XCOPRI

Indicated For

partial-onset seizures, epilepsy

About This Medication

# SK Life Science Navigator Patient Assistance Program Guide: How to Get XCOPRI at Low or No Cost ## About This Program The SK Life Science Navigator Patient Assistance Program is a free program designed to help eligible patients access XCOPRI (cenobamate) without financial hardship. XCOPRI is an anti-seizure medication used to treat partial-onset seizures in people with epilepsy. If you're struggling to afford this medication, this program may be able to help you get it at little to no cost. ## About XCOPRI XCOPRI (cenobamate) is a prescription anti-seizure medication prescribed to help control partial-onset seizures in people with epilepsy. Seizures can significantly impact your quality of life, and having access to your prescribed treatment is essential for managing your condition effectively. ## Who Can Apply? You may be eligible for the SK Life Science Navigator Program if you meet ANY of the following criteria: - **Uninsured**: You have no health insurance coverage - **Functionally Uninsured**: Your insurance does not cover XCOPRI or your coverage is so limited it's not practically useful - **Underinsured**: Your insurance coverage requires you to pay a very high out-of-pocket cost (high deductibles, copayments, or coinsurance) - **Financial Hardship**: Even with insurance, you cannot afford your medication due to financial difficulties ## Income Eligibility The program considers your household income, but exact income limits vary based on individual circumstances and household size. Income alone does not disqualify you—the program also evaluates your overall financial situation. As a general reference, here are typical income guidelines for many patient assistance programs: | Household Size | Approximate Maximum Income | |---|---| | 1 person | $24,860 | | 2 people | $33,610 | | 3 people | $42,360 | | 4 people | $51,110 | | 5 people | $59,860 | | 6 people | $68,610 | | 7 people | $77,360 | | 8+ people | Contact program | **Note**: These are estimates. Your actual eligibility may vary. Income thresholds are flexible, and financial hardship is the primary consideration. Contact the program to discuss your specific situation. ## Required Documents To apply, you'll need to gather the following: 1. **Enrollment Form** - Provided by the program; collects basic demographic information 2. **PAP Application Form** - The official program application form 3. **Financial Hardship Letter** - A brief letter (1-2 pages) explaining your financial situation and why you need assistance paying for XCOPRI 4. **Proof of Income** (typically required): - Recent tax returns, pay stubs, or Social Security statements - Proof of unemployment benefits if applicable 5. **Prescription Information** - Copy of your XCOPRI prescription from your doctor ## How to Apply: Step-by-Step Instructions ### Step 1: Gather Your Information Before starting, collect all required documents listed above. Have your insurance information handy (if applicable), even if you're applying as uninsured. ### Step 2: Choose Your Application Method The SK Life Science Navigator Program offers multiple ways to apply: - **Online**: Visit https://www.sklsinavigator.com to apply directly through their website - **Phone**: Call (866) 756-2844 to speak with a program representative who can guide you through the application - **Mail/Fax**: Complete forms and fax to (877) 436-4188, or mail to the address provided by the program ### Step 3: Complete the Application Fill out all required forms completely and accurately: - **Enrollment Form**: Personal information, contact details - **PAP Application Form**: Insurance status, medication information, prescriber details - **Financial Hardship Letter**: Write a brief statement about your financial situation. Example: > "I am writing to request assistance from the SK Life Science Navigator Program for XCOPRI. Due to [job loss/medical expenses/fixed income], I am unable to afford my medication. This medication is essential for managing my epilepsy and improving my quality of life. I would greatly appreciate your assistance." ### Step 4: Submit Your Application Send your completed forms using your chosen method: - **Online**: Submit through the website portal - **Phone**: Follow the representative's instructions - **Fax**: Send to (877) 436-4188 - **Mail**: Contact the program for the mailing address ### Step 5: Wait for Approval The program will review your application and determine your eligibility. Your healthcare provider will be notified once eligibility is determined. The program will provide updates on your application status. ### Step 6: Receive Your Medication Once approved, your medication will be shipped directly to you or your designated address. You should not have to pay out-of-pocket, though some programs may request a small processing fee. ## Timeline and What to Expect - **Application Review**: Processing time varies; contact the program for current timelines - **Notification**: Your healthcare provider will be notified once your eligibility is determined - **Delivery**: Your medication will be shipped directly to you - **Reauthorization**: Contact the program for information about how often you'll need to reapply ## Additional Resources: Savings Card Even if you don't qualify for the patient assistance program or are waiting for approval, check if you're eligible for the XCOPRI Savings Card, which may reduce your out-of-pocket costs. Visit the manufacturer website at https://www.sklsinavigator.com for current savings card information. ## What If Your Application Is Denied? If you're denied, you have options: 1. **Request a Review**: Ask the program to reconsider if your circumstances have changed 2. **Reapply Later**: If your financial situation changes, you can reapply 3. **Explore Alternatives**: - Ask your doctor about generic alternatives or other seizure medications - Contact your state Medicaid program - Visit NeedyMeds.org for additional resources - Ask your healthcare provider about samples or other assistance programs - Contact local patient advocacy organizations for epilepsy support ## Frequently Asked Questions For the most current information, visit https://www.sklsinavigator.com or call (866) 756-2844. ## Important Legal Disclaimer This guide is for informational purposes only and not a substitute for official program information. Program eligibility, requirements, and benefits may change at any time. Always verify current information directly with SK Life Science Inc. by visiting https://www.sklsinavigator.com or calling (866) 756-2844. This guide does not guarantee program eligibility or enrollment. Application does not guarantee approval. If you have questions about XCOPRI or your epilepsy treatment, please consult with your healthcare provider. --- **Need Help?** Contact the SK Life Science Navigator Program: - **Phone**: (866) 756-2844 - **Fax**: (877) 436-4188 - **Website**: https://www.sklsinavigator.com We're here to help you access the treatment you need.

Program information last verified: March 25, 2026