RADICAVA ORS

Indicated For

Amyotrophic Lateral Sclerosis (ALS)

About This Medication

# Patient Assistance Program (PAP) Patient Guide: How to Get RADICAVA ORS (edaravone) at Low or No Cost RADICAVA ORS (edaravone) is an FDA-approved oral medication for people living with amyotrophic lateral sclerosis (ALS), helping to slow the loss of physical function.[7] The **Patient Assistance Program (PAP)** from Mitsubishi Tanabe Pharma America, Inc. provides this medication **at no charge** to eligible uninsured patients in financial need, for up to 2 years with annual reconfirmation.[1][3] ## About RADICAVA ORS (edaravone) **RADICAVA ORS** is the oral suspension form of edaravone, approved by the FDA in May 2022 for treating ALS in adults.[7] Clinical trials showed it slowed the decline in physical function by about **33%** over 24 weeks compared to placebo, as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R).[7] It's taken daily for 10 days followed by 14 days off, repeating monthly. This oral option offers convenience over the original IV version. Since launch, over 13,500 people have used it, with 82% continuing for 3+ months.[7] The **JourneyMate Support Program™** provides education, resources, and help navigating treatment.[1][4][7] ## Who Qualifies for the Patient Assistance Program? This program is for **uninsured patients** facing financial hardship who have a prescription for RADICAVA ORS.[1] Key requirements: - No health insurance coverage. - Household income and size meet program guidelines (verified electronically or via documents).[1] - U.S. resident (not valid outside U.S.).[10] Qualified patients get **free medication** shipped directly to their home for **1 year initially**, with option to reconfirm for a second year.[1][3] The program can audit info, contact you, and requires notifying them of income or insurance changes. Patients no longer qualifying are withdrawn immediately.[1] ## Income Eligibility Breakdown Specific income thresholds (e.g., % of Federal Poverty Level) are **not publicly disclosed**; eligibility is determined case-by-case based on household size and total gross income.[1] Contact the JourneyMate Support Program for verification. | Household Type | Threshold | Notes | |---------------|-----------|-------| | Individual | Not specified | Based on financial need; electronic verification or documents required[1] | | Couple | Not specified | Household size considered[1] | | Family of 3 | Not specified | Total gross income reviewed annually[1] | | Family of 4+ | Not specified | Reconfirmation needed for continued eligibility[1] | **Tip**: Even without exact numbers, apply if uninsured and struggling financially—the program helps confirm.[1] ## Insurance Requirements **Must be uninsured**—no private, commercial, government, or federal/state coverage (e.g., Medicare, Medicaid, VA, DoD).[1][10] The Insurance & Access Specialist verifies this.[1] If you gain insurance, notify immediately to avoid withdrawal.[1] Note: Separate **Out-of-Pocket Assistance Program** exists for commercially insured patients (not Medicare), reducing copays to $0 with limits.[2][10] Medicare Part A/B only may qualify for copay help, but PAP is uninsured-only.[10] ## Step-by-Step Application Process 1. **Get Prescribed**: Your doctor prescribes RADICAVA ORS and completes the **Benefit Investigation and Enrollment Form** with you.[1] 2. **Submit Form**: Send to JourneyMate Support Program™ Insurance & Access Specialist (provided by UBC for Mitsubishi Tanabe).[1][2] 3. **Verification Call**: Specialist contacts you to confirm no insurance and assess income/household (electronic check or docs requested).[1] 4. **Approval**: If eligible, enrolled for 1 year; medication covered as prescribed.[1] 5. **Receive Meds**: Shipped free to your home.[1] Start by discussing with your doctor or calling JourneyMate Support.[1][4] ## Timeline and Delivery Processing time isn't specified, but expect contact soon after submission for quick verification.[1] Once approved, **RADICAVA ORS ships directly to you** via specialty pharmacy—no pharmacy pickup needed.[1][7] Initial coverage: **1 year**; reconfirm annually with income proof for continuation up to 2 years total.[1][3] Program can modify anytime.[1] ## Alternatives if Denied or Ineligible - **Gain Insurance?** Check **Out-of-Pocket Assistance** for commercial plans ($0 copay, annual max, re-enroll yearly).[2][10] - **Medicare/Medicaid**: Explore coverage or state ALS programs. - **Other PAPs**: RxAssist.org lists options.[5] - **JourneyMate Support**: Get insurance navigation help, prior auth support.[1][8] - **Financial Aid**: Non-profits like ALS Association for grants. ## Important Disclaimer This guide summarizes publicly available info as of latest sources; program details can change—**always verify with Mitsubishi Tanabe or JourneyMate Support**.[1] Not medical/financial advice. Eligibility not guaranteed. Manufacturer may audit, alter, or end program without notice. Consult your doctor for treatment suitability. RADICAVA ORS has risks; see full Prescribing Info.[1][2][7] (Word count: 942)

Program information last verified: March 30, 2026