Migranal

Indicated For

migraine

About This Medication

# Bausch Health Patient Assistance Program Guide: How to Get Migranal at Low or No Cost ## About This Program The **Bausch Health Patient Assistance Program** provides free or low-cost Migranal (dihydroergotamine mesylate) to eligible patients who cannot afford their medication. Migranal is a prescription medication used to treat acute migraine headaches. If you have limited insurance coverage or no insurance at all, this program may help you access the medication you need without financial hardship. ## Who Qualifies You may be eligible for the Bausch Health Patient Assistance Program if you meet all of the following criteria: - You are a legal United States resident - You have a valid prescription from a licensed U.S. healthcare professional for Migranal - You do not have insurance coverage for Migranal, or your insurance no longer covers it - You are being treated as an outpatient (not hospitalized) - You meet the program's income and financial need requirements - You demonstrate qualifying financial need or have limited income **Special consideration for Medicaid patients:** As of October 1, 2025, Bausch Health stopped participating in certain federal programs that help cover medications for Medicaid patients. If your Medicaid plan no longer covers Migranal, you may still qualify for free medication through this patient assistance program. ## Income Eligibility The Bausch Health Patient Assistance Program reviews applications on a case-by-case basis. While specific income thresholds are not publicly listed, the program considers: - Your total annual household income - Your family size - Your out-of-pocket medication costs - Your overall financial need If you are unsure whether your income qualifies, you can still apply at no cost. The program will review your specific situation during the application process. ## Insurance Requirements To qualify for this program, you must either: - Have **no insurance coverage** for Migranal, or - Have insurance that **does not cover** Migranal, or - Have insurance that **stopped covering** Migranal (particularly relevant for Medicaid patients after October 1, 2025) If you have insurance that covers Migranal, you are generally not eligible for this program. However, if your coverage was recently terminated, you may qualify. ## How to Apply: Step-by-Step ### Step 1: Gather Required Information Before you apply, have the following information ready: - Your full name and date of birth - Your Social Security Number - Your contact information (phone number and mailing address) - Your current insurance status (or confirmation that you have no insurance) - Your annual household income - Proof of your out-of-pocket medication costs (if applying as a non-Medicaid patient) - Your valid prescription for Migranal from your healthcare provider ### Step 2: Complete the Application You can apply in one of three ways: **By Phone (Medicaid patients only):** Call **1-833-862-8727**, Monday-Friday, 8am-8pm EST. A representative will help you complete your application over the phone. **By Mail:** Download the appropriate application form from BauschHealthPAP.com: - If you are on Medicaid, download the "Application for Medicaid-Only Patients" - If you are not on Medicaid, download the "Application for All Other Patients" Complete all sections of the form, including: - Patient Information and Insurance Information - Patient Authorization and Certification (must be signed) - Prescriber Certification (your doctor must sign this section) Mail the completed form to: BAUSCH HEALTH PATIENT ASSISTANCE PROGRAM P.O. Box 991624 Louisville, KY 40269 **By Fax:** Fax your completed application to: **844-705-0160** ### Step 3: Submit Required Documentation Include with your application: - Your signed authorization form - Your healthcare provider's signed certification - Proof of income (if required) - Proof of out-of-pocket medication costs (if applying as a non-Medicaid patient) - Any other documentation requested by the program **Important:** All required information must be provided. If any information marked with an asterisk is missing, your application will be put on hold until you provide it. ### Step 4: Wait for Approval The program will review your application and notify you of the decision. Applications may be approved in as little as 24-48 hours. Your information is kept secure and confidential throughout this process. ### Step 5: Receive Your Medication If you are approved, your free Migranal will be shipped directly to your home. There are no copays or shipping fees. You will receive medication for up to one year from the date of approval. ## Timeline and Delivery - **Application Review Time:** 24-48 hours (may vary) - **Delivery Method:** Free shipping directly to your home - **Coverage Duration:** Up to 1 year from approval date - **Copays:** None - **Shipping Fees:** None ## Reauthorization and Refills Your medication coverage lasts for up to one year. If you still need Migranal after one year and continue to meet the program's eligibility requirements, you may reapply annually. You will need to submit a new application with an updated prescription from your healthcare provider. ## What If Your Application Is Denied If your application is denied, you have several options: - **Reapply:** You may reapply if your circumstances change (such as a change in income or insurance status) - **Contact the program:** Call 1-833-862-8727 to discuss why your application was denied and whether you can provide additional information - **Explore other resources:** Ask your healthcare provider about other patient assistance programs, generic alternatives, or lower-cost options - **Check for other programs:** Other organizations may offer medication assistance for migraine treatments ## Important Disclaimers - This program is provided by Bausch Health Companies Inc. and is subject to change at any time - Eligibility is determined on a case-by-case basis - There is no cost to apply, but you must have a valid prescription from a licensed healthcare provider - This program is only available to legal U.S. residents - Approval is not guaranteed and depends on meeting all eligibility criteria - This guide provides general information and should not be considered medical or legal advice ## Contact Information **Phone:** 1-833-862-8727 (Monday-Friday, 8am-8pm EST) **Website:** BauschHealthPAP.com **Fax:** 844-705-0160 **Mailing Address:** Bausch Health Patient Assistance Program, P.O. Box 991624, Louisville, KY 40269 For questions about whether Migranal is right for you or how to use it, contact your healthcare provider.

Program information last verified: March 30, 2026