Vantrela ER

Indicated For

Chronic pain, severe pain requiring around-the-clock opioid treatment

About This Medication

# Teva Cares Foundation Patient Guide: How to Get VANTRELA ER at Low or No Cost ## About VANTRELA ER VANTRELA ER (hydrocodone bitartrate extended-release) is a prescription opioid medication indicated for the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment when alternative treatment options are ineffective, not tolerated, or inadequate. VANTRELA ER features Teva's proprietary abuse-deterrent technology designed to reduce the potential for misuse when tablets are manipulated. ## Who Qualifies for Assistance The Teva Cares Foundation Patient Assistance Program provides VANTRELA ER at no cost to eligible patients in the United States. To qualify, you must meet ALL of the following criteria: - Be a resident of the United States - Not be eligible for any prescription drug benefits through any private or public insurer, payer, or program - Have a total family annual income at or below 300% of the federal poverty level - Have a valid prescription for VANTRELA ER from your healthcare provider ## Income Eligibility Breakdown Your family's total annual income must not exceed 300% of the federal poverty level. The following table shows the 2026 income limits for different household sizes: | Household Size | 300% of Federal Poverty Level | |---|---| | 1 person | $42,660 | | 2 people | $57,330 | | 3 people | $72,000 | | 4 people | $86,670 | | 5 people | $101,340 | | 6 people | $116,010 | | 7 people | $130,680 | | 8 people | $145,350 | For households with more than 8 members, add $14,670 for each additional person. ## Insurance Requirements To be eligible for the Teva Cares Foundation program, you must NOT have any prescription drug coverage through: - Private health insurance plans - Medicare Part D - Medicaid - Veterans benefits - State pharmaceutical assistance programs - Any other public or private insurance program If you have any form of prescription drug coverage, you are not eligible for this program. However, Teva offers other assistance options—contact Teva at 888-TEVA USA (888-838-2872) to learn about alternatives. ## How to Apply Applying for the Teva Cares Foundation program is straightforward: **Step 1: Gather Required Documents** Before starting your application, collect: - Your valid prescription for VANTRELA ER from your healthcare provider - Proof of household income (recent tax return, pay stubs, or benefit statements) - Proof of U.S. residency (driver's license or state ID) - Information about any current insurance coverage **Step 2: Complete the Application** Download the Teva Cares Foundation application form from the Teva Cares website or request one by phone. Complete all sections with accurate information about your household income and family size. **Step 3: Have Your Healthcare Provider Complete Their Section** Your doctor or healthcare provider must complete and sign the provider section of the application, confirming your prescription for VANTRELA ER and medical need. **Step 4: Submit Your Application** Return the completed application and supporting documents to the Teva Cares Foundation by mail. Include copies (not originals) of your income documentation and residency proof. **Step 5: Await Notification** You will receive written notification by mail regarding approval or denial of your application. ## Timeline and Delivery While specific processing times are not publicly stated, most applications are reviewed within 2-4 weeks of receipt. Once approved: - Your VANTRELA ER medication will be shipped directly to your home address - You will receive approval for up to 12 months of medication assistance - Annual renewals are handled on a renewal basis—you will need to reapply after 12 months ## What If Your Application Is Denied? If you do not meet the eligibility criteria for the Teva Cares Foundation program, other assistance options may be available: - Contact Teva directly at 888-TEVA USA (888-838-2872) to discuss alternative programs - Ask your healthcare provider about other patient assistance resources - Explore state pharmaceutical assistance programs in your state - Inquire about copay assistance programs if you have insurance coverage ## Important Safety Information Before taking VANTRELA ER, be aware of these critical safety considerations: - VANTRELA ER can cause serious, life-threatening, or fatal respiratory depression. Your healthcare provider will monitor you closely, especially when starting the medication or increasing your dose. - Swallow VANTRELA ER tablets whole. Do not crush, chew, or dissolve tablets, as this can cause rapid release and absorption of a potentially fatal dose. - VANTRELA ER is not intended for as-needed pain relief; it is designed for continuous, around-the-clock pain management. - Opioids carry risks of addiction, abuse, and misuse. Use only as prescribed by your healthcare provider. - If you have respiratory conditions such as COPD, sleep apnea, or decreased respiratory reserve, inform your healthcare provider before taking VANTRELA ER. ## Contact Information **Teva Cares Foundation Patient Assistance Program** - Phone: 1-877-237-4881 - Hours: Monday–Friday, 9:00 AM–8:00 PM Eastern Time - Website: www.tevacares.org **General Teva Pharmaceuticals Support** - Phone: 1-888-TEVA USA (1-888-838-2872) ## Disclaimer This guide provides general information about the Teva Cares Foundation Patient Assistance Program for VANTRELA ER. Program eligibility, requirements, and benefits may change. For the most current and complete information, visit www.tevacares.org or contact the Teva Cares Foundation directly. This guide is not a substitute for professional medical advice. Always consult with your healthcare provider regarding your treatment options and medication needs. The information provided does not constitute medical advice or a guarantee of program eligibility or approval.

Program information last verified: March 30, 2026