RADICAVA

Indicated For

ALS, Amyotrophic Lateral Sclerosis

About This Medication

# Searchlight Support Out-of-Pocket Assistance Program Patient Guide: How to Get RADICAVA ORS at Low or No Cost ## About This Program The Searchlight Support Out-of-Pocket Assistance Program is designed to help eligible patients with amyotrophic lateral sclerosis (ALS) afford RADICAVA ORS (edaravone), a prescription medication that may help slow the progression of ALS. If you're struggling to pay for this medication, this program may be able to help you receive it at a reduced cost or free of charge. ## What is RADICAVA ORS? RADICAVA ORS is a prescription medication used to treat ALS, a progressive neuromuscular disease. The medication works as a free radical scavenger, meaning it helps protect nerve cells from damage. RADICAVA ORS is administered as an infusion at your healthcare provider's facility. Your doctor will determine if this medication is right for your condition and treatment plan. ## Who Can Apply? You may be eligible for the Searchlight Support program if you meet ALL of these requirements: - You have a valid prescription for RADICAVA ORS from your doctor - You have commercial insurance (see insurance details below) - Your household income does not exceed the threshold for your household size (see income eligibility table) - You are a U.S. resident ## Insurance Requirements **Important:** This program is **only available to patients with commercial insurance**. The following insurance types do NOT qualify: - Medicare (including Medicare Advantage) - Medicaid - Veterans Administration (VA) benefits - Department of Defense (TRICARE) - Other federal or state assistance programs If you have one of these insurance types, you may still have other options available. See the "If Your Application is Denied" section below. ## Income Eligibility Table Your eligibility is based on your household size and total household income. The program has variable income thresholds. Here's a general guide: | Household Size | Maximum Annual Income* | |---|---| | 1 person | Varies | | 2 people | Varies | | 3 people | Varies | | 4 people | Varies | | 5+ people | Varies | *Income thresholds vary and may be adjusted. Contact the program directly at **(844) 772-4548** for your specific household's income limit. ## What You'll Need to Apply Before you call, gather these documents: 1. **Proof of Income**: Recent pay stubs, tax returns, or other proof of your household's annual income 2. **Valid Prescription**: A current prescription for RADICAVA ORS from your doctor 3. **Insurance Information**: Your commercial insurance card and policy details 4. **Contact Information**: Your name, address, phone number, and email ## Step-by-Step Application Instructions ### Step 1: Call the Program Contact the Searchlight Support program by phone: **Phone: (844) 772-4548** A representative will answer your questions and help you through the application process. Have your documents ready when you call. ### Step 2: Provide Your Information The representative will ask you to provide: - Your personal and household information - Your commercial insurance details - Your household income and number of dependents - Your doctor's contact information ### Step 3: Submit Required Documents The program will request that you submit: - Income verification documents (copies of pay stubs, tax forms, or other proof) - A copy of your prescription - Any other information needed to verify your eligibility You can submit these documents by phone discussion, and the representative will provide specific instructions. ### Step 4: Wait for Approval The program typically takes **4-8 weeks** to review your application and notify you of the decision. You will be contacted by phone or mail. ### Step 5: Receive Your Medication Once approved, your RADICAVA ORS infusions will be administered at your healthcare provider's facility. The program will work with your doctor's office to arrange your infusions. You may have a reduced out-of-pocket cost or receive the medication at no cost, depending on your approval. ## Timeline and What to Expect - **Application Call**: 20-30 minutes - **Document Submission**: Same day or within a few days - **Review Period**: 4-8 weeks typical - **Notification**: By phone or mail - **Medication Delivery**: Infusions arranged at your healthcare provider's facility ## Savings Card Option If you do not qualify for the full assistance program or as an additional resource, Mitsubishi Tanabe Pharma America offers a savings card for RADICAVA ORS. Check the manufacturer website at **https://www.radicava.com/patient/financial-support-options/** for details on this option. ## If Your Application is Denied If you are denied assistance or do not qualify for this program, you may have other options: ### For Medicare or Medicaid Patients - Contact your state Medicaid office about coverage - Ask your doctor about patient assistance programs through other organizations - Contact the ALS Association at **1-800-782-4747** for referrals to financial assistance programs ### For Veterans - Contact the VA to explore coverage through your benefits - Ask your VA healthcare provider about available medications ### For All Patients - Ask your doctor about other ALS treatments that may be more affordable - Contact NeedyMeds.org for a comprehensive database of patient assistance programs - Reach out to local ALS chapters and nonprofits for financial aid - Discuss a payment plan with your healthcare provider ## Frequently Asked Questions See the FAQ section below for additional common questions and answers. ## Important Legal Information This guide is for informational purposes only and does not constitute medical advice. The Searchlight Support program, its eligibility requirements, and benefits are subject to change at any time. Mitsubishi Tanabe Pharma America, Inc. reserves the right to modify or discontinue the program. To verify current program details and eligibility requirements, always contact the program directly at **(844) 772-4548** or visit **https://www.radicava.com/patient/financial-support-options/**. Please consult with your healthcare provider about whether RADICAVA ORS is appropriate for your medical condition. Your doctor can also help you navigate insurance coverage and financial assistance options.

Program information last verified: March 25, 2026