Viberzi

Patient Guide: Getting Viberzi (eluxadoline) at Low or No Cost

Important Update About Viberzi Assistance

Currently, there is no active manufacturer prescription assistance program (PAP) directly from AbbVie for Viberzi. However, this guide will help you explore all available options to make your medication more affordable.

About Viberzi

Viberzi (eluxadoline) is a prescription medication used to treat irritable bowel syndrome with diarrhea (IBS-D). It works through multiple mechanisms to help reduce diarrhea and abdominal pain associated with IBS-D. Understanding your treatment options and how to access affordable medication is an important part of managing your condition.

Option 1: Viberzi Savings Program (Recommended First Step)

AbbVie offers a Savings Program that can help reduce your out-of-pocket costs:

• Website: https://www.viberzi.com/savings-program
• How it works: This program may offer coupons, rebates, or co-pay assistance depending on your insurance coverage
• Who qualifies: Most patients with commercial insurance; eligibility varies
• Typical savings: Can range from $25-$150+ per prescription depending on your plan
• How to enroll: Visit the website above or ask your pharmacist for a savings card

Next Steps for the Savings Program:

1. Visit the Viberzi savings program website
2. Check your eligibility based on your insurance type
3. Print the coupon or digital code
4. Present it to your pharmacist when filling your prescription
5. Your pharmacist will apply the discount at checkout

Option 2: State Pharmaceutical Assistance Programs

Many states offer their own medication assistance programs that may cover Viberzi:

• What they are: State-run programs that help uninsured or underinsured residents afford prescriptions
• Income requirements: Vary by state, but typically serve individuals earning 100-400% of federal poverty level
• How to find yours: Visit NeedyMeds.org and search for your state's program
• Application process: Usually online or by mail; typically takes 2-4 weeks

Option 3: NeedyMeds and Patient Assistance Resources

NeedyMeds.org is a free nonprofit resource that lists:

• Manufacturer assistance programs
• State pharmaceutical programs
• Private foundations that may help
• Generic medication alternatives
• Free/low-cost clinic locations

Visit the site and search for "eluxadoline" or "Viberzi" to find all current assistance options.

Option 4: Hospital and Community Health Centers

If you're uninsured or underinsured:

• Federally Qualified Health Centers (FQHCs) often have pharmaceutical programs
• Hospital financial assistance programs may help with medication costs
• Community clinics may have access to medication samples or discounts

Call your local hospital or health department to ask about available programs.

Income Eligibility Guidelines

While the manufacturer PAP is not currently active, state programs and other assistance options typically use these income thresholds:

Note: Income limits vary by program. Use these as general guidelines only.

Insurance Coverage Considerations

With Commercial Insurance:

• Use the Viberzi Savings Program first (link above)
• Check if your plan covers eluxadoline (may have prior authorization requirements)
• Ask your doctor if Viberzi is the most cost-effective option for your coverage

With Medicare:

• Medicare Part D covers most prescription drugs, including Viberzi
• You may qualify for Extra Help (Low-Income Subsidy) if income-eligible
• Contact Medicare at 1-800-MEDICARE to check your eligibility
• Some state Medicaid programs also offer additional assistance

With Medicaid:

• Medicaid coverage of Viberzi varies by state
• Contact your state Medicaid office to verify coverage
• Some states may require prior authorization

Without Insurance:

• Use the Viberzi Savings Program if available for your situation
• Apply to your state's pharmaceutical assistance program
• Contact NeedyMeds.org for alternative resources
• Ask your doctor about patient samples

Step-by-Step Action Plan

Step 1: Check the Savings Program (Do First)

• Visit https://www.viberzi.com/savings-program
• Check if you qualify for immediate savings
• If eligible, print your coupon and use with your next fill

Step 2: Contact Your State Program

• Go to NeedyMeds.org
• Find your state's pharmaceutical assistance program
• Apply online or by mail with required documentation
• Typical approval: 2-4 weeks

Step 3: Explore Other Resources

• Contact your local health department or FQHC
• Ask your doctor about patient samples
• Call your insurance company to confirm coverage and any requirements

Step 4: Talk With Your Doctor

• Discuss all cost-saving options
• Ask if there are alternative IBS-D treatments covered by your insurance
• Request samples while you wait for program approval

What Documents You'll Need

For any assistance program application, typically:

• Valid prescription for Viberzi from your doctor
• Proof of income (recent tax return, pay stub, or tax filing)
• Proof of citizenship (driver's license, passport, or birth certificate)
• Proof of residency (utility bill, lease, or bank statement)
• Proof of insurance status (insurance card or letter of denial)
• Completed application form

Note: Requirements vary by program. Check specific program requirements before applying.

Timeline and Delivery

• Savings Program: Immediate (use coupon at pharmacy when filling)
• State Programs: 2-4 weeks typical processing time
• Delivery: Most programs mail medications directly to your home or your pharmacy
• Refills: Process varies; some programs auto-refill, others require reapplication annually

What If Your Application Is Denied?

If denied:

1. Ask for the reason in writing
2. Request information about appeal procedures
3. Contact NeedyMeds or patient advocacy organizations for alternative resources
4. Ask your doctor about samples or alternatives
5. Check if you qualify for a different program

Important Legal Information

• Patient assistance programs are not guaranteed and eligibility varies
• Program availability and terms may change at any time
• Always verify current program details directly with the program or at NeedyMeds.org
• This guide is informational only and does not guarantee program approval or benefits
• Consult with your healthcare provider about your treatment plan and medication affordability

Contact Information for Help

• Viberzi Savings Program: https://www.viberzi.com/savings-program
• NeedyMeds.org: Free database of assistance programs
• Medicare: 1-800-MEDICARE (1-800-633-4227)
• Your State Medicaid: Search "[Your State] Medicaid" online
• HRSA FindAHealthCenter: Find Federally Qualified Health Centers near you
• Patient Advocate Foundation Co-Pay Relief: 1-800-532-5274

Next Steps

Start with the Viberzi Savings Program today—it may be the quickest way to save money on your prescription. Then explore state programs and other resources. Don't let cost prevent you from getting the treatment you need for your IBS-D.