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Neurology

NUPLAZID

Generic: pimavanserin

Manufacturer: Acadia Pharmaceuticals Inc.  ·  Program: Acadia Connect

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Eligibility Criteria

Insurance Requirement

Commercial insurance or Medicare Part D eligible; uninsured patients may qualify

Residency

US resident

Income guidelines not disclosed; case-by-case basis

Program Information

Processing Time

2–4 weeks

Delivery Method

shipped to patient

Application Method

Online

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Valid prescription
  • Letter of Medical Necessity
  • Insurance information

Indicated For

Hallucinations and delusions associated with Parkinson's disease psychosis

About This Medication

# Acadia Connect Patient Guide: How to Get NUPLAZID at Low or No Cost ## About This Program Acadia Connect is a free patient support program designed to help you access NUPLAZID (pimavanserin) regardless of your insurance status or financial situation. Offered by Acadia Pharmaceuticals Inc., this program provides personalized assistance with insurance navigation, prescription coordination, and financial support to ensure you can start and continue your treatment without unnecessary delays or financial burden. ## About NUPLAZID NUPLAZID (pimavanserin) is a prescription medication used to treat hallucinations and delusions associated with Parkinson's disease psychosis. It works by targeting specific receptors in the brain to reduce these symptoms. Your healthcare provider has determined that NUPLAZID is an appropriate treatment for your condition. ## Who Qualifies for Acadia Connect Acadia Connect is available to patients who: - Have a valid prescription for NUPLAZID from a licensed healthcare provider - Are residents of the United States or Puerto Rico - Have commercial insurance, Medicare Part D coverage, or are uninsured - Meet the program's needs-based criteria The program is designed to serve patients across various insurance situations, including those who are uninsured or underinsured. Eligibility is determined on a case-by-case basis, and your Care Coordinator will work with you to identify the best financial assistance option for your specific circumstances. ## Income Eligibility Acadia Connect does not publish specific income thresholds or Federal Poverty Level (FPL) percentages. Instead, the program evaluates eligibility on an individual basis, considering your unique financial situation. This flexible approach means that patients with varying income levels may qualify for assistance. When you enroll, your Care Coordinator will discuss your financial circumstances confidentially and determine what assistance options are available to you. If you have questions about whether you might qualify, contact the program directly at 1-844-737-2223. ## Insurance Requirements and Coverage | Insurance Type | Eligibility | Notes | |---|---|---| | Commercial Insurance | Yes | Program helps navigate approvals and coverage | | Medicare Part D | Yes | Eligible for copay assistance and other support | | Medicare Advantage | Limited | Copay assistance may not apply; other support available | | Medicaid | Varies | Contact program for state-specific information | | Uninsured | Yes | May qualify for free medication through Patient Assistance Program | | Underinsured | Yes | Eligible for copay assistance and other financial support | **Important Note:** The Acadia Connect Copay Program cannot be used for prescriptions paid for in part by federal or state healthcare programs including Medicare, Medicare Advantage, Medicare Part D, TRICARE, or VA benefits. However, other assistance options may be available. ## How to Apply: Step-by-Step ### Step 1: Gather Required Documents Before starting your application, have the following information ready: - Your valid NUPLAZID prescription from your healthcare provider - Your insurance information (policy number, group number, and contact details) - A Letter of Medical Necessity from your healthcare provider (your doctor's office can provide this) - Your contact information and basic demographic details ### Step 2: Complete the Online Enrollment Form Visit the Acadia Connect website at https://www.acadiaconnect.com and complete the online enrollment form. The form will ask about your insurance coverage, financial situation, and contact preferences. You can also request assistance with the enrollment process by calling 1-844-737-2223. ### Step 3: Submit Your Application Submit your completed enrollment form along with the required documents. You can do this online through the website or by calling the support team for guidance. ### Step 4: Receive Your Care Coordinator Assignment Once your application is received, Acadia Connect will assign you a dedicated Care Coordinator. This person will be your main point of contact throughout your treatment journey. Your Care Coordinator will reach out to learn more about your situation, confirm your information, and discuss the best financial assistance options for you. ### Step 5: Get Your Prescription Filled Your Care Coordinator will work with your pharmacy and healthcare provider to ensure your NUPLAZID prescription is filled and delivered to you. Eligible patients may receive a free 14-day supply to help you start treatment quickly. ## Timeline and Delivery The program is designed to get you started quickly. After you enroll: - Your Care Coordinator will contact you promptly to confirm your information and answer questions - Insurance approvals are typically processed within a few business days, though timelines vary based on your specific insurance plan - Your prescription will be coordinated with the pharmacy supplying NUPLAZID to ensure on-time delivery - Eligible patients may receive a free 14-day starter supply while insurance coverage is being finalized Medications are shipped directly to your home or preferred address. Your Care Coordinator will keep you informed of any delays or changes to your delivery schedule. ## Financial Assistance Options ### Copay Assistance Program If you have commercial insurance or Medicare Part D coverage, you may qualify for copay assistance. This program helps reduce your out-of-pocket costs for each prescription fill. ### Patient Assistance Program If you are uninsured or your insurance does not cover NUPLAZID, you may qualify to receive your medication at no cost through Acadia's Patient Assistance Program. Eligible patients can receive their prescription for $0 per month. ### Insurance Navigation Support Regardless of your insurance type, your Care Coordinator will help navigate the insurance approval process, work with your healthcare provider to support coverage requests, and share resources to make your medication more affordable. ## Ongoing Support Your Care Coordinator provides continuous support throughout your treatment: - Regular check-ins to ensure you're doing well on NUPLAZID - Assistance with any changes to your insurance or financial situation - Coordination with your pharmacy for timely prescription refills - Support if you experience any issues with prescription delivery - Educational resources about your medication and treatment ## What If Your Application Is Denied? If you are initially denied assistance, your Care Coordinator will: - Explain the reason for the denial - Discuss alternative financial assistance options that may be available - Help you understand next steps and any additional information needed - Work with you to explore other resources or programs You can also contact the program directly at 1-844-737-2223 to discuss your situation and explore other options. ## Important Restrictions and Limitations - The Acadia Connect Copay Program is not available for prescriptions paid for in part by Medicare, Medicare Advantage, Medicare Part D, TRICARE, or VA benefits - The program is not available to Vermont-licensed medical professionals or patients under 18 - The program is only available to residents of the United States and Puerto Rico - Terms and conditions apply; eligibility and program details are subject to change ## Contact Information **Acadia Connect Support Team** - Phone: 1-844-737-2223 - Hours: Monday–Friday, 8:00 AM to 8:00 PM ET - Website: https://www.acadiaconnect.com ## Disclaimer This guide provides general information about the Acadia Connect program as of March 2026. Program details, eligibility requirements, and financial assistance options are subject to change. For the most current and accurate information, please visit the official Acadia Connect website or contact the support team directly. Always consult with your healthcare provider about your treatment options and medication needs. This guide is not a substitute for professional medical advice.

Program information last verified: March 30, 2026

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