Requip XL

Indicated For

Parkinson's disease

About This Medication

# GSK Patient Assistance Program Patient Guide: How to Get Requip XL (ropinirole ER) at Low or No Cost Requip XL (ropinirole extended-release) is a prescription medication used to treat Parkinson's disease symptoms, such as tremors, stiffness, and slow movement, and moderate-to-severe restless legs syndrome (RLS). The **GSK Patient Assistance Program** offers this medication at no cost to eligible patients, primarily targeting those with Medicare Part D who meet specific income guidelines[1][3]. ## About Requip XL (ropinirole ER) **Requip XL** belongs to a class of drugs called dopamine agonists. It works by mimicking dopamine in the brain, helping to control movement disorders. For Parkinson's, it's typically taken once daily to provide steady symptom relief. For RLS, it reduces uncomfortable sensations in the legs that worsen at night. Common side effects include nausea, dizziness, drowsiness, and low blood pressure—always consult your doctor for personalized advice. This program helps ensure access when costs are a barrier[1]. ## Who Qualifies? The GSK Patient Assistance Program through **GSK Access** is designed for **Medicare Part D patients** at or below **250% of the Federal Poverty Level (FPL)**. You must live in the US or Puerto Rico (not eligible if enrolled in Puerto Rico's Mi Salud plan without denial). Medicare Part D patients also need to have spent at least $600 on prescriptions in the current calendar year[3]. Other GSK programs exist for uninsured patients (typically up to 500% FPL depending on household size), but this guide focuses on the Medicare Part D pathway for Requip XL[6]. ### Income Eligibility Breakdown Eligibility is based on household gross income at or below **250% FPL** for Medicare patients. Use the table below for 2026 estimates (FPL adjusts annually; confirm current levels via HHS.gov or call the program). These are approximate based on standard FPL multipliers. | Household Size | Maximum Annual Income (250% FPL, Continental US) | |----------------|-------------------------------------------------| | 1 | $37,650 | | 2 | $51,100 | | 3 | $64,550 | | 4 | $78,000 | | Each additional| +$13,450 | **Notes**: Higher limits apply in Alaska/Hawaii. Income includes wages, Social Security, etc. Proof required. Uninsured programs have higher thresholds (e.g., $47,880 for household of 1)[6]. ## Insurance Requirements This program is **intended for Medicare Part D patients only** (GSK Access). You must provide your Medicare Beneficiary Identifier (MBI) and Part D ID card. It's not for those with private insurance, Medicaid, VA, DOD, or TriCare benefits. If uninsured, explore GSK's separate uninsured program[1][2][3][6]. Programs do not replace insurance. ## Step-by-Step Application Process 1. **Check Eligibility**: Visit gskforyou.com or call **(866) 518-4357** to confirm if Requip XL qualifies and pre-screen[1][10]. Answer questions about income, Medicare status, and residency. 2. **Gather Documents**: - **Proof of income** (tax returns, pay stubs, Social Security statements). - **Proof of residency** (utility bill, lease). - **Prescription**: Signed original for Requip XL (faxed OK if from doctor's office with cover sheet). - **Medicare Part D**: Copy of ID card, MBI, proof of $600 spend[2][3][4]. 3. **Complete Application**: Download from gskforyou.com or request by phone. Fill Sections 1 (patient info), sign consents, include prescriber details. Advocate (e.g., family) can assist[2][4]. 4. **Submit**: Multiple methods—**phone (866) 518-4357** for urgent needs, fax/mail (details on form), or online portal for providers[1][6]. Keep copies; originals not returned[2]. 5. **Follow Up**: Note Patient ID/DOB for tracking. ## Timeline and Delivery Processing takes about **7 days** once complete. Incomplete apps delay approval[2]. Medication is **shipped free to your home**. Initial supply up to 90 days; refills require reauthorization[1]. ## Alternatives if Denied or Ineligible - **Other GSK Programs**: Uninsured/underinsured options up to higher FPL[6][9]. - **Copay Assistance**: For private insurance via GSKForYou[1]. - **General Resources**: NeedyMeds, RxAssist, or Medicare Extra Help (ssa.gov). - **Biosimilars/Generics**: No biosimilars for ropinirole ER; generics may be available—ask your doctor. - **State Programs**: Check for Parkinson's/RLS aid. If denied, call for reasons and reapply with fixes. ## Refill and Reauthorization **Reauthorization is required**. Contact program before running out; submit updated docs/prescription. Track via portal or phone[2][4]. ## Important Disclaimer This guide is for informational purposes based on GSK program details as of latest info. Eligibility, terms, and availability can change—**always verify directly with GSK at (866) 518-4357 or gskforyou.com**. Not health/insurance advice. Consult your doctor/pharmacist. GSK programs via independent foundation; no guarantee of approval[1][3]. Word count: 950.

Program information last verified: March 30, 2026