WAKIX
Generic: pitolisant
Manufacturer: Harmony Biosciences LLC · Program: WAKIX for You Support Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Commercial (non-government-funded) insurance required for $0 copay benefit
Residency
US residency required
Program Information
Processing Time
2–4 weeks
Delivery Method
Specialty Pharmacy ships directly to patient
Application Method
Phone
Reauthorization
Required — annually
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Prescription form completed by healthcare provider
- Patient Services Authorization signed by patient
Indicated For
Excessive daytime sleepiness (EDS), cataplexy in narcolepsy
About This Medication
# WAKIX for You Support Program Patient Guide: How to Get WAKIX at Low or No Cost ## About WAKIX and This Program WAKIX (pitolisant) is an FDA-approved medication used to treat narcolepsy, including cataplexy in children 6 years of age and older. The WAKIX for You Support Program is a patient assistance program designed by Harmony Biosciences LLC to help eligible patients access this medication affordably and manage their treatment journey with personalized support. The program connects you with a dedicated Patient Case Manager who guides you through the entire process—from getting your prescription approved by insurance to receiving your medication directly at home. ## Who Qualifies for WAKIX for You To participate in the WAKIX for You Support Program, you must: - Have a valid prescription for WAKIX from a licensed healthcare provider - Have commercial (non-government-funded) insurance to qualify for the $0 copay benefit - Be willing to sign a Patient Services Authorization form - Reside in the United States The program does not have published income thresholds, meaning eligibility is assessed on an individual basis. Even if you don't qualify for the $0 copay program, you may still be eligible for other financial support options through the program. ## Insurance Requirements and Coverage The WAKIX for You program works specifically with **commercial insurance plans**. If you have commercial (non-government-funded) insurance, you may be eligible to pay as little as a **$0 copay** on your WAKIX prescription. **Important:** This $0 copay offer is valid only for patients with commercial insurance. Additional terms and conditions apply. If you have Medicare, Medicaid, or other government-funded insurance, you may still be eligible for other financial assistance options—contact the program directly to discuss your specific situation. The program's Patient Case Manager will: - Work with your insurance plan to determine your coverage - Help facilitate prior authorization if needed - Assess your eligibility for available financial support programs - Ensure your prescription is sent to the specialty pharmacy for direct delivery ## Step-by-Step Application Process ### Step 1: Get Your Prescription Your healthcare provider will: - Complete a WAKIX prescription form - Ask you to sign the Patient Services Authorization form - Fax the completed WAKIX Prescription Referral Form to WAKIX for You at **1-855-635-8520** You can download the WAKIX Prescription Referral Form from WAKIX.com or ask your healthcare provider's office to obtain it. ### Step 2: Enrollment and Insurance Coverage Review Once your prescription is received, a WAKIX for You Patient Case Manager will contact you by phone to: - Explain the WAKIX for You program and available services - Discuss financial support programs you may qualify for - Gather any additional information needed to process your prescription - Answer your questions about the program **Tip:** Add the WAKIX for You phone number (1-855-925-4948) to your contacts so you recognize their call. During this step, the program will: - Conduct a benefits investigation with your insurance - Help facilitate prior authorization if your insurance requires it - Assess your eligibility for financial support options ### Step 3: Prescription Sent to Specialty Pharmacy Once your insurance coverage is approved, your Patient Case Manager will notify you which specialty pharmacy will be filling your prescription. The specialty pharmacy will: - Ship WAKIX directly to your home - Handle all refills (up to the number prescribed by your doctor, maximum 11 refills) - Contact your healthcare provider's office if they need clarification or have questions ## Timeline and Delivery While the program does not publish a specific processing timeline, the three-step process typically moves quickly once your prescription is submitted. Your Patient Case Manager will keep you informed at each stage. Once approved, the specialty pharmacy ships WAKIX directly to you, eliminating the need to pick up your medication at a retail pharmacy. This direct delivery ensures you receive your medication conveniently at home. ## Refills and Reauthorization The specialty pharmacy handles all refills automatically up to the number of refills prescribed by your doctor (maximum 11 refills). You do not need to reorder each time. When your refills are exhausted or your prescription needs reauthorization, the specialty pharmacy will contact your healthcare provider's office directly to arrange for a new prescription or authorization. Your healthcare provider may need to submit updated prescription information. ## What If Your Application Is Denied? If your application for the WAKIX for You program is denied or if you have questions about your eligibility, contact the program directly: **WAKIX for You Patient Support** - **Phone:** 1-855-WAKIX4U (1-855-925-4948) - **Hours:** Monday–Friday, 8 AM–8 PM ET The Patient Case Manager can discuss alternative financial assistance options or help clarify why you may not qualify for specific benefits. Even if you don't qualify for the $0 copay program, other financial support may be available. ## Important Disclaimers - This guide provides general information about the WAKIX for You Support Program. Program details, eligibility requirements, and benefits are subject to change. - The $0 copay offer is valid only for patients with commercial (non-government-funded) insurance and is subject to additional terms and conditions. - This program is not a substitute for insurance coverage. Your insurance plan will determine what portion of WAKIX costs it covers. - Always consult with your healthcare provider about whether WAKIX is appropriate for your medical condition. - For questions about WAKIX itself, including side effects, drug interactions, or medical concerns, contact your healthcare provider or call Harmony Biosciences at 1-800-833-7460. ## Getting Started To begin the process: 1. **Schedule an appointment** with your healthcare provider to discuss WAKIX as a treatment option 2. **Ask your provider** to complete the WAKIX Prescription Referral Form and fax it to 1-855-635-8520 3. **Expect a call** from a WAKIX for You Patient Case Manager within a few business days 4. **Provide information** as requested to complete your enrollment 5. **Receive your medication** directly from the specialty pharmacy For any questions during this process, contact WAKIX for You at **1-855-925-4948** (Monday–Friday, 8 AM–8 PM ET).
Program information last verified: March 30, 2026
Ready to apply for WAKIX assistance?
ProvisionRX manages the complete application process. Start your application in about 15 minutes.