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Suboxone

Generic: buprenorphine and naloxone

Manufacturer: Indivior  ·  Program: Here to Help Patient Assistance Program

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Eligibility 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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