Xenazine

Indicated For

Chorea associated with Huntington's Disease

About This Medication

# Xenazine Copay Assistance Program Patient Guide: How to Get Xenazine (tetrabenazine) at Low or No Cost Xenazine (tetrabenazine) is a prescription medication used to treat chorea, the involuntary movements associated with Huntington's disease. This guide explains the **Xenazine Copay Assistance Program** from Lundbeck, which helps eligible commercially insured patients reduce their out-of-pocket costs to as low as $10 per 30-day prescription.[1][9] ## About Xenazine and Why Assistance Matters **Xenazine** works by inhibiting the vesicular monoamine transporter 2 (VMAT2), reducing the release of dopamine and other monoamines in the brain. This helps control chorea—sudden, jerky movements that can make daily activities like eating, dressing, or walking challenging for people with Huntington's disease, a progressive neurological condition.[3][6] Huntington's disease affects nerve cells in the brain, leading to loss of control over thoughts, emotions, and movements. Xenazine does not cure the disease but significantly improves quality of life by minimizing these disruptive movements.[6] Dosing starts low (typically 12.5 mg once or twice daily) and is titrated up to a maximum of 100 mg/day, split into 2-3 doses, based on tolerance and response. Always follow your doctor's instructions, as side effects like depression, sedation, or parkinsonism can occur—monitor closely and report any worsening mood or suicidal thoughts immediately.[3][5] The cost of Xenazine without assistance can be high, often depending on insurance, pharmacy choice, and supply length (30-day vs. 90-day). A 90-day supply may lower costs further if approved by your insurer.[4] That's where the Copay Assistance Program comes in, making treatment more accessible. ## Who Qualifies for the Program? This program targets **commercially insured patients** (private insurance, not government programs). Key eligibility criteria include:[1][9] - Age 17 or older (some sources specify 18+).[1][9] - Valid prescription for Xenazine. - Insurance covers Xenazine but does not fully reimburse the cost (you're responsible for some copay or coinsurance). - U.S. resident (including Puerto Rico).[9] - Not enrolled in Medicare, Medicaid, Medigap, VA, DOD, TRICARE, or any federal/state healthcare program.[1] - Willing to pay a minimum $10 copay per 30-day fill. **Important exclusions:** Self-pay patients or those fully reimbursed by insurance do not qualify. Government-insured patients should explore other options like state programs or NeedyMeds.[1][4] ## Income Eligibility Breakdown The Xenazine Copay Assistance Program is **not income-based**. It's designed for commercially insured patients regardless of household income, as long as other criteria are met. There are no Federal Poverty Level (FPL) thresholds or financial documentation requirements.[1][9] However, Lundbeck offers a separate patient assistance program for uninsured or underinsured patients with limited resources (e.g., for migraine therapies, but inquire for Huntington's options).[2] | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | None | Not income-based; commercial insurance required.[9] | | Couple | None | Focus on copay reduction.[1] | | Family of 3 | None | Maximum 12 fills/year.[9] | | Family of 4 | None | Caps apply after benefit limit.[1] | If you're uninsured, contact Lundbeck at 877-288-9125 for potential alternatives.[2] ## Insurance Requirements **Commercial insurance is mandatory** and must provide **partial coverage** for Xenazine. Full coverage (zero out-of-pocket) disqualifies you. Government programs like Medicare Part D exclude you—patients on these may need prior authorizations or other aids.[1][9] QuickRx Specialty Pharmacy offers additional copay help for movement disorders if your insurer pays a portion.[6] Check your benefits: Confirm Xenazine coverage, copay amount, and 90-day supply options with your insurer or pharmacist.[4] ## Step-by-Step Application Process 1. **Get a Prescription:** Ask your doctor for Xenazine and discuss dosing. They complete the **Xenazine Treatment Form**.[1][9] 2. **Physician Submits Form:** Doctor faxes the form to 1-866-341-5601. The program verifies your insurance benefits and enrolls you immediately if eligible.[9] 3. **Pharmacy Activation:** At the pharmacy, provide your enrollment info. For claim issues, call LoyaltyScript at 1-800-657-7613 (Mon-Fri, 8 AM-8 PM ET).[9] 4. **Alternative Enrollment:** Call 888-882-6013 or visit the Xenazine website for details.[4] 5. **Receive Medication:** Pay $10 (minimum) per 30-day fill. Program covers the rest up to the cap.[1][9] No separate patient application needed—your doctor handles most steps. ## Timeline and Delivery - **Processing:** Immediate enrollment after benefit verification (often same day).[9] - **Fills:** Up to 12 per year; each 30-day supply ready at pharmacy.[9] - **Delivery:** Standard pharmacy pickup. Some specialty pharmacies like QuickRx may ship; call (800) 496-6111 to confirm.[6] - **Refills:** Automatic with valid prescription; program tracks usage. Expect your first fill within days of doctor submission. ## Alternatives if Denied or Ineligible - **Uninsured/Low-Income:** Lundbeck's general assistance (877-288-9125); verify financial docs needed.[2] - **Government Insurance:** Medicine Assistance Tool, NeedyMeds, or state programs.[4] - **High Copays:** QuickRx Movement Disorder Program (800-496-6111) partners with foundations.[6] - **Generic Tetrabenazine:** Cheaper option; covered for Huntington's chorea (12-month authorizations possible).[7] - **90-Day Supply:** Reduces trips/costs if insurer approves.[4] - **Other VMAT2 Inhibitors:** Discuss deuterabenazine (Austedo) with your doctor. ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, terms, and benefits can change—always verify with Lundbeck or 888-882-6013. Not a substitute for medical advice. Consult your doctor for treatment decisions. Program not valid where prohibited by law. Lundbeck reserves rights to modify/amend.[1][9]

Program information last verified: March 30, 2026