Oxtellar XR
Generic: oxcarbazepine XR
Manufacturer: Supernus Pharmaceuticals · Program: Supernus Support Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Eligible for uninsured or underinsured patients unable to pay; excludes Medicare Part D in some cases
Residency
US resident
Specific income guidelines not detailed on official site; typically based on FPL for uninsured/low-income patients
Program Information
Processing Time
2-4 weeks
Delivery Method
shipped to patient or physician office
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- proof of income
- proof of residency
- prescription
- insurance information
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 extended-release) is a prescription 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 access Oxtellar XR at low or no cost by providing free medication.[3][2] ## About Oxtellar XR **Oxtellar XR** is an 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 instructions and report any serious side effects like mood changes or allergic reactions. This program ensures financial barriers don't prevent access to this important treatment.[3] ## Who Qualifies? The program targets **uninsured or underinsured patients** who cannot afford their medication. Key eligibility factors include: - US residency (citizen or legal resident). - Treatment by a US-licensed physician as an outpatient. - Limited financial resources, typically based on **Federal Poverty Level (FPL)** guidelines for low-income patients. - No enrollment in government programs like Medicare Part D in some cases, though specifics vary.[1][2][3][5] **Income Eligibility Breakdown** Specific income thresholds are not publicly detailed on the official site, but programs like this generally use FPL percentages (e.g., 400-500% of FPL). Contact Supernus Support for your situation. Here's a general FPL table for 2026 (approximate; verify current guidelines): | Household Size | 100% FPL | 300% FPL | 400% FPL | |----------------|----------|----------|----------| | 1 (Individual) | $15,060 | $45,180 | $60,240 | | 2 (Couple) | $20,440 | $61,320 | $81,760 | | 3 | $25,820 | $77,460 | $103,280| | 4 | $31,200 | $93,600 | $124,800| *Notes: Add ~$5,380 per additional person. Eligibility often at or below 400-500% FPL. Provide proof of income for review.*[1][5] ## Insurance Requirements Eligible patients are typically **uninsured** or **underinsured** (e.g., high copays/deductibles). The program may exclude those on **Medicare Part D**, Medicaid, or other federal programs. If insured, confirm coverage gaps. Supernus performs benefits verification. You agree not to seek reimbursement from insurers for free medication provided.[1][3][5] ## Step-by-Step Application Process 1. **Discuss with Your Doctor**: Review Oxtellar XR suitability. Your healthcare provider must complete parts of the form. 2. **Download the Form**: Get the Supernus Support Enrollment Form from oxtellarxr.com/patient-assistance. Print and fill patient sections (name, DOB, address, income, insurance).[3] 3. **Gather Documents**: - **Proof of income** (tax return, W-2, pay stubs, 1099, Social Security letter). - **Proof of residency** (utility bill, lease). - **Prescription** from your doctor. - **Insurance information** (if any).[1][5] 4. **Complete and Sign**: Patient and prescriber sign. Include all details to avoid delays. 5. **Submit**: Fax to **1-855-998-1515**. Multiple methods may be available; call for options.[3][1] 6. **Contact Support**: Call **1-866-398-0833** (Mon-Fri, 8:30AM-6:30PM ET) for help, benefits verification, or questions.[2] *Tip: Incomplete forms delay processing. Double-check everything.* ## Timeline and Delivery Expect **2-4 weeks** for processing after submission. Approval isn't guaranteed; Supernus reviews eligibility. If approved, medication ships to your **home or doctor's office**. Track status by calling support. Reauthorization is required periodically.[1][3] ## Alternatives if Denied - **Appeal**: Contact support to discuss reasons and resubmit updated documents. - **Other PAPs**: Check rxassist.org or NeedyMeds for epilepsy meds. - **Generic oxcarbazepine**: Ask your doctor about lower-cost options. - **State programs**: Explore local assistance for low-income patients. - **Copay cards**: If underinsured, Supernus may offer savings for commercially insured (call to confirm).[2][6] ## Reauthorization and Refills **Reauthorization is required**. Renew annually or as notified, with updated income/insurance proof. Notify changes in status promptly to avoid interruption.[1][5] ## Important Disclaimer This guide is for informational purposes only and based on available program details as of 2026. Eligibility, terms, and availability can change. Completing the application does not guarantee approval. Supernus may discontinue the program without notice (except Medicare Part D enrollees until year-end). Consult your doctor for medical advice; contact Supernus Support directly for personalized help. Not affiliated with government programs.
Program information last verified: March 25, 2026
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