Mirapex ER

Indicated For

Parkinson's Disease

About This Medication

# Bausch Health Patient Assistance Program Patient Guide: How to Get Mirapex ER at Low or No Cost Mirapex ER (pramipexole extended-release) is a prescription medication used to treat symptoms of Parkinson's disease, such as tremors, stiffness, and difficulty moving. The **Bausch Health Patient Assistance Program** provides this medication **at no cost** to eligible patients who meet specific criteria, including residency, prescription, insurance, and income requirements[1][2][3][4]. ## About Mirapex ER **Mirapex ER** belongs to a class of drugs called dopamine agonists. It works by mimicking dopamine in the brain, helping to control movement symptoms in moderate-to-advanced Parkinson's disease. Common uses include reducing 'off' time when Parkinson's symptoms return between doses. It's taken once daily and should only be used under a doctor's supervision due to potential side effects like drowsiness, nausea, hallucinations, or impulse control issues (e.g., gambling urges). Always discuss risks with your healthcare provider[1]. This guide explains how to access **Mirapex ER** through the program, designed for those struggling with costs. Assistance lasts up to **one year** from approval, with possible reapplication if eligible[4]. ## Who Qualifies? Eligibility is determined **case-by-case**. You may qualify if you: - Are a **legal U.S. resident** (including Puerto Rico)[1][3][4]. - Have a **valid prescription** from a licensed U.S. healthcare professional for Mirapex ER[1][2]. - Lack **insurance coverage** for the medication (uninsured or underinsured; limited/no coverage required)[1][2][4]. - Are treated as an **outpatient** (not inpatient)[1]. - Meet **household income requirements** (pre-defined; verified during review—specific Federal Poverty Level (FPL) not publicly listed, but needs-based)[1][4]. - For **Medicaid patients**: Eligible if your plan denies coverage; use a special application[1][2]. **Note**: No cost to apply. All reviewed individually[1]. ## Income Eligibility Breakdown The program requires **total annual household income verification**, but exact thresholds (e.g., FPL percentages) are not publicly detailed and assessed case-by-case[1][4]. Provide proof like tax returns or pay stubs. Here's a general table based on typical patient assistance structures (confirm with program as Bausch Health customizes): | Household Size | Estimated Max Income (300% FPL example)* | Notes | |---------------|-----------------------------------------|-------| | 1 | ~$45,000 | Case-by-case; proof required[1][4] | | 2 | ~$61,000 | Household total[1] | | 3 | ~$77,000 | Includes all income sources[4] | | 4 | ~$93,000 | Add ~$16,000 per additional member | *Estimates for illustration; actual limits vary. Call (833) 862-8727 for your situation[1][2]. ## Insurance Requirements You must have **limited or no insurance coverage** for Mirapex ER. Eligible if: - **Uninsured** or **underinsured** (denied coverage)[1][4]. - **Medicaid**: Only if plan stopped covering or denies[1][2]. - **Medicare/Commercial**: Generally ineligible if covers the drug; program for those without access[2][4]. Attach insurance cards (front/back) and pharmacy statements[1]. ## Step-by-Step Application Process Applications via **multiple methods**: phone (Medicaid only), mail, or fax[1][2]. 1. **Gather info**: Name, address, SSN (or residency proof), insurance details, Mirapex ER details (strength), doctor's info[2]. 2. **Get form**: Download from BauschHealthPAP.com (standard or Medicaid-only)[1][3]. 3. **Patient completes**: Page 2 (info/insurance), sign Page 3 (authorization)[1]. 4. **Doctor completes**: Pages 4-6, including prescription and certification (no stamped signatures for controlled substances)[1]. 5. **Attach docs**: Insurance cards (front/back), income proof if requested[1]. 6. **Submit**: - **Phone**: (833) 862-8727 (Medicaid patients; verbal attestation)[2]. - **Fax**: 844-705-0160[1][2]. - **Mail**: Bausch Health Patient Assistance Program, P.O. Box 991624, Louisville, KY 40269[1][2]. **Tip**: Electronic signatures OK; ensure all *required fields* or held[1]. Caregiver/doctor can't sign for you[2]. ## Timeline and Delivery **Processing time**: Not specified; expect weeks (case-by-case). Follow up via phone[2]. **Delivery**: Medication shipped directly (details post-approval); up to 1 year supply[4]. **Refills**: Reapply annually if still eligible with new prescription[4]. ## Alternatives if Denied - **Appeal**: Contact program for reasons/missing info[2]. - **Other programs**: Check RxAssist.org, NeedyMeds, or generic pramipexole options (no biosimilars listed)[3]. - **Manufacturer savings cards**: If commercially insured (not for uninsured)[4]. - **State programs** or **patient foundations** for Parkinson's. - **Doctor samples** or **pharmacy discounts**. ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms change; confirm with Bausch Health at (833) 862-8727 or BauschHealthPAP.com. Not medical/financial advice. Consult your doctor for treatment. Bausch Health not liable for errors[1][2][3][4]. (Word count: 942)

Program information last verified: March 30, 2026