NAYZILAM
Generic: midazolam
Manufacturer: UCB · Program: NAYZILAM Patient Assistance Program
Apply for assistanceFree to apply. Service from $40/month, payable only when your application is ready to submit.
Eligibility Criteria
Insurance Requirement
For patients without health insurance or unable to afford; savings card for eligible commercial patients (not state/federal programs)
Residency
US resident
Income Threshold
Up to 500% FPL
Individual Income Limit
$72,900/year
Must be uninsured or underinsured
Program Information
Processing Time
2–3 weeks
Delivery Method
shipped to patient
Application Method
Multiple
Indicated for
seizure clusters, acute repetitive seizures
About This Medication
NAYZILAM Patient Assistance Program Patient Guide: How to Get NAYZILAM at Low or No Cost
NAYZILAM (midazolam) is a fast-acting nasal spray used to treat seizure clusters in adults and children ages 12 and older with epilepsy. The NAYZILAM Patient Assistance Program from UCB helps eligible patients get this medication at low or no cost if they lack insurance or can't afford it.
About NAYZILAM
NAYZILAM is an emergency rescue medication for people with epilepsy who experience seizure clusters—multiple seizures happening close together that don't stop on their own. It's a benzodiazepine delivered as a simple nasal spray, working quickly to stop or reduce these episodes. Unlike pills, it acts in minutes without needing water or swallowing, making it ideal for sudden situations. Your doctor prescribes it as part of a seizure action plan alongside daily anti-epilepsy drugs.
Common side effects include sleepiness, runny nose, or nasal discomfort. Always follow your healthcare provider's instructions, and never use it more than recommended to avoid risks like dependence or breathing issues. NAYZILAM is FDA-approved and fills a key gap for on-the-go seizure management.[2]
Who Qualifies for the Program?
The NAYZILAM Patient Assistance Program supports patients who are uninsured or underinsured and unable to pay for their prescription. It's designed for those facing financial hardship, providing free medication to qualifying individuals. Specific income limits aren't publicly detailed—instead, eligibility is determined case-by-case by contacting UCBCares. This flexible approach ensures help reaches those in genuine need without rigid cutoffs.[1]
Key eligibility factors:
- U.S. resident (program is U.S.-focused).
- Valid prescription for NAYZILAM from a licensed doctor.
- Proof of financial need (e.g., low income, no coverage).
- Not enrolled in federal or state programs like Medicaid in most cases.
If you have commercial insurance, ask about the savings card for copay help—separate from free medication assistance.
Income Eligibility Breakdown
Unlike many programs with fixed Federal Poverty Level (FPL) thresholds (e.g., 400% of FPL), UCB's program doesn't list public income guidelines. Eligibility hinges on demonstrating inability to pay, reviewed individually. Here's a general table of common FPL benchmarks for context (2026 figures approximate; actual program uses custom assessment):
| Household Size | 100% FPL | 300% FPL | 400% FPL | UCB Notes |
|---|---|---|---|---|
| Individual | $15,060 | $45,180 | $60,240 | Case-by-case; contact for details |
| Couple | $20,440 | $61,320 | $81,760 | No fixed limits listed |
| Family of 3 | $25,820 | $77,460 | $103,280 | Proof of need required |
| Family of 4 | $31,200 | $93,600 | $124,800 | Flexible review |
Notes: FPL varies by year and location—use as reference only. Call UCBCares at (833) 948-2394 for your situation. They consider total household income, expenses, and assets.[1]
Insurance Requirements
This program targets patients without health insurance or those unable to afford out-of-pocket costs despite coverage. If you're on Medicare, Medicaid, VA, or other government programs, you likely won't qualify for free meds—UCB prohibits assistance that could violate federal anti-kickback rules. For commercially insured patients, use the NAYZILAM savings card to lower copays (up to $90% off, max savings apply; not for government-insured). Uninsured patients get priority for full assistance. Provide insurance details (or proof of none) during application.[1]
Step-by-Step Application Process
Applying is straightforward via phone only—no online form needed.
- Get your prescription: Ask your doctor for NAYZILAM and discuss if this program fits.
- Gather info: Have ID, income proof (pay stubs, tax returns), prescription details, and insurance status ready.
- Call UCBCares: Dial (833) 948-2394 (Mon-Fri, typical business hours). A representative screens eligibility.
- Submit details: Answer questions about finances, insurance, and medical need. They may request documents via fax/email.
- Doctor involvement: Your prescriber might need to complete a form confirming medical necessity.
- Approval wait: If approved, medication ships directly (details below).
The process is patient-friendly, with Spanish speakers available. Expect a compassionate, non-judgmental chat.[1]
Timeline and Delivery
Processing time varies but often takes 1-2 weeks after approval, depending on document completeness. Once approved, NAYZILAM ships free to your home or doctor's office via specialty pharmacy. Track status by calling back. Refills follow similar review; no fixed expiration listed.
Alternatives if Denied or Ineligible
- Savings card: For insured patients—reduces copays instantly at pharmacy.
- Other PAPs: Check NeedyMeds.org or RxAssist.org for epilepsy generics.
- State programs: Apply for Medicaid if income-eligible.
- Manufacturer samples: Ask your doctor for free starter doses.
- Biosimilars: None available for NAYZILAM.
- Generic midazolam: Not nasal spray equivalent; discuss with doctor.
Reapply if circumstances change.
Important Disclaimer
This guide is for informational purposes only and not medical or legal advice. Program details can change—always verify with UCBCares at (833) 948-2394. Eligibility isn't guaranteed; UCB reserves rights to modify/deny. Consult your healthcare provider before starting NAYZILAM. Data based on available UCB info as of 2026.[1][2] (Word count: 942)
Program information last verified: March 30, 2026
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