Oxtellar XR

Indicated For

partial-onset seizures

About This Medication

# Supernus Support Patient Assistance Program Guide: How to Get Oxtellar XR at Low or No Cost ## About This Program The Supernus Support Patient Assistance Program helps uninsured and underinsured patients access Oxtellar XR (oxcarbazepine) at no cost or reduced cost. Oxtellar XR is an anticonvulsant medication used to treat partial-onset seizures. If you're struggling to afford this essential medication, this program may be able to help. ## What is Oxtellar XR? Oxtellar XR is a prescription anticonvulsant medication that helps control seizures in people with epilepsy. The "XR" stands for "extended release," meaning the medication is released slowly throughout the day. Consistent access to your seizure medication is critical for your health and safety, and cost should never be a barrier to treatment. ## Who Qualifies? You may qualify for the Supernus Support Patient Assistance Program if you meet these criteria: - **Uninsured or underinsured** – You have no health insurance, or your insurance doesn't cover Oxtellar XR adequately - **Income-based eligibility** – Your household income falls within the program's limits (see income table below) - **Valid prescription** – You have a current prescription from your doctor for Oxtellar XR - **U.S. resident** – You live in the United States ## Income Eligibility The program uses household income limits to determine eligibility. These thresholds may vary based on your circumstances, but here are the general guidelines: | Household Size | Maximum Annual Income | |---|---| | 1 person | $40,000 | | 2 people | $54,000 | | 3 people | $68,000 | | 4 people | $82,000 | | 5 people | $96,000 | | Each additional person | +$14,000 | *Note: These thresholds may vary. Contact the program directly at (866) 398-0833 if you're unsure whether you qualify.* ## Insurance Requirements The Supernus Support Patient Assistance Program is designed for: - **Uninsured patients** – Those with no health insurance coverage - **Underinsured patients** – Those whose insurance doesn't adequately cover Oxtellar XR (e.g., high copays, prior authorization denials, or the medication isn't on their formulary) If you have Medicare, Medicaid, or commercial insurance, you may still qualify if your out-of-pocket costs are too high. You'll need to provide your insurance information on the application form so the program can assess your situation. ## Step-by-Step Application Instructions ### Step 1: Gather Required Documents Before applying, collect the following: - **Completed enrollment form** – Available at https://www.oxtellarxr.com or by calling (866) 398-0833 - **Prescriber signature** – Have your doctor sign the form confirming you need Oxtellar XR - **Patient signature** – Your signature on the form - **Proof of income** – Recent pay stubs, tax returns, or other documents showing household income - **Insurance information** – Your insurance card (if applicable) or documentation of uninsured status ### Step 2: Complete the Application Form Fill out the enrollment form completely and accurately. Double-check: - Your name and contact information - Your doctor's name and contact information - Your prescription details for Oxtellar XR - Your household income information - Your insurance status ### Step 3: Get Your Doctor's Signature Take the form to your prescribing physician's office. They need to: - Sign and date the form - Confirm your diagnosis (partial-onset seizures) and need for Oxtellar XR - Provide their NPI number and practice information ### Step 4: Gather Income and Insurance Documentation Photocopy or scan: - Recent pay stubs (last 2-3 months) - Most recent tax return, OR - Written statement of income (if unemployed, disabled, or retired) - Insurance card (front and back) or letter from your insurer - Any documentation of insurance denial ### Step 5: Submit Your Application Fax your completed application package to: **Fax Number: (855) 998-1515** Include: - Signed enrollment form - Your signature - Doctor's signature - All income documentation - Insurance information Keep a copy for your records. ### Step 6: Await Approval The program typically processes applications within **4-8 weeks**. You may receive a phone call or letter confirming your status. ## Timeline and Delivery - **Processing time:** 4-8 weeks from submission - **Delivery method:** Medication is shipped directly to you - **Shipping:** Usually arrives within 1-2 weeks after approval Once approved, you'll receive your Oxtellar XR without cost or at a significantly reduced price, depending on your income level. ## What If You're Denied? If your application is denied, you have options: 1. **Ask why** – Contact the program at (866) 398-0833 to understand the reason 2. **Check your income** – If your income exceeds limits, ask about alternative resources 3. **Try the Oxtellar XR Copay Savings Program** – Even if you have insurance, this savings card (https://www.oxtellarxr.com/co-pay-savings-program) may reduce your copay to as low as $0-$25 4. **Contact your doctor** – Ask if there are alternative seizure medications your insurance covers better 5. **Explore other resources** – Contact organizations like the Epilepsy Foundation for additional assistance programs ## Reauthorization Your assistance **must be reauthorized annually**. You'll receive notification when it's time to renew. Simply follow the same application process to continue receiving medication. ## Additional Savings Options Even if you don't qualify for the patient assistance program, the **Oxtellar XR Copay Savings Program** may help reduce your out-of-pocket costs if you have insurance. Visit https://www.oxtellarxr.com/co-pay-savings-program for details. ## How to Contact the Program **Phone:** (866) 398-0833 **Fax:** (855) 998-1515 **Website:** https://www.oxtellarxr.com Program representatives can: - Answer eligibility questions - Help you with the application process - Check on your application status - Assist with reauthorization ## Important Reminders - **Don't stop taking your medication** while your application is being processed. Contact your doctor for a short-term supply if needed. - **Be honest on your application.** Providing false information can disqualify you from the program. - **Keep your contact information current.** Update the program if you move or change phone numbers. - **Reauthorize annually.** Your assistance will end if you don't renew each year. - **This program is confidential.** Your information is kept private and secure. ## Legal Disclaimer This guide is for informational purposes only and does not constitute medical or legal advice. The Supernus Support Patient Assistance Program terms, eligibility requirements, and offerings are subject to change without notice. For the most current and complete information, visit https://www.oxtellarxr.com or call (866) 398-0833. Always consult with your healthcare provider about your medication and treatment options.

Program information last verified: March 25, 2026