Onexton

Indicated For

acne vulgaris

About This Medication

# Bausch Health Patient Assistance Program Guide: How to Get Onexton at Low or No Cost ## About This Program The Bausch Health Patient Assistance Program (BHC PAP) is designed to help uninsured and underinsured patients access Onexton (clindamycin phosphate and benzoyl peroxide), a prescription medication used to treat acne, at no cost or reduced cost. This program recognizes that medication affordability is a barrier to treatment for many patients and works to ensure that financial constraints don't prevent you from accessing the medications you need. ## About Onexton Onexton is a topical combination medication that contains clindamycin phosphate (an antibiotic) and benzoyl peroxide (an antimicrobial agent). It is prescribed to treat acne vulgaris by reducing bacteria on the skin and decreasing inflammation. Your healthcare provider has determined that Onexton is the right treatment option for your specific acne condition. ## Who Qualifies for This Program? 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 Onexton - You are being treated as an outpatient (not hospitalized) - You do not have insurance coverage for Onexton, or you are underinsured and cannot afford your medication - Your annual household income does not exceed 300% of the Federal Poverty Level (FPL) - You do not reside in a hospital, nursing home, correctional facility, or court-appointed program **Important note:** If you have Medicare Part D coverage, you may still appeal for program eligibility, and your case will be reviewed individually. Discount cards are not considered insurance coverage for eligibility purposes. ## Income Eligibility Breakdown Your household income must not exceed 300% of the Federal Poverty Level. The Federal Poverty Level changes annually and varies based on household size. Below is a reference table for 2026 income limits at 300% FPL: | Household Size | Maximum Annual Income (300% FPL) | |---|---| | 1 person | Approximately $21,870 | | 2 people | Approximately $29,430 | | 3 people | Approximately $36,990 | | 4 people | Approximately $44,550 | | 5 people | Approximately $52,110 | | 6 people | Approximately $59,670 | | 7 people | Approximately $67,230 | | 8 people | Approximately $74,790 | *Note: These figures are estimates based on 2026 Federal Poverty Guidelines. For exact current limits, visit https://aspe.hhs.gov/poverty-guidelines. When calculating household income, child support, food stamps, and alimony are excluded.* ## Insurance Requirements The program is designed for patients who are: - **Uninsured:** You have no health insurance coverage for prescription medications - **Underinsured:** You have insurance but cannot afford your out-of-pocket costs for Onexton - **Medicare Part D enrollees:** You may appeal for eligibility consideration on a case-by-case basis If you have Medicaid, a separate application form is available specifically for Medicaid-only patients. ## Step-by-Step Application Process ### Step 1: Gather Required Documents Before starting your application, collect the following: - Your valid prescription for Onexton from your healthcare provider - Proof of income (recent pay stubs, tax returns, or benefit statements) - Proof of residency (utility bill, lease agreement, or government-issued ID) - Copies of your medical and prescription insurance cards (front and back), or documentation showing you are uninsured - Your Social Security number - Contact information for your healthcare provider ### Step 2: Complete the Patient Application You have two options for applying: **Option A: Online Application** - Visit the Bausch Health Patient Assistance Program website - Answer eligibility screening questions - Complete the online application form - Upload required documentation **Option B: Paper Application** - Download the application form from the Bausch Health PAP website - Complete all sections of the Patient Information and Insurance Information sections - Read and sign the Patient Authorization and Certification - Attach copies of your medical and prescription insurance cards (front and back) - Attach proof of income and residency ### Step 3: Have Your Healthcare Provider Complete Their Section Your prescriber must: - Complete pages designated for prescriber information - Verify the prescription for Onexton - Sign the Prescriber Certification - Return the completed form to you or submit directly to the program ### Step 4: Submit Your Application Submit your completed application and all supporting documents by: **Fax:** 844-705-0160 **Mail:** Bausch Health Patient Assistance Program P.O. Box 991624 Louisville, KY 40269 **Phone for Questions:** 833-862-8727 (8 AM to 5 PM ET, Monday-Friday) ## Application Timeline and Delivery **Processing Time:** Your application will typically be reviewed and processed within 2-4 weeks of receipt. All applications are reviewed on a case-by-case basis. **Approval Notification:** You will be notified of the program's decision by mail or phone. **Medication Delivery:** Once approved, your Onexton will be shipped directly to your home address. There is no cost to you for the medication or shipping. **Duration of Assistance:** Approved patients are eligible to receive assistance for up to 12 months from the date of approval. ## Annual Re-enrollment To continue receiving assistance, you must re-enroll every year: - The program will send you a re-enrollment notice 60 days before your anniversary date - Complete a new application form each year - Provide updated income and insurance information - If you have Medicare Part D coverage, you must reapply by December 31 each year ## What If Your Application Is Denied? If your application is denied, you have options: - **Request clarification:** Contact the program to understand why you were not approved - **Reapply if circumstances change:** If your income decreases, insurance status changes, or other eligibility factors improve, you may reapply - **Appeal Medicare Part D denial:** If you have Medicare Part D, you can appeal for individual case review - **Explore alternatives:** Ask your healthcare provider about generic alternatives, other patient assistance programs, or community health resources ## Important Reminders - There is no cost to apply for this program - All applications are confidential - If your insurance or income status changes while you are enrolled, notify the program immediately, as you may no longer be eligible - Keep your prescriber informed about your participation in the program - Do not delay treatment while waiting for approval; discuss temporary options with your healthcare provider ## Disclaimer This guide provides general information about the Bausch Health Patient Assistance Program as of March 2026. Program eligibility requirements, income limits, and procedures are subject to change. For the most current and complete information, visit the official Bausch Health Patient Assistance Program website or call 833-862-8727. This guide is not a guarantee of program eligibility or approval. All applications are reviewed individually, and approval is based on meeting all program requirements.

Program information last verified: March 30, 2026