Xadago

Indicated For

Parkinson's disease

About This Medication

# Supernus Support Patient Guide: How to Get Xadago (safinamide) at Low or No Cost Xadago (safinamide) is a prescription medication used to treat Parkinson's disease in adults, taken once daily with levodopa/carbidopa to help increase "on" time without troublesome dyskinesia and reduce "off" time symptoms like tremor and stiffness.[5] The **Supernus Support** program from **Supernus Pharmaceuticals, Inc.** offers free medication to uninsured patients who meet financial need criteria and are U.S. residents, making Xadago accessible at no cost for eligible individuals.[4][6] ## About Xadago and Why Assistance Matters Parkinson's disease (PD) affects movement, causing symptoms like shaking (**tremor**), stiffness, and slow movement. These lead to "off" periods when medication wears off, limiting daily activities. Xadago works as an add-on therapy, helping provide up to 1 hour more "good" on time per day—when you feel steady and mobile without uncontrolled movements (**dyskinesia**).[5] Clinical studies show it improves motor function as measured by the Unified Parkinson’s Disease Rating Scale (UPDRS).[5] Without insurance or financial help, Xadago can be expensive. **Supernus Support** bridges this gap by providing free supplies (up to 1 month at a time) shipped to your home for those who qualify.[6] There's also a co-pay card for eligible insured patients, reducing costs to as low as $15 per month at pharmacies.[1] This guide focuses on the free patient assistance program (PAP) but mentions co-pay options where relevant. ## Who Qualifies for Supernus Support? Eligibility centers on financial need, residency, insurance status, and medical necessity: - **Uninsured patients**: You must lack prescription coverage. Medicare Part D enrollees are typically ineligible for the free program.[6][10] - **U.S. residents**: Legal residency required.[6] - **Financial need**: Income requirements exist but are not publicly disclosed; programs like this often target low-income households (e.g., below 400-500% of the Federal Poverty Level, though exact thresholds vary).[6] - **Medically necessary**: Your doctor must confirm Xadago is appropriate for your Parkinson's treatment.[6] - **No guarantee**: Approval depends on program review; completing forms doesn't ensure acceptance.[10] **Note**: Specific income thresholds (individual, couple, family) are not detailed publicly. Contact Supernus Support for a personalized assessment.[2][6] ## Income Eligibility Breakdown Detailed income limits aren't published, reflecting program flexibility based on household size and circumstances.[6] Here's a general table based on similar PAPs (call for exacts): | Household Size | Estimated Max Annual Income | Notes | |---------------|-----------------------------|-------| | 1 (Individual) | Not disclosed; often ~$50,000+ | Assessed case-by-case[6] | | 2 (Couple) | Not disclosed; often ~$65,000+ | U.S. resident required[6] | | 3 | Not disclosed; often ~$80,000+ | Doctor verifies need[6] | | 4+ | Not disclosed; scales up | Excludes insured[6] | **Income table advisory**: These are estimates; actual eligibility may align with undisclosed FPL percentages. Provide recent tax returns or pay stubs for verification.[6] ## Insurance Requirements - **Must be uninsured**: No private insurance or government coverage (e.g., Medicare Part D, Medicaid) for the medication.[6][10] - **Co-pay card alternative**: If insured (commercial only), use the Xadago co-pay card for $15 fills (max savings apply; not for government insurance).[1] - **Medicare note**: Part D users can't use PAP meds with their plan; it won't count toward out-of-pocket maximums.[10] ## Step-by-Step Application Process 1. **Contact Supernus Support**: Call 1-866-398-0833 (Mon-Fri, 8:30AM-6:30PM ET) for guidance, forms, and pre-screening.[2][6] 2. **Download or request form**: Patients and doctors complete sections. Available via phone or sites like rxhope.com.[6] 3. **Gather documents**: Proof of residency, income (taxes, pay stubs), no insurance proof, doctor's prescription.[6] 4. **Complete signatures**: Doctor signs for medical necessity; patient signs consent (no reimbursement seeking).[10] 5. **Submit**: Fax to program (e.g., similar forms fax 1-855-998-1515) or mail to c/o The Lash Group, 9717 Key West Ave, Rockville, MD 20850.[6][10] 6. **Follow up**: Program confirms receipt; approval not guaranteed.[10] Alternatively, call 1-888-4XADAGO (1-888-492-3246), Option 3, for affordability help.[5] ## Timeline and Delivery - **Processing**: Varies; expect weeks for review. Up to 1-month supply initially.[6] - **Delivery**: Shipped free to patient's home.[6] - **Refills**: Reapply monthly; doctor may need to reconfirm.[6] ## Alternatives if Denied or Ineligible - **Co-pay card**: For commercial insurance; $15/month.[1] - **Other resources**: RxAssist.org, Needymeds.org, PPARx.org, or APDA grants ($500 PD aid).[9] - **General PAP databases**: Medicare.gov/pharmaceutical-assistance-program or The Assistance Fund.[9] - **Doctor appeal**: Ask prescriber for prior auth support or samples.[8] - **Biosimilars**: None available for Xadago.[provided] ## Important Disclaimer This guide synthesizes public info as of available data; programs change. **Not medical/financial advice**. Verify details with Supernus Support (1-866-398-0833). Eligibility, terms subject to change without notice. Medicare users: PAP use may affect benefits—consult plan.[10] See Xadago full Prescribing Info for safety. Word count: ~950.

Program information last verified: March 30, 2026