RYTARY

Indicated For

Parkinson's disease

About This Medication

# Amneal Patient Assistance Program Patient Guide: How to Get RYTARY (carbidopa and levodopa) at Low or No Cost RYTARY (carbidopa and levodopa) is an extended-release oral capsule used to treat symptoms of **Parkinson’s disease**, such as tremors, stiffness, and difficulty moving. The **Amneal Patient Assistance Program (PAP)** from Amneal Pharmaceuticals provides free RYTARY to eligible uninsured or underinsured patients facing financial hardship, for up to one year. ## About RYTARY **RYTARY** combines carbidopa and levodopa to increase dopamine levels in the brain, helping manage Parkinson’s motor symptoms. Unlike immediate-release forms, RYTARY releases gradually over time, offering more consistent symptom control with fewer daily doses—typically 3 times a day. It comes in various strengths (e.g., 23.75 mg/95 mg up to 61.25 mg/245 mg) tailored by your doctor. Always take as prescribed, with or without food, and swallow capsules whole or sprinkle on applesauce if needed. Common side effects include nausea, low blood pressure, and sleepiness; report serious issues like uncontrolled movements to your doctor immediately. ## Who Qualifies? The program helps **US residents** (including Puerto Rico and US Virgin Islands) who are uninsured, underinsured, or in financial need. Key requirements: - **Residency**: Must live in the US, Puerto Rico, or US Virgin Islands. - **Financial Hardship**: Household income must meet program limits (detailed on application; no fixed FPL percentage listed publicly). - **Insurance Status**: Primarily for those without affordable prescription coverage. - **Medicare Part D**: If enrolled, must have spent at least **3% of annual household income** out-of-pocket on prescriptions, proven by Explanation of Benefits (EOB) or pharmacy printout. If approved, you get free medication shipped to your home for up to **12 months**. ## Income Eligibility Specific income thresholds aren't publicly fixed but are evaluated via your application’s **Income Information section**. Factors include household size and total income. **Medicare patients** need proof of 3%+ spend on drugs. Provide pay stubs, tax returns, or W-2s. Here's a general guide based on typical PAPs (confirm exacts on form): | Household Size | Estimated Max Income (e.g., ~400-500% FPL)* | |----------------|---------------------------------------------| | 1 (Individual) | $60,000 - $75,000 | | 2 (Couple) | $80,000 - $100,000 | | 3 | $100,000 - $125,000 | | 4 | $120,000 - $150,000 | *Estimates only; actual eligibility per application review. Call (877) 764-9021 for guidance. ## Insurance Requirements - **Uninsured**: Ideal candidates. - **Underinsured**: Limited or no coverage for RYTARY; program infers from application. - **Medicare Part D**: Eligible if you've spent ≥3% household income on meds (attach proof). - **No Government Programs**: Cannot be enrolled in federal/state programs like Medicaid for this med (certify on form). Disclose all insurance in **Section 2**; attach cards if needed. ## Step-by-Step Application Process 1. **Get the Form**: Download from Amneal's site or call **(877) 764-9021**. 2. **Patient Completes Sections 1-3**: - **Section 1**: Personal info (name, address, DOB, phone). - **Section 2**: All insurance details. - **Section 3**: Income, household size; sign authorization for info release. 3. **Doctor Completes Sections 4+**: Prescription, clinical info, signature, DEA/State License. 4. **Gather Documents**: - Proof of residency (utility bill, etc.). - Proof of income (recent pay stubs, tax return). - **Medicare proof** if applicable (EOB/pharmacy history). - Original prescription. 5. **Submit by Mail**: Amneal Patient Assistance Program, PO Box 220586, Charlotte, NC 28222. Or fax (877) 764-9022. 6. **Sign & Date**: Patient and doctor must sign. ## Timeline and Delivery Processing time varies (weeks typical; call to check status). If approved, **medication ships free to your home**. Coverage lasts up to **1 year**. Amneal sends **renewal application** before expiration—**reauthorization required** annually. ## If Denied or Alternatives - **Appeal**: Call (877) 764-9021; resubmit with more docs. - **Alternatives**: - Amneal PATHways® for co-pay help (866-426-6325). - Generic carbidopa/levodopa. - Other PAPs (RxAssist.org), NeedyMeds, or state programs. - Doctor samples or pharmacy discounts. No biosimilar alternatives for RYTARY listed. ## Important Disclaimer This guide summarizes publicly available info as of latest updates. **Eligibility per Amneal's review**; rules can change. Not medical/financial advice—consult doctor/financial advisor. Program may end without notice. Comply with terms; falsifying info disqualifies. For latest, visit Amneal.com/support or call **(877) 764-9021**.

Program information last verified: March 30, 2026