Vimpat

Indicated For

epilepsy, partial-onset seizures

About This Medication

# UCBCares Patient Guide: How to Get Vimpat at Low or No Cost ## About This Program UCBCares is the patient assistance program offered by UCB Pharma, Inc., the manufacturer of Vimpat (lacosamide). This program helps eligible patients who cannot afford their Vimpat medication by providing it at reduced or no cost. Vimpat is an antiepileptic medication used to treat partial-onset seizures in people with epilepsy. ## What Is Vimpat? Vimpat (lacosamide) is a prescription antiepileptic agent used to treat partial-onset seizures. It works by stabilizing electrical activity in the brain to help prevent seizures. Vimpat may be used alone or in combination with other anti-seizure medications. Your doctor has determined that Vimpat is an appropriate treatment for your epilepsy condition. ## Who Can Qualify for UCBCares? You may be eligible for UCBCares assistance if you meet the following criteria: **Insurance Status:** - You are uninsured (have no health insurance), OR - You have health insurance but no prescription drug coverage, OR - You have certain Medicare Part D plans that may qualify (contact the program to verify) **Income Requirements:** Your household income must not exceed 500% of the Federal Poverty Level (FPL). See the income eligibility table below based on your household size. ## Income Eligibility Table The following table shows the maximum annual household income to qualify for UCBCares: | Household Size | Maximum Annual Income | |---|---| | 1 person | $68,750 | | 2 people | $92,500 | | 3 people | $116,250 | | 4 people | $140,000 | | 5 people | $163,750 | | 6 people | $187,500 | | 7 people | $211,250 | | 8+ people | $235,000+ | *Note: These figures are based on 2024 Federal Poverty Guidelines and may change annually. Please verify current income limits with the program.* ## Insurance Requirements To qualify for UCBCares, you must fall into one of these insurance categories: 1. **Uninsured:** You have no active health insurance of any kind 2. **Insured but No Prescription Coverage:** You have health insurance (such as basic coverage) but it does not include prescription drug benefits 3. **Medicare Part D Coverage:** If you are on Medicare Part D, you may qualify depending on your specific plan. The program can help verify your eligibility—call them to confirm **Important:** If you have commercial insurance with prescription coverage, you typically will not qualify unless you meet hardship criteria. You should exhaust your insurance benefits before applying. ## Step-by-Step Application Instructions ### Step 1: Gather Required Documents Before starting your application, collect the following: - **Financial Documentation:** Recent tax return, pay stubs, or bank statements proving your household income and financial need - **Proof of Insurance Status:** Insurance card (if insured) or documentation showing you are uninsured - **Valid Prescription:** A prescription for Vimpat from your physician - **Physician Information:** Your prescribing doctor's DEA number and State NPI (National Provider Identifier) number, and their willingness to sign the application ### Step 2: Choose Your Application Method UCBCares offers multiple ways to apply: - **Online:** Visit https://www.ucb-usa.com/Patients/Financial-Assistance to apply through the website - **Phone:** Call 1-844-599-2273 to apply over the phone with a program representative - **Mail:** Request an application form to mail in with all required documents ### Step 3: Complete the Application Provide accurate information about: - Your full name, date of birth, and contact information - Your household members and their relationship to you - Your total household income for the last 12 months - Your current insurance status - Your prescription and prescribing physician's information ### Step 4: Obtain Physician Signature Your doctor must sign the application form, confirming: - They are prescribing Vimpat for your medical condition - Your medical need for this medication - Their valid DEA and State NPI numbers Most physicians' offices can help facilitate this quickly. ### Step 5: Submit Your Application Submit your completed application with all supporting documents through your chosen method (online, phone, or mail). ## Timeline and Medication Delivery **Processing Time:** UCBCares typically processes applications within **2-4 weeks** of receiving all required documentation. **Delivery:** Once approved, your Vimpat will be shipped directly to you or to your physician's office, depending on your preference. You should receive it within a few days of approval. **What to Expect:** You will receive a call or letter confirming your approval status and details about your medication delivery. ## Reauthorization and Refills **90-Day Reauthorization:** Your assistance requires reauthorization every 90 days. UCBCares will contact you before your medication runs out to complete a brief reauthorization process. **24-Month Re-enrollment:** After 24 months of continuous assistance, you will need to complete a full re-enrollment (similar to the initial application process). This ensures your information is current and you still meet eligibility requirements. ## Savings Card Alternative Even if you don't qualify for UCBCares, check the manufacturer's website for a Vimpat savings card, which may offer discounts on your prescription at participating pharmacies. ## What If Your Application Is Denied? If UCBCares denies your application, ask why and whether you can appeal. Common reasons for denial include: - Income exceeding the 500% FPL threshold - Having commercial insurance with active prescription coverage - Incomplete or inaccurate application **Next Steps:** - Contact UCBCares at 1-844-599-2273 to understand the specific reason - Ask about appeal options - Explore other resources: state pharmaceutical assistance programs, nonprofit organizations like NeedyMeds.org, or discuss generic alternatives with your doctor - Ask your physician about patient samples ## Additional Resources - **UCB Patient Services:** 1-844-599-2273 - **Manufacturer Website:** https://www.ucb-usa.com/Patients/Financial-Assistance - **State Pharmaceutical Assistance Programs:** Search your state health department website - **NeedyMeds.org:** Database of free and low-cost medication programs - **Patient Advocacy Organizations:** Contact epilepsy organizations for additional assistance resources ## Legal Disclaimer This guide provides general information about UCBCares and does not guarantee approval. Program eligibility, income limits, and requirements are subject to change. Always verify current program details by contacting UCBCares directly. This information is not a substitute for professional medical or financial advice. Consult your healthcare provider about your medication needs and your financial situation. ## Questions? Contact UCBCares directly: - **Phone:** 1-844-599-2273 - **Website:** https://www.ucb-usa.com/Patients/Financial-Assistance Program representatives can answer specific questions about your eligibility and walk you through the application process.

Program information last verified: January 29, 2026