Vimovo

Indicated For

osteoarthritis, rheumatoid arthritis, ankylosing spondylitis

About This Medication

# Horizon Patient Assistance Program Guide: How to Get Vimovo at Low or No Cost ## About This Program The **Horizon Patient Assistance Program** helps eligible patients access **Vimovo** (naproxen/esomeprazole) at no cost or reduced cost when they cannot afford their medication. Vimovo is a prescription combination medication that contains naproxen, a nonsteroidal anti-inflammatory drug (NSAID), and esomeprazole, a proton pump inhibitor that helps protect the stomach from NSAID-related ulcers. This program is administered by Horizon Therapeutics through RxHope, a patient assistance organization. ## Who Qualifies for This Program To be eligible for the Horizon Patient Assistance Program for Vimovo, you must meet ALL of the following requirements: **Income Requirements** Your household income must be at or below **200% of the Federal Poverty Level (FPL)**. The Federal Poverty Level changes annually and varies based on household size. For example, in 2026, 200% of the FPL for a single individual is approximately $28,860 per year, while for a family of four it is approximately $59,400 per year. Your actual income threshold depends on your household size. **Insurance Requirements** You must **not have prescription insurance coverage** for Vimovo. This includes: - Private insurance plans - Medicaid - Medicare Part D - State assistance programs for medications If you have Medicare Part D, you may still be eligible if Vimovo is not covered by your specific plan. **Residency and Documentation** - You must be a U.S. resident with a valid Social Security Number - You must provide documentation of your household income ## Income Eligibility Breakdown The following table shows approximate 200% Federal Poverty Level income limits for 2026 (these amounts are updated annually): | Household Size | Approximate Annual Income Limit | |---|---| | 1 person | $28,860 | | 2 people | $38,640 | | 3 people | $48,420 | | 4 people | $59,400 | | 5 people | $70,380 | | 6 people | $81,360 | *Note: These are approximate figures. Contact the program directly at (866) 247-2228 for current income limits based on your household size.* ## How to Apply ### Step 1: Gather Required Documents Before starting your application, collect the following: - **Completed application form** (available online or by phone) - **Household income documentation**, which must include at least one of the following: - W2 Forms from your employer - Social Security benefit statements - Most recent pay stubs (typically last 2-3 months) - Tax returns (if self-employed) - Unemployment or workers' compensation documentation ### Step 2: Complete the Application You have two options to apply: **Online Application** - Visit **www.RxHope.com/Horizon** - Your healthcare provider can help initiate the application process online - Complete all required fields with your personal, insurance, and income information **Phone Application** - Call **(866) 247-2228** to speak with a representative - They will guide you through the application process - You can ask questions about eligibility and required documentation ### Step 3: Submit Your Application If applying online, you will upload your income documentation directly through the website. If applying by phone, the representative will provide instructions for submitting your documents by fax or mail. ### Step 4: Wait for Approval The program typically processes applications within **2-4 weeks**. You will be contacted by phone or mail with the decision. ### Step 5: Receive Your Medication Once approved, Vimovo will be **shipped directly to you or your physician's office**. Your healthcare provider will work with the program to ensure you receive the correct dosage and quantity. ## Important Information About Reauthorization **You must reapply to the program annually.** This means you will need to: - Complete a new application form each year - Submit updated household income documentation - Verify that you still meet all eligibility requirements The program will notify you when it is time to reapply. Plan ahead to avoid gaps in your medication supply. ## What If Your Application Is Denied? If you do not qualify for the Horizon Patient Assistance Program, consider these alternatives: - **Ask your healthcare provider about generic alternatives** to Vimovo that may be more affordable - **Contact Horizon Therapeutics directly** to ask about other patient support options - **Apply for Medicaid** if you are not currently enrolled; the Financial Assistance Coordinator can help you with this application - **Look into state pharmaceutical assistance programs** in your state - **Ask your pharmacy about discount programs** or manufacturer coupons - **Contact 211.org** or your local community health center for additional resources ## Important Disclaimer This guide provides general information about the Horizon Patient Assistance Program for Vimovo. Program details, income limits, and eligibility requirements may change. This information is current as of March 2026 but is subject to change without notice. For the most accurate and up-to-date information, contact the program directly at **(866) 247-2228** or visit **www.RxHope.com/Horizon**. Always consult with your healthcare provider about whether Vimovo is the right medication for your condition and about any patient assistance programs you may qualify for.

Program information last verified: March 30, 2026