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Neurology

Vimpat

Generic: lacosamide

Manufacturer: UCB  ·  Program: UCB Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured or underinsured patients

Residency

US resident

Income Threshold

Up to 500% FPL

Individual Income Limit

$72,900/year

Must be uninsured or underinsured

Program Information

Processing Time

2–3 weeks

Delivery Method

shipped to patient

Application Method

Multiple

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • proof of income
  • proof of residency
  • prescription

Indicated For

partial-onset seizures

About This Medication

# UCB Patient Assistance Program Patient Guide: How to Get **Vimpat** (lacosamide) at Low or No Cost Vimpat (lacosamide) is an anticonvulsant medication used to treat partial-onset seizures in patients with epilepsy, either alone or with other seizure medicines. The **UCB Patient Assistance Program** helps eligible uninsured or underinsured patients in the United States get **Vimpat** for free if they meet income and other requirements. ## About Vimpat (Lacosamide) **Vimpat** is a prescription drug that works by slowing down impulses in the brain that cause seizures. It's available as tablets, oral solution, or intravenous injection. Common side effects include dizziness, headache, nausea, and double vision. Always take it exactly as prescribed by your doctor, and never stop suddenly without medical advice, as this could worsen seizures. This program provides **Vimpat** at no cost to qualified patients, easing the financial burden of this important epilepsy treatment. ## Who Qualifies for the Program? The UCB Patient Assistance Program is designed for patients facing financial hardship. Key eligibility criteria include: - Residing in the United States, District of Columbia, or U.S. Territories. - Being **uninsured** (no prescription coverage) or **underinsured** (insurance doesn't cover the full cost, or you have significant out-of-pocket expenses). - Having a valid prescription for **Vimpat** from a U.S.-licensed healthcare provider. - Meeting income guidelines, typically up to **300-500% of the Federal Poverty Level (FPL)** based on household size—exact thresholds aren't publicly fixed but are verified during application.[7][8] - For **Vimpat** applicants, providing a valid driver's license or government-issued ID.[2] Patients on Medicare Part D may qualify if they experience financial hardship despite coverage.[1][7] ## Income Eligibility Breakdown Income limits are based on household size and Federal Poverty Level (FPL). While specific percentages vary (often 300-500% FPL), you must submit proof of income for verification. Use the table below as a general guide (2026 FPL estimates; confirm current levels via program contact). | Household Size | 300% FPL (Approx. Annual Income) | 500% FPL (Approx. Annual Income) | |----------------|---------------------------------|---------------------------------| | 1 (Individual) | $45,180 | $75,300 | | 2 (Couple) | $61,320 | $102,200 | | 3 | $77,460 | $129,100 | | 4 | $93,600 | $156,000 | *Notes: Add ~$16,140 per additional person for 300% FPL; ~$26,900 for 500% FPL. Exact eligibility determined by UCB—contact them for your situation. Proof like tax returns or pay stubs required.*[7][8] ## Insurance Requirements - **Uninsured patients**: No prescription insurance at all qualify easily. - **Underinsured**: Limited coverage, high copays, or denials for **Vimpat**. Medicare Part D patients may qualify with proof of hardship. - **Include copies of insurance cards** if applicable. You'll confirm status verbally.[1][2][7] - Commercial insurance or Medicaid details must be provided; program coordinates benefits. ## Step-by-Step Application Process 1. **Check Eligibility**: Review criteria above. Call (866) 395-8366 or UCBCares at 1-844-599-2273 if unsure.[1][5] 2. **Gather Documents**: - Proof of income (tax return, W-2, pay stubs—must be signed).[2] - Proof of residency (utility bill, etc.). - Valid **Vimpat** prescription. - Copy of insurance cards (front/back) if any. - Driver's license or government ID for **Vimpat**.[2] 3. **Complete Application**: Download from ucb-usa.com or use online portal at ucb-pap.enrollsource.com. Patient fills sections 1-2 (personal/income info); doctor completes section 3 and signs.[1][2][4] 4. **Submit**: Mail, fax, or online. Multiple methods available (phone support at (866) 395-8366).[1] 5. **Verification**: UCB reviews and may call for insurance confirmation. All info subject to verification.[1] ## Timeline and Delivery - **Processing Time**: Typically **2-4 weeks** after complete submission.[1][2] - Once approved, **Vimpat** is **shipped free to your home** (not doctor's office).[1] - Approval lasts up to **12 months**; **reauthorization required** annually with new application.[7] ## Alternatives if Denied - Contact **UCBCares** at 1-844-599-2273 for other UCB resources or copay help.[1][5] - Explore third-party services like Simplefill (877-386-0206) for application help.[7] - Check rxassist.org or rxhope.com for similar programs.[8][9] - State assistance, generic options, or epilepsy foundations (e.g., Epilepsy Foundation PAPs). - No biosimilars for **Vimpat** currently. ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, terms, and availability can change—always verify directly with UCB at (866) 395-8366 or ucb-usa.com. Not medical advice; consult your doctor for **Vimpat** suitability. UCB may deny applications or request more info. By applying, you authorize verification of info provided.[1][2] (Word count: 942)

Program information last verified: March 30, 2026

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