SUNOSI

Indicated For

Excessive daytime sleepiness (EDS) in narcolepsy, Excessive daytime sleepiness (EDS) in obstructive sleep apnea (OSA)

About This Medication

# SUNOSI On My Side Program Patient Guide: How to Get SUNOSI at Low or No Cost ## About This Program The **SUNOSI On My Side Program** is a patient assistance program offered by Axsome Therapeutics, Inc., the manufacturer of SUNOSI (solriamfetol). This program helps eligible patients access SUNOSI at reduced or no cost if they meet specific financial and insurance criteria. SUNOSI is a prescription medication used to improve wakefulness in adults with excessive daytime sleepiness caused by narcolepsy or obstructive sleep apnea.[9] ## Who Qualifies for SUNOSI On My Side? To be eligible for the SUNOSI On My Side Program, you must meet all of the following criteria:[6] - Have a valid prescription for SUNOSI from a licensed US healthcare provider for an FDA-approved indication - Reside in the United States or a US territory - Have **no insurance coverage** or be **functionally uninsured** (meaning your insurance does not cover SUNOSI) - Meet income guidelines based on the current Federal Poverty Level - Be treated by a licensed US healthcare provider ### Understanding "Functionally Uninsured" You may qualify as "functionally uninsured" even if you have health insurance. This typically means your insurance plan does not provide coverage for SUNOSI, or your out-of-pocket costs are prohibitively high. If you're unsure whether you qualify, contact the program directly at **(855) 888-4624** to discuss your specific situation. ## Income Eligibility The SUNOSI On My Side Program uses income thresholds based on the current Federal Poverty Level to determine eligibility.[6] However, the specific income limits are not publicly disclosed. Instead, you'll provide proof of income during the application process, and the program will evaluate whether you meet their guidelines. **What counts as proof of income?** Common documentation includes: - Recent tax returns (last 2 years) - Pay stubs or W-2 forms - Social Security statements - Unemployment benefits documentation - Other government assistance letters The program will review your household income and size to determine eligibility. If you have questions about whether your income qualifies, the program team can provide guidance during the application process. ## Insurance Requirements This program is designed for patients who are **uninsured or functionally uninsured**. If you have commercial insurance that covers SUNOSI, you may be eligible for the **SUNOSI Savings Card** instead, which allows eligible commercially insured patients to pay as little as $9 for up to 90 days of medication.[2] If you have Medicare, you may also explore other options: - Medicare Extra Help/Low-Income Subsidy program for Part D coverage - Medicare Prescription Payment Plan (available as of January 1, 2025) - State Pharmaceutical Assistance Programs Contact the program at **(855) 888-4624** to discuss which option is best for your situation. ## How to Apply: Step-by-Step ### Step 1: Get a Prescription Work with your healthcare provider to obtain a valid prescription for SUNOSI. Your provider must be a licensed US healthcare provider and prescribe SUNOSI for an FDA-approved indication (narcolepsy or obstructive sleep apnea-related excessive daytime sleepiness). ### Step 2: Gather Required Documents Collect the following before starting your application:[6] - Completed SUNOSI On My Side Patient Assistance Program application form - Proof of income (tax returns, pay stubs, Social Security statements, etc.) - Your prescription (note: the prescription cannot be included in the application form itself due to SUNOSI being a controlled substance) ### Step 3: Complete the Application Form Obtain the application form from your healthcare provider or by calling **(855) 888-4624**. The form requires: - Your personal information - Household income details - Insurance status - Your healthcare provider's information and signature ### Step 4: Submit Your Application You have two options for submission:[6] **Option A: Fax** - Fax the completed application form (pages 2-4) to **(866) 545-1168** - Include your proof of income documentation **Option B: Online Portal** - Upload your completed application to the Axsome Provider Portal at **www.AxsomeProviderPortal.com** - Your healthcare provider can assist with this submission ### Step 5: Submit Your Prescription Separately Because SUNOSI is a controlled substance, your prescription must be submitted separately from the application form. Your healthcare provider will handle this submission to the program's pharmacy. ### Step 6: Await Approval The program will review your application and notify you of your status within **7-10 business days**.[6] ## Timeline and Medication Delivery **Application Processing:** 7-10 business days from submission **Medication Delivery:** Once approved, your SUNOSI will be shipped directly to you. The program's pharmacy will handle dispensing and delivery. **Contact Information:** If you need to check on your application status or have questions, call **(855) 888-4624** Monday through Friday, 8 AM to 8 PM ET. ## What If Your Application Is Denied? If your application is denied, the program will inform you of the reason. Common reasons for denial include: - Income exceeds program thresholds - You have active insurance coverage for SUNOSI - Missing or incomplete documentation - Not meeting residency requirements **Next Steps:** - Ask the program why you were denied and whether you can reapply - Explore alternative assistance options: - **SUNOSI Savings Card** (if you have commercial insurance) - **Free Trial Program** (30 tablets available with a valid prescription) - **State Pharmaceutical Assistance Programs** - **NeedyMeds** or **Medicine Assistance Tool** websites for other resources ## Alternative Assistance Options If you don't qualify for SUNOSI On My Side, other programs may help: **SUNOSI Savings Card (Commercially Insured Patients)** Eligible patients with commercial insurance can pay as little as $9 for up to 90 days of SUNOSI.[2] Call **(800) 805-8621** for details. **Free Trial Program** You may receive up to 30 tablets of SUNOSI (75 mg or 150 mg) for free with a valid prescription. This is a one-time, lifetime offer.[4] **Medicare Options** - Extra Help/Low-Income Subsidy program - Medicare Prescription Payment Plan - State Pharmaceutical Assistance Programs **Other Resources** - NeedyMeds.org - MedicineAssistanceTool.org ## Important Disclaimers - The SUNOSI On My Side Program provides general information only and is not a guarantee of coverage or reimbursement. - All treatment decisions rest solely with your treating physician or qualified healthcare provider. - Income thresholds and program eligibility criteria may change. Contact the program for current information. - This guide is current as of March 2026. Program details may be updated by Axsome Therapeutics. - SUNOSI is a controlled substance. Your prescription must be handled according to DEA regulations. ## Contact Information **SUNOSI On My Side Program** - Phone: **(855) 888-4624** - Hours: Monday-Friday, 8 AM-8 PM ET - Fax: **(866) 545-1168** - Provider Portal: www.AxsomeProviderPortal.com **For Commercially Insured Patients (Savings Card)** - Phone: **(800) 805-8621** - Hours: Monday-Friday, 8 AM-8 PM ET

Program information last verified: March 30, 2026