Qsymia

Indicated For

obesity, overweight with weight-related medical problems

About This Medication

# Qsymia Savings Programs Patient Guide: How to Get Qsymia at Low or No Cost Qsymia (phentermine and topiramate extended-release capsules CIV) is a prescription medication approved by the FDA for chronic weight management in adults and children 12 years and older who are obese or overweight with weight-related conditions, used along with diet and exercise.[2][6] VIVUS, the manufacturer, offers several **cash-pay savings options** and pharmacy programs to make Qsymia more affordable, with prices as low as **$70 per month** for a 90-day supply—no traditional patient assistance program based on income exists.[2][7] ## About Qsymia Qsymia combines two medications: **phentermine**, an appetite suppressant, and **topiramate**, which helps with satiety and calorie burning. It's for long-term use in patients with a BMI of 30+ (obese) or 27+ (overweight) with conditions like high blood pressure, type 2 diabetes, or high cholesterol. Dosing starts low (3.75 mg/23 mg) and titrates up to higher strengths like 15 mg/92 mg. Common side effects include tingling in hands/feet, dizziness, insomnia, constipation, and dry mouth. Women of childbearing potential must use contraception due to birth defect risks—read the Medication Guide.[2][3] Always consult your doctor before starting. ## Who Qualifies for Savings These are **cash-pay discount programs**, not free medication based on income. Anyone with a valid prescription can access them, but **government insurance users (Medicare, Medicaid, etc.) are excluded**—no claims processed.[1][2][6] Commercially insured patients may qualify for copay savings if their plan covers Qsymia.[6][8] You must be 18+ to register for home delivery (caregivers for 12-17 year olds).[6][7][8] Programs available in US, DC, PR, VI, Guam; some state restrictions on 90-day supplies.[7] ## Income Eligibility **No income thresholds**—these are flat-rate discounts for cash-paying patients. No FPL-based assistance.[1][2] VIVUS focuses on direct pricing rather than needs-based PAPs. | Household Size | Annual Income Limit | Notes | |---------------|-------------------|-------| | Individual | None | Cash-pay only[2] | | Couple | None | Excludes govt insurance[6] | | Family of 3 | None | Flat discounts apply[7] | | Family of 4 | None | See savings card for details[8] | ## Insurance Requirements - **Cash programs**: No insurance accepted—claims for Medicare, Medicaid, TRICARE, VA, etc., ineligible.[1][2][6] - **Savings Card**: For commercial insurance with Qsymia coverage, pay first $70 copay, get **$65 off** up to 100 fills (28-30 days) or 10 fills (14-15 days starter).[6][8] Cash-pay or uncovered commercial: **$75 off** 28-30 days.[8] - **LifeLine Specialty Pharmacy**: Handles commercial benefits verification; if denied, cash price **$89/30-day** or **$210/90-day** (+shipping).[2][3][7] ## Step-by-Step Application 1. **Get Prescribed**: See your doctor for Qsymia. Discuss savings options.[2] 2. **Choose Program**: - **QsymiaEngage.com**: Home delivery. Register (18+), upload prescription. $89/30-day or $70/month for 90-day (+shipping).[7] - **Savings Card**: Visit qsymia.com/savings-card, enter phone/DOB to activate/replace. Present at retail pharmacy.[6][8] - **Costco (Hawaii only)**: $69/month at participating locations through Aug 31, 2026. Cash-pay.[1] - **LifeLine Pharmacy**: Doctor sends prescription; they verify insurance, ship if approved or cash-pay.[2][3] 3. **Provide Docs**: Valid prescription required. No income proof needed.[6] 4. **Pay & Fill**: Use card or pay cash at pharmacy/home delivery. ## Timeline and Delivery - **Processing**: Instant at retail/Costco with savings card. Home delivery/LifeLine: 1-3 business days post-verification.[2][7] - **Delivery**: Pharmacy pickup or home ship (LifeLine/QsymiaEngage, +fees).[2][3] - **Refills**: Up to 100 fills with savings card; doctor reauthorizes as needed.[6][8] Monitor with blood tests for side effects.[3] ## Alternatives if Denied or Ineligible - **Other Discounts**: Check GoodRx or pharmacy coupons for additional savings. - **Generics**: No FDA-approved biosimilars.[Provided data] - **Competitors**: Phentermine alone (cheaper, short-term), semaglutide (Wegovy/Ozempic, insurance-dependent), or liraglutide (Saxenda). - **Lifestyle**: Diet/exercise programs if meds unaffordable. - **Contact VIVUS**: 1-888-998-4887 for questions.[2] ## Disclaimer This guide is for informational purposes based on available data as of 2026. Programs can change; VIVUS may modify/discontinue without notice.[2][6][7] Not medical/financial advice. Consult healthcare provider/pharmacist. Report side effects to VIVUS (1-888-998-4887) or FDA (1-800-FDA-1088). Prices exclude shipping/taxes. (Word count: 912)

Program information last verified: March 30, 2026