Lonhala Magnair

Indicated For

COPD

About This Medication

# Sunovion Support Prescription Assistance Program Patient Guide: How to Get LONHALA MAGNAIR at No Cost ## About This Program The **Sunovion Support Prescription Assistance Program** provides **LONHALA MAGNAIR (glycopyrrolate) at no cost** to eligible patients who cannot afford their medication. LONHALA MAGNAIR is a long-acting maintenance treatment for chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. This program removes financial barriers so you can access the medication your doctor has prescribed without added stress. ## About LONHALA MAGNAIR LONHALA MAGNAIR is an inhaled medication that helps treat airflow obstruction in patients with COPD. It uses an innovative eFlow closed system nebulizer that delivers the medication in two to three minutes, allowing you to breathe normally while using the device. The medication is designed for long-term maintenance treatment to help manage your COPD symptoms and improve your quality of life. ## Who Qualifies for This Program? You may be eligible for the Sunovion Support Prescription Assistance Program if you meet ALL of the following requirements: - **U.S. Residency**: You must be a resident of the United States, Puerto Rico, or the U.S. Virgin Islands - **Age**: You must be 18 years of age or older - **Valid Prescription**: You must have a valid prescription for LONHALA MAGNAIR from your healthcare provider - **No Prescription Coverage**: You must be uninsured or underinsured (without prescription drug coverage) - **Income Eligibility**: Your household annual income must be at or below **300% of the Federal Poverty Level** ## Income Eligibility Breakdown Your household income must not exceed 300% of the Federal Poverty Level. Use the table below to determine if you qualify based on your household size: | Household Size | 300% Federal Poverty Level (Annual Income Limit) | |---|---| | 1 person | Approximately $21,870 | | 2 people | Approximately $29,430 | | 3 people | Approximately $36,990 | | 4 people | Approximately $44,550 | | 5 people | Approximately $52,110 | | 6 people | Approximately $59,670 | *Note: These figures are based on 2026 Federal Poverty Level guidelines. Income limits may change annually. Contact the program for current thresholds.* ## Insurance Requirements This program is designed for patients who are **uninsured or underinsured**. Specifically: - You must **not have prescription drug coverage** through any insurance plan - This includes Medicare, Medicaid, and private insurance plans - If you have any form of prescription coverage, you are not eligible for this program - If you are unsure about your coverage status, contact the program directly for clarification ## How to Apply: Step-by-Step Instructions ### Step 1: Gather Required Documents Before starting your application, collect the following: - A valid prescription for LONHALA MAGNAIR from your healthcare provider - Proof of your household income (examples: recent tax return, pay stubs, benefit statements, or other income documentation) - Your completed application form (signed by you) - Your healthcare provider's completed portion of the application form (signed by your physician) ### Step 2: Complete the Application - Download or request the application form from the program - Complete and sign your portion of the application - Provide your proof of income documentation - Have your healthcare provider complete and sign their portion of the application ### Step 3: Submit Your Application Submit your completed application by **mail** or **fax**: **Mailing Address:** Sunovion Support® PO Box 220285 Charlotte, NC 28222-0285 **Fax Number:** 1-877-850-0821 Include with your submission: - Your signed application - Your physician's signed application - Your proof of income - Your valid prescription ### Step 4: Await Approval A Sunovion Support® Specialist will review your application. If any information or documents are missing, the specialist will contact you and your healthcare provider to request the additional materials. ## Timeline and Delivery **Processing Time**: A decision will be made **within 48 hours** of receiving your complete application. You will receive written notification of the decision. **Medication Supply**: If approved, you will receive **up to 90-day supplies** of LONHALA MAGNAIR. You are eligible for **up to 12 prescription fills per year** (equivalent to 12 months of assistance annually). **Delivery Method**: The medication will be sent either: - Directly to your physician's office, or - A pharmacy card will be sent to your address for use at your pharmacy ## Reauthorization Requirements You must **complete a new application yearly** to continue receiving assistance through this program. Plan to reapply before your current year of assistance expires to ensure uninterrupted access to your medication. ## What If Your Application Is Denied? If your application is denied, you have several options: - **Contact the Program**: Reach out to Sunovion Support® to understand the reason for denial and determine if you can provide additional information - **Verify Eligibility**: Double-check that you meet all requirements, particularly income limits and insurance status - **Explore Alternatives**: Ask your healthcare provider about other patient assistance programs, pharmaceutical coupons, or state pharmaceutical assistance programs - **Discuss with Your Doctor**: Your healthcare provider may have information about other resources or lower-cost alternatives ## Important Disclaimer This guide provides general information about the Sunovion Support Prescription Assistance Program for LONHALA MAGNAIR. Program details, eligibility requirements, and benefits may change. For the most current and accurate information, contact Sunovion Support® directly or visit their official website. This information is not a guarantee of eligibility or approval. Always consult with your healthcare provider regarding your treatment options and medication needs.

Program information last verified: March 30, 2026