Northera

Indicated For

neurogenic orthostatic hypotension, nOH

About This Medication

# Northera Patient Guide: How to Get Northera (droxidopa) at Low or No Cost Northera (droxidopa) is a prescription medication used to treat **neurogenic orthostatic hypotension (nOH)**, a condition causing dizziness, lightheadedness, fainting, or blackouts due to low blood pressure upon standing.[3][9] This guide explains the **Northera Commercial Copay Assistance Program** from Lundbeck, which helps **commercially insured patients** pay as little as **$10 per 30-day prescription**.[1][7][8][10] ## About Northera and nOH **Northera (droxidopa)** works by increasing norepinephrine levels to help maintain blood pressure when standing, reducing nOH symptoms.[9] It's for adults aged 17 and older with symptomatic nOH due to Parkinson's disease, multiple system atrophy, dopamine beta-hydroxylase deficiency, or pure autonomic failure. Always take it as prescribed, and follow precautions like elevating your head at night to avoid supine hypertension (a serious risk noted in the Boxed Warning).[3] nOH affects daily life, making simple tasks risky. Northera can improve standing time and reduce falls, but discuss benefits and risks with your doctor.[3] ## Who Qualifies for the Program? This is a **copay assistance program** for **commercially insured patients only**—**not** for Medicare, Medicaid, uninsured, self-pay, or other government insurance.[1][7][8] Key eligibility: - Age 17 years or older[1][3][7] - Valid Northera prescription for an on-label diagnosis[3][5] - Commercial insurance that covers Northera (not fully reimbursed)[7][8] - U.S. resident[4] **Medicare patients**: You're ineligible for this copay program.[2][6][7][8] Explore Medicare Part D, Extra Help (Low-Income Subsidy, or LIS), or foundation programs via resources like medicare.gov or third-party services.[2][6][9] ## Income Eligibility No specific income limits apply—this program focuses on insurance type, not income.[1][7] It's designed for commercially insured patients facing high copays, regardless of income level. Uninsured or low-income patients may need Lundbeck's general patient assistance (separate program requiring financial documentation) or external foundations.[4][9] | Household Size | Income Threshold | FPL % | Notes | |---------------|------------------|-------|-------| | Individual | None | None | Commercial insurance required[1][7] | | Couple | None | None | No income eligibility for copay program[1] | | Family of 3 | None | None | Focus on copay reduction[10] | | Family of 4 | None | None | Government insurance ineligible[8] | ## Insurance Requirements **Strictly commercial insurance only**.[1][7][8] Your policy must cover Northera, but not reimburse the full cost. Provide your insurance's BIN, Group, PCN, and ID at enrollment.[3][8] Government programs (Medicare Part D, Medicaid, VA, TRICARE) disqualify you.[7][8] Confirm coverage with your pharmacy or Northera Support Center (NSC).[3] ## Step-by-Step Application Process 1. **Get Prescribed**: Ask your doctor for Northera. They may send it to the Northera Support Center (NSC) or a specialty pharmacy.[3][5] 2. **Enroll in Copay Program**: - Visit northera.com/patient-support/paying-for-northera and click to enroll, or call **1-855-820-6768**.[1][2] - Alternatively, call 1-844-601-0101 (8am-8pm ET, Mon-Fri).[7][8] - Receive your copay card with BIN/Group/PCN/ID numbers.[3][8] 3. **StarterRx Program (New Patients)**: Eligible new commercially insured patients get a **one-time 30-day free supply** via specialty pharmacy. Confirm eligibility when scheduling.[3][5] 4. **Fill Prescription**: Give copay card details to the specialty pharmacy each time. They'll apply savings (as low as $10/fill).[3][8][10] 5. **Ongoing**: Program auto-renews; max 12 fills/year, benefit caps apply.[10] Track out-of-pocket to avoid exceeding Lundbeck's cap.[7][10] Your doctor or NSC can fax forms to 844-601-0102 if needed.[5] ## Timeline and Delivery - **Enrollment**: Instant online; phone support same-day.[1] - **Approval**: Copay card activates quickly (24-48 hours typical for similar programs).[9] - **StarterRx**: Ships promptly to eligible new patients.[3][5] - **Regular Fills**: Specialty pharmacy coordinates; mention copay info each refill.[3] Delivery via mail or pickup—confirm with pharmacy. Processing is fast for eligible patients; NSC helps with insurance verification.[3] ## Alternatives if Denied or Ineligible - **Medicare/Extra Help**: Enroll in Part D; apply for LIS if income-qualified (based on FPL).[2][6] - **Lundbeck Patient Assistance**: For uninsured/low-income with no prescription coverage—submit financial docs.[4] - **Foundations**: Third-parties like QuickRx connect to grants (income-based).[9] - **Prior Authorization/Appeals**: Doctor can pursue PA or step therapy via CoverMyMeds.[5] - **Generic/Biosimilars**: None available.[provided] Contact NSC at 1-855-820-6768 for guidance.[1] ## Important Disclaimer This guide is for informational purposes based on publicly available data as of program details provided. Eligibility, terms, and benefits can change—verify with Lundbeck/NSC or your healthcare provider. Not medical/financial advice. See full Prescribing Information and Boxed Warning at northera.com. Program not for government-insured. Lundbeck may cap benefits; you'll owe amounts over caps. Consult medicare.gov for Part D/Extra Help.[1][2][3][7][8]

Program information last verified: March 30, 2026