Suboxone
Generic: buprenorphine and naloxone
Manufacturer: Indivior · Program: Here to Help Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
No public or private insurance
Residency
US resident
Income Threshold
Up to 250% FPL
at or below 250% of the federal poverty level
Program Information
Processing Time
2–4 weeks
Delivery Method
Pharmacy card sent to patient to obtain medication at a retail pharmacy
Application Method
Phone
Reauthorization
Required, annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Proof of income
- Doctor completed section
Indicated For
Opioid Use Disorder
About This Medication
# Here to Help Patient Assistance Program Patient Guide: How to Get Suboxone (buprenorphine and naloxone) at Low or No Cost Suboxone (buprenorphine and naloxone) is a prescription medication used to treat opioid use disorder (OUD) as part of a complete treatment plan that includes counseling and psychosocial support. The **Here to Help Patient Assistance Program** from **Indivior** provides **free Suboxone** to eligible uninsured patients with household income at or below **250% of the federal poverty level (FPL)**. ## About Suboxone **Suboxone** combines **buprenorphine**, a partial opioid agonist that reduces withdrawal symptoms and cravings, with **naloxone**, an opioid antagonist that deters misuse by injection. It comes as sublingual film (placed under the tongue) and is a Schedule III controlled substance. **Always use as prescribed** by a qualified physician under the Drug Addiction Treatment Act (DATA 2000 waiver). Suboxone should never be used without medical supervision due to risks of dependence, overdose, or diversion[1][2][7]. ## Who Qualifies? This program is for **uninsured patients** (no public or private insurance, including Medicare/Medicaid) facing financial hardship. Key requirements: - **Reside in the US** (program is US-only). - **Prescribed Suboxone** for on-label opioid dependence treatment. - **Household income at or below 250% FPL** (no specific thresholds listed for family size; based on current federal guidelines). - **No third-party prescription coverage**. **Notes**: Government insurance disqualifies you. If underinsured, explore copay cards separately via INSUPPORT (for private insurance only)[2][10]. ## Income Eligibility Breakdown Eligibility is **at or below 250% of the Federal Poverty Level (FPL)**. Use the table below for 2026 guidelines (adjust annually via HHS.gov). Provide proof like tax returns or pay stubs. | Household Size | 100% FPL | 250% FPL (Eligibility Max) | |---------------|----------|----------------------------| | 1 | $15,060 | **$37,650** | | 2 | $20,440 | **$51,100** | | 3 | $25,820 | **$64,550** | | 4 | $31,200 | **$78,000** | | +1 each | +$5,380 | **+ $13,450** | *Example*: A single person earning ≤$37,650/year qualifies. Couples ≤$51,100. **Verify exact FPL** at aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines[10]. ## Insurance Requirements **Strictly no public or private insurance accepted**. This includes: - Medicare, Medicaid, TRICARE, VA benefits. - Employer-sponsored or marketplace plans. - Any copay assistance tied to insurance. If insured, use **INSUPPORT Copay Card** (up to $75/month savings for private insurance) instead[2][10]. Uninsured patients get medication **free** via pharmacy card. ## Step-by-Step Application Process 1. **Get Prescribed**: See a DATA-waivered doctor for Suboxone. They complete the **doctor section** of the application. 2. **Gather Documents**: - **Proof of income** (e.g., 2025 tax return, W-2s, 2 recent pay stubs, SSI/SSDI award letter, unemployment stubs). - **Proof of no insurance** (self-attestation or denial letter). - **Doctor-completed form** (prescription details, diagnosis). 3. **Call to Apply**: Dial **(888) 898-4818** (phone-only applications). Have documents ready; staff guides you. 4. **Submit & Wait**: Program reviews (timeline varies; see FAQ). If approved, receive **pharmacy card** by mail. 5. **Fill at Pharmacy**: Present card + prescription at any retail pharmacy for **free Suboxone**. **Tip**: Doctor's office can assist with forms to boost approval[10]. ## Timeline and Delivery - **Processing**: Varies (1-4 weeks typical for PAPs; call for updates). - **Delivery**: **Pharmacy card mailed to you** (not direct shipment). Use at any participating retail pharmacy. - **Supply**: Initial approval often 1-3 months; **reauthorization required** for refills. Track status by calling (888) 898-4818. ## Alternatives if Denied or Ineligible - **Slightly over income?** Request exception or reapply next year. - **Have private insurance?** INSUPPORT Copay Card: $5 copay or up to $75/month savings[2]. - **Government insurance?** Medicaid often covers Suboxone free/low-cost. - **Generics**: Authorized generic Suboxone Film via Sandoz (cheaper via GoodRx ~$40-80/month)[3][10]. - **Other PAPs**: RxHope.org or NeedyMeds.org list options[10]. - **State programs**: Check local Medicaid/Behavioral Health for OUD support. - **No biosimilars** available[provided data]. ## Refill and Reauthorization **Reauthorization required** annually or per supply limit. Resubmit income proof + doctor form before current supply ends. Call early to avoid gaps. ## Important Disclaimer This guide is for informational purposes only and based on program details as of March 2026. **Eligibility, terms, and availability can change**—**always verify directly with Indivior at (888) 898-4818**. Not medical advice; consult your doctor. Suboxone has risks (addiction, respiratory depression, neonatal withdrawal); read full Prescribing Information. Indivior not liable for misuse. Program may end without notice. **Seek immediate help for overdose: Naloxone + call 911**. *Word count: 942*
Program information last verified: March 30, 2026
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