured patients who need affordable access to naloxone for overdose reversal, especially those at risk: history of overdose/substance use disorder, high opioid doses (≥50 MME/day), or sleep apnea.[3][9] **No income thresholds** are specified, making it more accessible than many PAPs.[5] ## Income Eligibility Breakdown Unlike traditional PAPs, the Kloxxado Savings Card has **no income eligibility requirements**. Here's a comparison: | Category | Traditional PAPs (e.g., <400-500% FPL) | Kloxxado Savings Card | |-----------------------|-----------------------------------------|-----------------------| | **Income Limits** | Strict (e.g., 400% FPL for individual: ~$58,320) | **None** | | **Primary Focus** | Uninsured/low-income | Commercial/cash-pay | | **Gov't Insurance** | Often eligible | **Excluded** | | **Max Benefit** | Free meds for 1 year+ | $0 copay up to 2 boxes/redemption[5] | FPL = Federal Poverty Level (2026 guidelines vary by household; check HHS.gov for current). ## Insurance Requirements - **Commercial insurance**: Preferred. Pharmacists submit the card as secondary coverage using specific billing codes (RxBIN# 018844, PCN: 3F, Group: FCXXAD, Member ID: KLWB9137821). If rejected, retry with coverage code 03.[5] - **Medicare/Medicaid/TRICARE/VA/etc.**: **Not eligible** for the card. Kloxxado is covered by many plans, including most Medicaid—contact your insurer.[3] - **Uninsured**: Eligible; pay as little as $0 with card.[5] Kloxxado is widely covered, but the Savings Card bridges gaps for eligible patients.[3][5] ## Step-by-Step Application Process No formal application or income proof needed—the Savings Card acts as instant copay assistance.[5][7] 1. **Get a prescription**: Ask your doctor for Kloxxado 8 mg nasal spray if you're at overdose risk.[3][9] 2. **Download/print the Savings Card**: Available on kloxxado.com (search 'Savings Card').[5][7] 3. **Take to pharmacy**: Present prescription + card. Pharmacist processes via Change Healthcare (call 1-877-259-6893 for help).[5] 4. **Pay as little as $0**: Up to 2 boxes per use. Valid where permitted; not combinable.[5] **Pro tip**: Confirm state laws—some require prescriptions for naloxone.[3] ## Timeline and Delivery - **Access time**: Immediate at stocked pharmacies; 1-2 days if ordered.[3] - **Processing**: Pharmacy handles instantly with card—no pre-approval wait.[5] - **Delivery**: Pick up at pharmacy counter. No home delivery via this program.[3] Pharmacies keep it stocked as there's no generic equivalent.[3] ## Alternatives if Denied or Ineligible - **Insurance denied?** Appeal or use card if commercially eligible. Contact insurer.[3] - **Government insurance?** Check coverage—many Medicaid plans cover it. Explore state programs (e.g., free naloxone at pharmacies in some areas).[4] - **Community programs**: Harm reduction orgs distribute naloxone (ask for Kloxxado).[3] - **Other naloxone**: Narcan (4 mg), generics, or injectables like Zimhi. Some states offer free OTC/community access.[4][8] - **SAMHSA Helpline**: Free referral for treatment/resources: 1-800-662-HELP.[1] **No biosimilars** available—all are opioid antagonists.[6] ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026.[2][5] Eligibility/terms may change—verify at kloxxado.com or with pharmacist. Savings Card void where prohibited/taxed. Not a substitute for medical advice. Always seek emergency care post-administration. Emergent BioSolutions not affiliated with this guide.

Program information last verified: March 30, 2026