Sublocade

Indicated For

Opioid Use Disorder

About This Medication

# INSUPPORT Patient Assistance Program Patient Guide: How to Get Sublocade (buprenorphine) at Low or No Cost Sublocade (buprenorphine extended-release injection, CIII) is a prescription medication used to treat moderate to severe opioid use disorder (OUD) in adults as part of a complete treatment plan that includes counseling and psychosocial support. The **INSUPPORT Patient Assistance Program**, offered by manufacturer **Indivior**, helps uninsured, underinsured, or commercially insured patients access Sublocade at low or no cost through copay assistance, free medication options, and support services. ## About Sublocade Sublocade is an extended-release injection given subcutaneously (under the skin) once a month by a healthcare provider. It contains buprenorphine, a partial opioid agonist that helps reduce withdrawal symptoms and cravings without producing the 'high' associated with opioids. It's administered in a doctor's office or clinic and is not available at retail pharmacies. Treatment typically starts with oral buprenorphine, followed by the first two Sublocade doses after stabilization. Always follow your doctor's instructions and read the full Prescribing Information, including the Boxed Warning about risks like addiction, abuse, overdose, respiratory depression, neonatal opioid withdrawal syndrome, and risks from concomitant use with benzodiazepines or other CNS depressants. ## Who Qualifies for INSUPPORT? INSUPPORT offers multiple pathways: - **Copay Assistance Program**: For patients with **private/commercial insurance** (not government insurance like Medicare or Medicaid). Eligible patients may pay **as little as $0 per injection** for the medication itself (administration fees not covered). 95% of enrolled patients pay $0. Restrictions: Ages 18-65, U.S. residents in states allowing copay assistance, on-label use. - **Patient Assistance Program (PAP)**: For **uninsured or underinsured** patients meeting income criteria. Provides free medication. - **Community Reentry Program**: Up to 2 months of free Sublocade for patients transitioning from criminal justice facilities without insurance, who are already on therapy. **Government insurance patients (Medicare, Medicaid, VA, etc.) are not eligible for copay assistance.** ## Income Eligibility Breakdown Specific income thresholds for the PAP are not publicly detailed but are based on federal poverty level (FPL) guidelines for uninsured/underinsured patients. Contact INSUPPORT at **(844) 467-7778** for your eligibility. Here's a general guide based on typical PAP structures (verify with program): | Household Size | Annual Income Limit (approx. 400-500% FPL) | Notes | |---------------|--------------------------------------------|-------| | 1 (Individual) | Up to $60,000-$75,000 | Exact % FPL not specified; call for details | | 2 (Couple) | Up to $80,000-$100,000 | Varies by state and year | | 3 | Up to $100,000-$125,000 | Proof of income required | | 4 | Up to $120,000-$150,000 | Additional members +$20,000-$25,000 each | *These are estimates; INSUPPORT confirms exact criteria.* ## Insurance Requirements - **Commercial/Private Insurance**: Automatic enrollment in Copay Assistance upon eligibility check. Covers up to $1,920.50 for first two injections/year, $800 thereafter (max $13,441/year, 14 injections). Show your Copay Member ID card at the specialty pharmacy or provider. - **Uninsured/Underinsured**: Qualify for PAP with income proof. - **Government Insurance**: Ineligible for copay program; explore state aid or other resources. - INSUPPORT verifies benefits and routes to appropriate assistance. ## Step-by-Step Application Process 1. **Discuss with your provider**: Confirm Sublocade is right for you. They initiate enrollment via INSUPPORT Portal, fax, or Patient Enrollment Form (available at insupport.com). 2. **Call INSUPPORT**: Dial **(844) 467-7778** (1-844-INSPPRT) for benefit verification, eligibility screening, and guidance in multiple languages. 3. **Enroll online or via form**: Visit insupport.com/specialty-product/patient/ or use the Patient Enrollment Form. Commercially insured patients get auto-enrolled. 4. **Submit documents**: Provide **proof of income** (tax returns, pay stubs), **proof of residency** (utility bill), and **insurance information** (card or denial letter). 5. **Provider attestation**: Your doctor signs Section 7 of the form, certifying accuracy. 6. **Wait for approval**: INSUPPORT processes and notifies you/provider. Application methods include phone, online portal, fax, or mail. ## Timeline and Delivery Processing time varies (typically 1-2 weeks; call for updates). Once approved: - Medication is **shipped to a specialty pharmacy or physician's office**. - Pick up or receive at your appointment. - **Reauthorization required** periodically—your provider resubmits. - Injections must be at least 23 days apart. ## Alternatives if Denied - **Appeal**: Contact INSUPPORT for reasons and resubmit. - **Other PAPs**: NeedyMeds.org or RxAssist.org for buprenorphine options. - **State programs**: Check Medicaid or ADAP for OUD treatment. - **Generic buprenorphine**: Oral forms via other assistance. - **No biosimilar alternatives** for Sublocade. - Community Reentry if applicable. ## Important Disclaimer This guide is for informational purposes only and not a substitute for professional medical or financial advice. Eligibility, benefits, and terms can change; always verify with INSUPPORT at (844) 467-7778 or insupport.com. Program not health insurance. Restrictions apply. Consult your doctor before starting/stopping treatment. Indivior does not guarantee coverage. Data current as of available sources; patient experiences may vary. (Word count: 942)

Program information last verified: March 30, 2026