Provigil

Indicated For

narcolepsy, OSA, SWD

About This Medication

# Teva Cares Foundation Patient Guide: How to Get Provigil (modafinil) at Low or No Cost Provigil (modafinil) is a prescription medication used to promote wakefulness in adults with excessive sleepiness due to narcolepsy, obstructive sleep apnea (OSA), or shift work sleep disorder. The **Teva Cares Foundation** Patient Assistance Program (PAP) from Teva Pharmaceuticals provides **Provigil at no cost** to eligible U.S. patients who lack prescription drug coverage and meet income limits.[1][2][9] This guide explains eligibility, application steps, and tips to get approved quickly. It's designed for patients like you—clear, step-by-step, and free of medical jargon where possible. ## Who Qualifies for Teva Cares Foundation? To qualify, you must meet **all** these criteria: - **U.S. Residency**: Live in the United States or its territories.[1] - **Valid Prescription**: Have a prescription for Provigil from a U.S.-licensed healthcare provider.[1] - **Income Limits**: Household income at or below **300% of the Federal Poverty Level (FPL)** (updated January 31, 2025). If under 150% FPL, provide proof of denial from Medicare's Low-Income Subsidy (LIS/Extra Help).[1][5] - **Insurance**: **No prescription drug coverage** from private insurance, Medicare, Medicaid, or other programs. If your plan denies coverage (e.g., prior authorization or formulary exception), include denial proof.[1][8] **Note**: The program is free—no fees for applying, enrollment, or medication delivery. Avoid third parties charging for help.[2] ## About Provigil (modafinil) **Provigil** helps you stay awake during the day if you have conditions like narcolepsy (sudden sleep attacks), OSA (breathing pauses during sleep), or shift work disorder (sleep issues from irregular hours). It doesn't cure these but improves alertness without the 'crash' of stimulants. Take as prescribed—usually 200 mg once daily in the morning. Common side effects: headache, nausea, nervousness. Always follow your doctor's advice; this guide isn't medical advice.[9] ## Income Eligibility Breakdown Eligibility is based on **total pre-tax household income** compared to the **Federal Poverty Level (FPL)**, which adjusts yearly for household size. For 2026 enrollments, use **300% FPL**.[1] Here's a table with 2026 FPL examples (approximate; check HHS.gov for exact figures): | Household Size | 100% FPL | 300% FPL Limit | |----------------|----------|----------------| | 1 person | $15,060 | **$45,180** | | 2 people | $20,440 | **$61,320** | | 3 people | $25,820 | **$77,460** | | 4 people | $31,200 | **$93,600** | | +1 person | +$5,380 | +$16,140 | **Include all household members** (you, spouse, dependents). Count all income: wages, Social Security, pensions, etc. Provide proof like tax returns, pay stubs, or benefit statements.[1][4][5] ## Insurance Requirements You must have **no prescription drug coverage**. This includes: - No private insurance, employer plans, Medicare Part D, Medicaid, VA benefits, or similar.[1][8] - If insured but coverage denies Provigil (e.g., prior auth denied), submit the denial letter.[1][5] - **Medicare patients**: If income <150% FPL, first apply for LIS/Extra Help and get denial proof.[1] Mark 'no insurance' on the application if applicable.[1] ## Step-by-Step Application Process **Both you and your doctor must complete the application.** Here's how:[1][4][5][8] 1. **Check Eligibility**: Review criteria above. Confirm Provigil is covered (it is).[9] 2. **Get the Form**: - **Online**: Apply at tevacares.org.[1] - **Download**: From the website.[5] - **Phone**: Call **1-877-237-4881** (Mon-Fri, 9 AM-8 PM ET) to request.[2][5] 3. **Patient Section**: Fill in personal info, household income, insurance (or none), shipment address. Sign consents. Attach **proof of income** (e.g., 2025 tax return, W-2s, pay stubs for all household adults).[4][5] 4. **Doctor Section**: Doctor completes prescribing info, signs.[4] 5. **Submit**: - **Online portal** (fastest).[5] - **Fax**: 877-438-4404[4][5] - **Mail**: Teva Cares Foundation, P.O. Box 501827, San Diego, CA 92150[5] 6. **Wait for Decision**: You'll get a letter by mail.[8] **Tip**: Submit **everything** at once—missing docs delay or deny.[5] ## Timeline and Delivery - **Processing**: Varies; complete apps process faster (weeks, not specified exactly).[5][7] - **Approval**: Up to **12 months** supply, shipped free to your home.[6][7][8] - **Refills**: **Reauthorization required** annually—submit new app with updated finances every 12 months.[7][8] ## Alternatives if Denied - **Appeal**: If denied for insurance/income, fix issues and reapply.[5] - **Other Teva Programs**: Call 888-838-2872 for options if over income.[3] - **General Help**: Try RxAssist.org, NeedyMeds.org, or Partnership for Prescription Assistance. - **Medicare LIS/Extra Help**: If low-income. - **Generic modafinil**: Cheaper; ask doctor/pharmacy. No biosimilars listed for Provigil.[provided] ## Disclaimer This guide summarizes public info as of March 2026; rules change (e.g., FPL updates).[1] Contact Teva Cares at **1-877-237-4881** for latest. Not medical/financial advice—consult your doctor. Teva Cares isn't government aid; private charity.[2] Word count: 1028.

Program information last verified: March 30, 2026