Onfi

Indicated For

Lennox-Gastaut syndrome, seizures

About This Medication

# ONFI Support Center Patient Guide: How to Get Onfi (Clobazam) at Low or No Cost ## About This Program The ONFI Support Center is a prescription assistance program run by Lundbeck, the manufacturer of Onfi (clobazam). This program is designed to help patients who have difficulty affording their Onfi medication, which is used to treat Lennox-Gastaut syndrome, a severe form of epilepsy. If you meet certain eligibility requirements, you may be able to get Onfi at little or no cost. ## What Is Onfi and Why Is It Prescribed? Onfi (clobazam) is a benzodiazepine medication used to treat seizures in patients with Lennox-Gastaut syndrome. This is a rare, severe type of epilepsy that usually begins in childhood. Onfi is typically prescribed alongside other anti-seizure medications to help reduce the frequency and severity of seizures. Because this medication is essential for managing a serious neurological condition, access to affordable treatment is critical for patients and their families. ## Who Can Apply? The ONFI Support Center assistance program is available to: - **Uninsured patients** — those without any health insurance coverage - **Underinsured patients** — those with insurance that does not adequately cover Onfi or who face high out-of-pocket costs - **Patients NOT eligible** — those covered by government programs such as Medicaid (in most cases), Medicare, or other state-sponsored insurance plans If you have Medicaid, Medicare, or similar government coverage, you may still explore other assistance options or speak with your healthcare provider about alternative solutions. ## Income Eligibility While Lundbeck has not published specific income thresholds for the ONFI Support Center, most manufacturer assistance programs typically serve households at or below 200-400% of the federal poverty level. Income limits vary based on household size. **Estimated Income Guidelines (Federal Poverty Level Guidelines):** | Household Size | Approximate Monthly Income Limit* | |---|---| | 1 | ~$2,000–$4,000 | | 2 | ~$2,700–$5,400 | | 3 | ~$3,400–$6,800 | | 4 | ~$4,100–$8,200 | | 5 | ~$4,800–$9,600 | | 6 | ~$5,500–$11,000 | | 7 | ~$6,200–$12,400 | | 8 | ~$6,900–$13,800 | *These are estimates. Contact the ONFI Support Center at (855) 345-6634 to confirm your eligibility based on your actual household income. ## Insurance Requirements The program is designed primarily for **uninsured and underinsured patients**. If you have commercial insurance, you may still qualify if: - Your insurance plan does not cover Onfi - Your copay or coinsurance is unaffordably high - You have not yet met your deductible **Important:** Most government insurance programs (Medicaid, Medicare, VA, Tricare) are excluded from this manufacturer assistance program. If you have one of these programs, ask your doctor or pharmacist about other cost-reduction options or state-specific assistance programs. ## Step-by-Step Application Instructions ### Step 1: Gather Required Documents Before starting your application, collect the following: - **Completed assistance form** — available from the ONFI Support Center or your pharmacy - **Proof of insurance status** — this shows whether you are uninsured or underinsured (pay stub, insurance denial letter, or statement from your insurance company) - **Prescriber's signature** — your doctor must sign the application form - **Clinical information** — documentation of your diagnosis (Lennox-Gastaut syndrome), current seizure medications you've tried, and your treatment history ### Step 2: Complete the Application Form Work with your healthcare provider to fill out the assistance form completely and accurately. Make sure all required information is included: - Your name, date of birth, and contact information - Your household income and family size - Insurance status details - Your diagnosis and medical history - Your prescriber's name, signature, and contact information ### Step 3: Obtain Your Prescriber's Signature Your doctor must review and sign the application. This confirms your diagnosis, your need for Onfi, and your medical history. If you're seeing a neurologist or epilepsy specialist, they can often complete this quickly. ### Step 4: Submit Your Application **By Fax:** - Fax your completed application to: **1-855-547-8278** - Keep a copy for your records - You may want to call after faxing to confirm receipt **By Phone:** - Call the ONFI Support Center at **(855) 345-6634** for guidance on submitting your application or if you need assistance completing it ### Step 5: Wait for Approval Processing typically takes **4-8 weeks**. You'll receive notification by mail or phone once a decision is made. During this time, if you have an urgent need, ask your doctor or pharmacist about temporary solutions or alternative medications. ### Step 6: Receive Your Medication Once approved, medication delivery details vary by program. The support center will explain how and where your Onfi will be sent. Follow any instructions carefully to ensure successful delivery. ## Timeline and What to Expect - **Application submission:** Submit via fax to 1-855-547-8278 - **Processing time:** Typically 4-8 weeks - **Notification:** You will be notified by phone or mail - **Delivery:** Details provided upon approval; delivery method varies - **Ongoing support:** Contact the support center if you have questions while taking Onfi ## Additional Cost-Saving Options Even if you don't qualify for the manufacturer assistance program, other options may be available: ### ONFI Savings Card Lundbeck offers a savings card that may reduce your copay. Visit **https://www.activatethecard.com/onfi6393/** to learn more and activate the card if you're eligible. ### Other Resources - Ask your pharmacist about generic alternatives or lower-cost medications in the same class - Check if your state has an epilepsy foundation or patient assistance organization - Visit **NeedyMeds.org** for additional resources and programs - Talk to your healthcare provider about payment plans or discounted pricing through your pharmacy ## What If Your Application Is Denied? If you're not approved, you have options: 1. **Ask why** — Contact the ONFI Support Center to understand the reason for denial 2. **Reapply** — If your circumstances change (income decreases, insurance coverage changes), you may reapply 3. **Explore alternatives** — Discuss with your doctor about: - Other seizure medications that may be more affordable - State patient assistance programs - Hospital financial assistance programs - Prescription discount programs like GoodRx or SingleCare 4. **Contact a patient advocate** — The Epilepsy Foundation may have additional resources and support ## Important Legal Disclaimer This guide provides general information about the ONFI Support Center assistance program. It is not a substitute for official program documents or communication from Lundbeck. Eligibility requirements, income limits, and program benefits are subject to change without notice. Always verify current eligibility and program details directly with the ONFI Support Center at (855) 345-6634 or visit **https://www.onfi.com**. Your healthcare provider can also provide up-to-date information about assistance programs. ## Contact Information **ONFI Support Center** - **Phone:** (855) 345-6634 - **Fax:** 1-855-547-8278 - **Website:** https://www.onfi.com - **Savings Card:** https://www.activatethecard.com/onfi6393/ Don't hesitate to reach out with questions. The support team is there to help you access the medication you need.

Program information last verified: March 25, 2026