Oxtellar XR

Indicated For

partial-onset seizures

About This Medication

# Supernus Support Patient Assistance Program Patient Guide: How to Get Oxtellar XR at Low or No Cost Oxtellar XR (oxcarbazepine) is an extended-release medication used to treat partial seizures in adults and children 6 years and older with epilepsy. The **Supernus Support Patient Assistance Program** from **Supernus Pharmaceuticals** helps eligible **uninsured or underinsured patients** get Oxtellar XR at low or no cost if they meet income and other requirements. ## About Oxtellar XR **Oxtellar XR** is a prescription anticonvulsant that works by stabilizing electrical activity in the brain to prevent seizures. It's taken once daily, making it convenient for epilepsy management. Common side effects include dizziness, drowsiness, nausea, and fatigue—always follow your doctor's guidance. This program ensures access for those facing financial barriers, but it's not a substitute for medical advice. ## Who Qualifies? Eligibility focuses on financial need, residency, and insurance status: - **US residents** only. - **Uninsured or underinsured** (excludes government-funded insurance like Medicare, Medicaid, VA, or Tricare). - Income based on **adjusted gross income (AGI)** from your federal tax return (IRS Form 1040 or 1040EZ). - **Household size** considered. **Not for patients with government-funded insurance.** ## Income Eligibility Breakdown Specific Federal Poverty Level (FPL) percentages or fixed thresholds are not publicly detailed; eligibility is determined case-by-case using your AGI and household size. Contact the program at (866) 398-0833 for a pre-screening. Here's a general guide based on typical PAP structures (confirm with Supernus for your situation): | Household Size | Estimated AGI Threshold Example (300% FPL)* | Notes | |---------------|---------------------------------------------|-------| | 1 (Individual) | Up to ~$45,000 | Based on AGI from tax return | | 2 (Couple) | Up to ~$60,000 | Household size info required | | 3 | Up to ~$75,000 | US residency mandatory | | 4 | Up to ~$90,000 | Excludes government insurance | *Examples for illustration; actual thresholds vary. Program reviews full tax documents. Call for exact eligibility. ## Insurance Requirements - Must be **uninsured** (no prescription coverage) or **underinsured** (high copays/deductibles making medication unaffordable). - **Excludes government programs**: Medicare, Medicaid, VA benefits, state programs, or prison healthcare. - Commercial insurance patients may qualify if coverage gaps exist, but verify via phone. ## Step-by-Step Application Process 1. **Contact Supernus Support**: Call (866) 398-0833 (Mon-Fri, 8:30AM–6:30PM ET) to confirm eligibility and get the enrollment form. Download from oxtellarxr.com/patient-assistance if available. 2. **Visit Your Doctor**: Take the form to your prescriber. They complete **sections A, B, C, D, and F** (benefits verification and prescription details). You sign **Section F** (patient authorization). 3. **Gather Documents**: - **Proof of income**: Most recent IRS Form 1040 or 1040EZ (AGI highlighted). - **Household size info**: List all dependents. - Patient ID (e.g., DOB, address). 4. **Submit by Fax**: Doctor faxes the complete form to 1-855-998-1515. Do not mail unless instructed. 5. **Follow Up**: Note the confirmation number. Expect a call if issues arise. **Tip**: Incomplete forms delay processing—double-check signatures and attachments. ## Timeline and Delivery - **Processing**: 2-4 weeks after receiving complete application. - **Approval Notification**: Via phone/mail. - **Delivery**: Medication shipped **directly to your home** (free shipping). - **Supply Duration**: Typically 1-3 months per shipment; **reauthorization required** annually or as specified. Track status by calling (866) 398-0833. ## Alternatives if Denied or Ineligible - **Ask Why**: Common reasons: income too high, government insurance, incomplete docs. Resubmit if fixable. - **Other Resources**: - RxAssist.org or NeedyMeds.org for PAP searches. - Generic oxcarbazepine (cheaper alternative; discuss with doctor). - State assistance programs or epilepsy foundations (e.g., Epilepsy Foundation). - Supernus savings cards for insured patients (if applicable—call to check). - No biosimilars available for Oxtellar XR. ## Refill and Reauthorization Approved patients reapply before supply ends. Submit updated income docs annually. Program may end or change—enrollees on Medicare get coverage through year-end. ## Important Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility not guaranteed; Supernus can modify/discontinue anytime. Consult your doctor for medical decisions. Not affiliated with Supernus—verify info at (866) 398-0833 or oxtellarxr.com. Word count: 912.

Program information last verified: March 30, 2026