Targiniq ER

Indicated For

severe chronic pain

About This Medication

# Targiniq ER Patient Guide: How to Get Targiniq ER at Low or No Cost Targiniq ER (oxycodone hydrochloride and naloxone hydrochloride extended-release tablets) is a prescription opioid medication used to manage severe pain that requires daily, around-the-clock, long-term treatment when other options are inadequate.[2][7] This patient-friendly guide explains how to access **Targiniq ER** through patient assistance programs (PAPs), Medicare options, and other cost-saving strategies, as no specific manufacturer-sponsored PAP for this Purdue Pharma product is currently listed in available resources.[7] ## About Targiniq ER **Targiniq ER** combines oxycodone, a strong opioid pain reliever, with naloxone, an opioid antagonist designed to deter abuse by snorting or injection.[2][3] It is taken every 12 hours and comes in strengths like 10 mg/5 mg, 20 mg/10 mg, and 40 mg/20 mg.[2] The maximum daily dose is typically 80 mg/40 mg to avoid withdrawal symptoms or reduced pain relief.[8] This medicine is only available under the FDA's Opioid Analgesic REMS program, which ensures safe use due to risks of addiction, abuse, overdose, and death.[5] Common side effects include nausea, constipation, dizziness, and sleepiness—always follow your doctor's dosing instructions and never stop abruptly if dependent.[2][7] It is not for as-needed pain relief.[8] ## Who Qualifies for Assistance? Since Purdue Pharma, the manufacturer of **Targiniq ER**, does not appear to offer a dedicated PAP, eligible patients can turn to general options like Medicare's Extra Help, State Pharmaceutical Assistance Programs (SPAPs), or tools like GoodRx coupons.[1][4][7] Qualification often depends on income, insurance status, and residency. Key programs include: - **Medicare Extra Help (Low-Income Subsidy)**: For Part D enrollees with low income/assets. Benefits: No premiums/deductibles, low copays.[1] - **Pfizer RxPathways or similar general PAPs**: Though not for Targiniq, they model eligibility (e.g., uninsured or public insurance, income proof).[4] - **Institutional PAPs**: Free meds at clinics for uninsured at ≤300% FPL.[4] ## Income Eligibility Breakdown Many PAPs and Medicare Extra Help use Federal Poverty Level (FPL) thresholds. As of 2026, exact figures adjust annually, but typical guidelines for Extra Help or similar programs are around 150% FPL for full benefits, up to 400% for partial. Always verify current levels at ssa.gov or medicare.gov.[1] | Household Size | 100% FPL (Approx.) | 150% FPL | 300% FPL | 400% FPL | |----------------|---------------------|-----------|-----------|-----------| | Individual | $15,060 | $22,590 | $45,180 | $60,240 |[1][4] | Couple | $20,440 | $30,660 | $61,320 | $81,760 | | Family of 3 | $25,820 | $38,730 | $77,460 | $103,280 | | Family of 4 | $31,200 | $46,800 | $93,600 | $124,800 | *Notes: Assets limits apply (e.g., <$17,550 individual for Extra Help). Migrant/homeless may qualify presumptively. Figures are illustrative based on prior years—check official sources.[1][4]* ## Insurance Requirements - **Medicare Part D**: Use the new Prescription Payment Plan (since 2025) to spread costs up to $2,000 out-of-pocket cap—no upfront full payment needed.[1] Extra Help if low-income.[1] - **Uninsured/Public Insurance**: Preferred for most PAPs; commercial insurance often ineligible.[4] - **Medicaid/TRICARE/VA**: May qualify for PAPs like Pfizer's model.[4] **Targiniq ER** requires prior authorization or step therapy in some plans due to opioid limits.[8] ## Step-by-Step Application Process 1. **Consult Your Doctor**: Get a valid US prescription for outpatient use. Discuss REMS and alternatives.[2][5] 2. **Check Medicare Extra Help**: Apply via SSA (ssa.gov) or call 1-800-MEDICARE. Provide income/assets.[1] 3. **Explore SPAPs**: Use Medicare's tool to find state programs (e.g., PA's PACE).[1] 4. **GoodRx Coupons**: For immediate savings at pharmacy—no income check.[1] 5. **General PAPs/Clinics**: Search helpingpatients.org or visit federally qualified health centers for institutional aid.[4][6] 6. **Submit Proof**: Typically W-2, tax return, paystub.[4] 7. **Pharmacy Option**: Ask pharmacist about Medicare Payment Plan.[1] For Purdue-specific help, call 1-888-726-7535 or visit purduepharma.com.[7] ## Timeline and Delivery - **Extra Help Approval**: 2-4 weeks; retroactive if applied timely.[1] - **SPAPs/PAPs**: Varies, often 2-6 weeks; meds shipped home or via doctor's office/clinic.[4] - **GoodRx**: Instant at pharmacy. - **Delivery**: Free meds via mail, pickup, or facility distribution.[4] ## Alternatives if Denied - **GoodRx/competitor coupons**: Compare oxycodone ER options.[1] - **Generic oxycodone ER**: Cheaper, but **Targiniq ER**'s abuse-deterrent feature may be required.[3] - **Non-opioids**: Acetaminophen, NSAIDs if suitable.[8] - **Other PAPs**: Check lists for opioid alternatives.[6] - **Appeal**: Resubmit with updated docs or try different programs.[4] No biosimilars for opioids exist.[ ] ## Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility changes; verify with official sources like medicare.gov, ssa.gov, or your provider. Opioids carry serious risks—use only as prescribed. Word count: 950.

Program information last verified: March 30, 2026