Lioresal Intrathecal

Indicated For

spasticity, MS, SCI

About This Medication

# Amneal Patient Assistance Program: How to Get Lioresal Intrathecal at Low or No Cost ## About This Program The **Amneal Patient Assistance Program (PAP)** is designed to help patients access Lioresal Intrathecal (baclofen) at no cost when they face financial barriers to treatment. Amneal Pharmaceuticals offers free medications for up to one year to eligible patients who are uninsured, underinsured, or experiencing financial hardship.[1] ## About Lioresal Intrathecal Lioresal Intrathecal is a prescription medication containing baclofen, a muscle relaxant used to treat severe spasticity (muscle stiffness and involuntary muscle contractions). It is typically prescribed for patients with conditions such as spinal cord injury, multiple sclerosis, or cerebral palsy. Because this is a specialized medication often requiring ongoing treatment, the Amneal PAP can provide significant financial relief for patients who qualify. ## Who Qualifies for This Program? You may be eligible for the Amneal Patient Assistance Program if you meet these criteria: - **Residency**: You are a resident of the United States, Puerto Rico, or the U.S. Virgin Islands[2] - **Insurance Status**: You are uninsured, underinsured, or facing financial hardship[1] - **Financial Need**: Your total household income meets the program's eligibility requirements[2] - **Medicare Part D**: If you are enrolled in a Medicare Part D plan, you must have spent at least 3% of your annual household income out-of-pocket on prescription medicines[2] - **Valid Prescription**: You have a current, valid prescription from a licensed healthcare provider ## Income Eligibility While specific income thresholds are not published in available program materials, the program uses a **financial hardship assessment** to determine eligibility. This means the program evaluates your individual circumstances rather than applying rigid income cutoffs. | Household Size | Consideration | |---|---| | Individual | Total household income and out-of-pocket prescription costs | | Couple | Combined household income and prescription expenses | | Family (3+) | Total household income relative to family size and financial obligations | If you have Medicare Part D coverage, you'll need to demonstrate that your out-of-pocket prescription drug spending equals at least 3% of your annual household income.[2] ## Insurance Requirements The program is specifically designed for patients who are: - **Uninsured**: You have no health insurance coverage - **Underinsured**: You have insurance but face high copayments, deductibles, or coverage gaps that make your medication unaffordable - **Facing Financial Hardship**: Your income or expenses create a genuine financial barrier to accessing your prescribed medication If you have Medicare Part D, you can still qualify if you meet the 3% out-of-pocket spending threshold mentioned above.[2] ## How to Apply: Step-by-Step Instructions ### For Patients **Step 1: Gather Required Documents** Before starting your application, collect the following: - Completed patient information (name, date of birth, address, contact information) - Insurance information (policy numbers, carrier names, or photos of insurance cards) - Proof of household income (recent tax return, pay stubs, or benefit statements) - If you have Medicare Part D: proof of prescription drug spending (Explanation of Benefits statement from your Medicare Part D plan or pharmacy printout of year-to-date prescription history)[2] - Valid prescription from your healthcare provider **Step 2: Complete the Application** Complete all three required sections: 1. **Patient Information (Section 1)**: Your name, date of birth, address, phone number, and contact preferences 2. **Insurance Information (Section 2)**: Details about your current health insurance coverage 3. **Income Information (Section 3)**: Your household income and financial situation[2] Sign and date the application. **Step 3: Submit Your Application** Send your completed application and supporting documents to: **Amneal Patient Assistance Program** PO Box 220586 Charlotte, NC 28222 You can submit by: - **Mail**: Send all documents to the address above - **Fax**: 1-877-764-9022[2] - **Phone**: Call 1-877-764-9021 with questions[2] ### For Healthcare Providers If your healthcare provider is helping you apply, they will: 1. Complete the Practitioner Information section with their phone, fax, and DEA or State License number 2. Attach an original, valid prescription with their signature 3. Submit the complete application package (patient sections, financial documentation, and prescription) by mail or fax[2] ## What Happens After You Apply? ### Processing and Approval While specific processing timelines are not published, Amneal will review your application to verify: - Your residency in the U.S., Puerto Rico, or U.S. Virgin Islands - Your financial need based on household income and insurance status - Your valid prescription from a licensed provider - Completeness of your application and supporting documents ### Receiving Your Medication If approved, **medications will be shipped directly to your home**.[2] You do not need to pick up prescriptions at a pharmacy. ### Program Duration Once approved, you are eligible to receive free Lioresal Intrathecal for **up to one year**.[1][2] ## Reauthorization and Renewal Before your one-year enrollment period expires, the Amneal Patient Assistance Program will send you a renewal application.[2] You will need to reapply to continue receiving free medication. Keep an eye on your mail for renewal notices, and contact the program if you don't receive one. ## What If Your Application Is Denied? If you are not approved for the Amneal PAP, consider these alternatives: - **Appeal**: Contact the program at 1-877-764-9021 to understand why you were denied and whether you can provide additional information - **Other Assistance Programs**: Ask your healthcare provider about other patient assistance programs, co-pay assistance programs, or state pharmaceutical assistance programs - **Manufacturer Discounts**: Check if Amneal offers any direct discount programs - **Nonprofit Organizations**: Organizations focused on your specific condition may offer financial assistance - **Community Health Centers**: Federally qualified health centers may offer medications at reduced costs based on income ## Important Reminders - **Accuracy Matters**: Provide truthful and complete information on your application. Misrepresentation could result in program termination - **Keep Documents**: Maintain copies of your application and approval letter for your records - **Stay in Touch**: Answer calls from the program and respond to any requests for additional information promptly - **Update Changes**: If your income, insurance, or contact information changes, notify the program - **No Cost to Apply**: There is no fee to apply for this program ## Contact Information **Amneal Patient Assistance Program** - **Phone**: 1-877-764-9021 - **Fax**: 1-877-764-9022 - **Mailing Address**: PO Box 220586, Charlotte, NC 28222 - **Hours**: Call during business hours for questions about your application[2] ## Disclaimer This guide provides general information about the Amneal Patient Assistance Program based on publicly available program materials. Program eligibility, requirements, and benefits may change. For the most current and accurate information, contact Amneal directly at 1-877-764-9021 or visit Amneal's official website. This guide is not a guarantee of program eligibility or approval. Always consult with your healthcare provider about your treatment options and financial assistance programs.

Program information last verified: March 30, 2026