Onfi

Indicated For

seizures associated with Lennox-Gastaut syndrome (LGS)

About This Medication

# ONFI Support Center Patient Assistance Program Patient Guide: How to Get Onfi (clobazam) at Low or No Cost ONFI (clobazam) is a prescription benzodiazepine medication used as an add-on treatment for seizures linked to **Lennox-Gastaut syndrome (LGS)** in patients aged 2 years and older. The **ONFI Support Center Patient Assistance Program** from Lundbeck helps eligible patients access this important therapy by providing support like prior authorization assistance, bridge supplies, and patient assistance to reduce or eliminate costs.[1][2][10] ## About ONFI (clobazam) **ONFI** is an oral tablet taken alongside other anti-seizure medicines to help control drop seizures and other seizure types common in LGS, a severe form of epilepsy. It works by calming overactive brain signals as a 1,5-benzodiazepine, a type of controlled substance (Schedule IV). It's FDA-approved only for LGS-related seizures in people 2 and up—not for other epilepsy types like focal seizures unless LGS is diagnosed.[1][6][10] **Key benefits** for patients: Many notice fewer seizures when added to their regimen. Dosing starts low (e.g., 5 mg/day for small kids, up to 20 mg/day for adults) and increases gradually to minimize side effects like sleepiness, drooling, or coordination issues.[10] **Important warnings**: ONFI carries risks, especially with opioids (can cause slowed breathing or death), potential for abuse/addiction, and withdrawal if stopped suddenly. Always follow your doctor's guidance, and never share it. Discuss full risks with your healthcare provider.[1][6][10] ## Who Qualifies for the Program? This program targets patients facing high costs for ONFI, primarily those with **commercial (private) insurance**. It's **not typically for government insurance** like Medicare, Medicaid, VA, DOD, TRICARE, or self-pay patients, though the Support Center can check specifics.[2][6][8] You may qualify if: - You have a valid ONFI prescription for LGS seizures. - Your doctor confirms medical need via the form. - You're struggling with out-of-pocket costs after insurance. **Income eligibility**: Specific income thresholds (like Federal Poverty Level percentages) are not publicly detailed for this program. Contact the ONFI Support Center at **(855) 345-6634** for a personalized eligibility review, as criteria apply and may focus more on insurance/coverage gaps than strict income limits.[3][5] Here's a general breakdown of common patient assistance factors (note: confirm with program for ONFI specifics): | Category | Details | Likely Eligible? | |----------|---------|------------------| | **Commercial Insurance** | Private plans (e.g., employer, marketplace) | **Yes** – Primary focus[2][6] | | **Medicare/Medicaid** | Government programs | **No** – Often excluded[6][8] | | **Self-Pay/Uninsured** | No insurance coverage | **Limited** – May not qualify fully[2][6] | | **Income** | Low-income (FPL-based, details via phone) | **Possible** – Call to verify[3][5] | | **Age** | 2 years and older | **Yes**, per indication[1][6] | ## Insurance Requirements **Primarily for commercially insured patients**. Government-insured or self-pay patients may not get full support, like free drug or copay help. A separate copay card offers up to **$600 max per 30-day Rx** for eligible commercial patients (copay over $10, min $25 patient pay), but excludes government programs.[2][6][8] The program also aids with **prior authorizations** (PA) and **bridge supplies** (short-term meds while waiting).[1][7] ## Step-by-Step Application Process 1. **Talk to your doctor**: Confirm ONFI is right for your LGS seizures. Get diagnosis and **ICD-10 code** (e.g., G40.812 for LGS seizures).[1] 2. **Download/complete the form**: Use the **ONFI Support Center Assistance Form** (for PA, bridge, or assistance). Fill patient info (name, address, phone, guardian if needed), pharmacy details, clinical info (diagnosis, ICD-10), and prescriber signature certifying need.[1] 3. **Gather documents**: - Completed form. - Prescriber authorization/signature. - Clinical info: diagnosis, ICD-10 code.[1] 4. **Submit by fax**: Fax to the ONFI Support Center. Call **(855) 345-6634** (8am-6pm ET, Mon-Fri) for fax number, questions, or help.[2][7] 5. **Follow up**: They'll contact you/your doctor on status. Lash Group handles as Lundbeck's agent.[1] No online app or mail noted; phone for guidance.[2] ## Timeline and Delivery **Processing time**: Not specified—call for estimates, often quick for bridge/PA help.[1][7] Approvals vary by case/insurance. **Delivery**: Free meds ship to your **doctor's office or pharmacy** (not home). Pick up there. Bridge supply provides interim doses.[1][7] Copay card: Present at pharmacy for instant savings (14-day free trial voucher possible).[6][7] ## Alternatives if Denied or Ineligible - **Copay assistance**: If commercial insured, get card for up to $600/30 days (min $25 pay).[2][6] - **Lundbeck general PAP**: Call 1-833-800-0119 for other options (e.g., uninsured/low-income).[9] - **PPARx or Epilepsy Foundation**: 1-800-332-1000 or pparx.org for broader help.[9] - **Sample voucher**: Free trial via doctor/pharmacy if eligible.[7] - **Other AEDs**: Discuss generics or alternatives with doctor (no biosimilars for ONFI).[ ] - **State programs**: Check Medicaid extras or charity clinics. ## Disclaimer This guide is for informational purposes, based on available program details as of latest info. **Eligibility, terms, and availability can change**—always verify with ONFI Support Center at (855) 345-6634. Not a guarantee of coverage/free meds. Consult your doctor for medical advice; ONFI has serious risks. Lundbeck/ONFI Support Center not liable for issues. Word count: 1028.

Program information last verified: March 30, 2026