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Neurology

XCOPRI

Generic: cenobamate

Manufacturer: SK Life Science  ·  Program: SK Life Science Navigator Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured, underinsured, or functionally uninsured patients; those with financial hardship

Residency

US resident or Puerto Rico resident

Program Information

Processing Time

2–4 weeks

Delivery Method

shipped to patient

Application Method

Online

Typically Required Documents

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

  • Patient Authorization form
  • Patient Assistance Program (PAP) Application
  • Financial hardship letter

Indicated For

Partial-onset seizures in adults

About This Medication

# SK Life Science Navigator Patient Assistance Program Patient Guide: How to Get XCOPRI (cenobamate) at Low or No Cost XCOPRI (cenobamate tablets) CV is a prescription medication used to treat partial-onset seizures in adult patients, and the **SK Life Science Navigator Patient Assistance Program (PAP)** offers it for free to eligible uninsured, underinsured, or financially burdened patients.[1][2] This guide explains everything you need to know about qualifying for and applying to the program in simple terms. Whether you're newly diagnosed with epilepsy or struggling with medication costs, this program from **SK Life Science** can help you access XCOPRI without breaking the bank.[1][4] ## About XCOPRI (cenobamate) **XCOPRI** is an anti-seizure medication (ASM) specifically indicated for partial-onset (focal) seizures in adults. It works differently from many other ASMs by targeting sodium channels and GABA receptors to help reduce seizure frequency.[2][6] Unlike some medications, XCOPRI can often be started as initial therapy—3 out of 4 patients have access without needing to fail other treatments first.[2] Key facts: - **Dosing**: Starts low and titrates up slowly to minimize side effects like dizziness or somnolence. - **Coverage**: 9 out of 10 commercial, Medicare, and Medicaid patients have coverage, with most paying $0-$20 copay.[2] - **Trial offer**: New patients may get their first month free through a starter program.[2] **Important safety note**: XCOPRI can cause serious side effects, including allergic reactions like severe rash (DRESS syndrome), shortness of breath, or neurological symptoms. Always follow your doctor's instructions and report issues immediately. Talk to your healthcare provider about risks.[1][8] ## Who Qualifies for the SK Life Science Navigator PAP? The program provides **free XCOPRI** to patients who meet strict criteria:[1][5] - **US resident** (some sources specify US citizenship).[1][5] - **On-label diagnosis**: Partial-onset seizures in adults. - **Financial need**: Must meet financial threshold (specific income limits not publicly detailed; assessed via application).[1] - **Insurance status**: Uninsured, underinsured, functionally uninsured, or experiencing financial hardship.[1][4] This isn't for everyone with insurance—it's targeted at those who can't afford it despite coverage, like high copays or denials.[1][8] ## Income Eligibility Breakdown Exact income thresholds aren't listed publicly, as eligibility is determined case-by-case based on household income, expenses, and hardship.[1] However, the program emphasizes financial hardship, similar to federal poverty guidelines adjusted for family size. Here's a general guide based on typical PAP standards (confirm with program for XCOPRI specifics): | Household Size | Estimated Max Annual Income (300-400% FPL)* | |----------------|--------------------------------------------| | 1 | $45,000 - $60,000 | | 2 | $60,000 - $80,000 | | 3 | $75,000 - $100,000 | | 4 | $90,000 - $120,000 | | +1 per member | +$15,000 - $20,000 | *Federal Poverty Level (FPL) varies yearly; add proof of debts/expenses for flexibility. Call (866) 756-2844 to verify.[1][3] ## Insurance Requirements You may qualify if:[1][4][8] - **Uninsured**: No prescription or health coverage. - **Underinsured/Functionally uninsured**: Insurance denies coverage, high copays (e.g., Medicare Part D over $2,100 out-of-pocket cap), or coverage gaps. - **Financial hardship**: Can't afford even with insurance. Medicare patients: Consider Extra Help (LIS) for low copays (<$15/script). Program offers templates for tier exceptions or appeals.[1][8] Commercial/Medicaid: ~90% PAs approved on indication alone.[2] ## Step-by-Step Application Process Applying is **online** via https://www.sklsinavigator.com—quick and electronic.[1] 1. **Visit the website**: Go to https://www.sklsinavigator.com. Sign the **Patient Authorization form** electronically.[1] 2. **Complete PAP Application**: Fill and e-sign the **Patient Assistance Program Application** online.[1] 3. **Write Financial Hardship Letter**: Explain your situation (income, bills, why you can't afford XCOPRI). Use their template if available.[1] 4. **Gather Documents**: Prescription proof, diagnosis confirmation (doctor may help), ID.[1] 5. **Submit**: Electronically or call (866) 756-2844 for help (Mon-Fri, 9am-6pm ET).[1][4] 6. **Doctor Involvement**: HCP may need to provide Letter of Medical Necessity.[1] **Pro tip**: Start with benefits verification—program checks your insurance first.[1][7] ## Timeline and Delivery Processing time varies (not specified), but aim for 2-4 weeks. Once approved, **XCOPRI ships directly to your home** via specialty pharmacy partners like Amazon Pharmacy.[1][4][8] - Urgent needs: Call pharmacy hotline 1-833-742-7675.[4] - Refills: Handled through program/specialty pharmacy with reminders.[2][4] ## Alternatives if Denied - **Appeal**: Use templated Letter of Appeal for insurer denial.[1] - **Trial Offer/Starter**: $0 first month if eligible.[2] - **Specialty Pharmacy**: Home delivery, PA help (1-833-PHARM-SK).[4] - **Extra Help (Medicare)**: Apply via template; reduces copays.[1][8] - **Patient Support**: Mentors via PatientPartner™ for epilepsy tips.[4] - **Other ASMs**: Discuss generics with doctor (XCOPRI copays comparable).[2] If PAP denies, reapply with more docs or explore copay cards (commercial only).[2] ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026.[1][2] Eligibility, terms, and availability can change—**always verify with SK Life Science Navigator at (866) 756-2844 or www.sklsinavigator.com**.[1][3] Not medical advice; consult your healthcare provider before starting XCOPRI. Program not guaranteed; void where prohibited. SK Life Science reserves rights.[1] (Word count: 952)

Program information last verified: March 30, 2026

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