Seebri Neohaler

Indicated For

Chronic Obstructive Pulmonary Disease (COPD)

About This Medication

# Sunovion Support Prescription Assistance Program Patient Guide: How to Get Seebri Neohaler (glycopyrrolate) at Low or No Cost See bri Neohaler (glycopyrrolate) is a long-acting muscarinic antagonist (LAMA) inhalation powder used to treat chronic obstructive pulmonary disease (COPD) in adults, helping to relax and widen airways for easier breathing. The **Sunovion Support Prescription Assistance Program** offers eligible patients up to 12 months of free medication to remove financial barriers, especially for those without prescription coverage.[1][4] ## Who Qualifies for the Program? This program is designed for **uninsured or underinsured patients** facing financial hardship. Key eligibility criteria include: - **Residency**: Must live in the United States, Puerto Rico, or U.S. Virgin Islands.[1] - **Age**: 18 years or older.[1] - **Prescription**: Valid prescription for Seebri Neohaler from a licensed U.S. healthcare provider.[1][4] - **Insurance**: No prescription coverage or unable to access the medication through insurance.[1][7] - **Income**: Needs-based; specific thresholds apply (detailed below). Proof of income is required.[1][4] - **Enrollment**: Must complete and submit the application with all required signatures and documents.[1] Patients with Medicare, Medicaid, or other government insurance may have limited eligibility—check specifics during application as the program targets those without coverage.[1][9] ## About Seebri Neohaler (glycopyrrolate) **See bri Neohaler** is a once-daily inhaled bronchodilator for maintenance treatment of COPD, including chronic bronchitis and emphysema. It works by blocking acetylcholine at muscarinic receptors in the lungs, reducing bronchoconstriction and improving lung function. Common side effects include dry mouth, urinary tract infection, and cough. Always use as prescribed and consult your doctor for personalized advice. This program ensures access without cost for qualifiers, supporting long-term COPD management.[1] ## Income Eligibility Breakdown The program is **needs-based**, requiring proof of income. While exact thresholds for Seebri Neohaler aren't publicly detailed, Sunovion programs typically align with federal poverty guidelines (e.g., 400-500% of FPL for household income). Submit recent tax returns, Social Security statements, or non-filing verification.[1][4] | Household Size | Annual Income Limit (Example: 400% FPL) | Notes | |---------------|---------------------------------------|-------| | 1 | $60,240 | Adjust for actual program; proof required[1][4] | | 2 | $81,760 | Includes all household income | | 3 | $103,280 | Fax or mail verification | | 4 | $124,800 | Add ~$21,520 per additional member | Contact Sunovion Support at (877) 850-0819 for precise thresholds, as they verify during review.[1][4] ## Insurance Requirements - **Uninsured preferred**: Program for patients with **no prescription coverage**.[1] - **Underinsured**: May qualify if insurance denies coverage or doesn't cover Seebri Neohaler.[1][7] - **Medicare/Medicaid**: Often ineligible if covered; Medicare Part D patients may get limited enrollment through year-end.[9] - Provide insurance details on the form; program confirms lack of access.[7] ## Step-by-Step Application Process 1. **Check Eligibility**: Call (877) 850-0819 or visit www.sunovionsupport.com to confirm you qualify.[1][4] 2. **Get the Form**: Download from the website or request by phone.[1][3] 3. **Fill Patient Section**: Include name, DOB, address, income proof (tax return/SSA/non-filing), insurance info, and sign HIPAA/income authorizations.[1][4][7] 4. **Doctor's Role**: Have your healthcare provider complete their section, sign, and attach the prescription.[1][4] 5. **Submit**: Mail to Sunovion Support, PO Box 220285, Charlotte, NC 28222-0285 or fax to 1-877-850-0821. Include all docs to avoid delays.[1] 6. **Follow Up**: Specialist contacts you if issues; expect review soon after.[1][4] **Tip**: Double-check completeness—missing items delay processing.[1][4] ## Timeline and Delivery - **Processing**: Thorough review after receipt; contacted if docs missing. Typically 5-7 business days if complete, similar to similar programs.[4][9] - **Approval Notification**: Letter to you and doctor; medication sent to doctor's office.[1][9] - **Supply**: Up to 12 fills (12 months) at no cost annually.[1] - **Delivery**: Shipped to HCP office for pickup/dispensing.[1] ## Alternatives if Denied - **Appeal**: Contact Sunovion Support for reasons and resubmit corrected docs.[2] - **Other Programs**: Check NeedyMeds, RxAssist, or PAN Foundation for COPD meds.[5] - **Savings Cards**: Sunovion copay assistance for insured (if applicable).[1] - **Generic Glycopyrrolate**: Inhalers like Lonhala Magnair if available.[5] - **State Programs**: Medicaid COPD assistance or 340B clinics. - Call (855) 468-3339 for broader PAP matching.[5] ## Disclaimer This guide is for informational purposes based on available Sunovion Support details as of 2026. Eligibility, terms, and income limits can change; always verify with Sunovion at (877) 850-0819 or www.sunovionsupport.com. Not medical advice—consult your doctor. Program not for government-insured if covered. Sunovion reserves right to modify/discontinue.[1][4]

Program information last verified: March 30, 2026