Xifaxan

Indicated For

Irritable Bowel Syndrome with Diarrhea (IBS-D), Overt Hepatic Encephalopathy (OHE)

About This Medication

# Bausch Health Patient Assistance Program Patient Guide: How to Get Xifaxan at Low or No Cost Xifaxan (rifaximin) is a prescription antibiotic used to treat conditions like irritable bowel syndrome with diarrhea (IBS-D) and traveler's diarrhea, as well as to reduce the risk of overt hepatic encephalopathy recurrence in adults with liver disease. The **Bausch Health Patient Assistance Program (PAP)** helps **uninsured or underinsured U.S. residents** get Xifaxan at no cost if they meet specific eligibility rules, including income limits at **300% of the Federal Poverty Level (FPL)**.[1][2] This guide explains everything you need to know in simple terms, from checking if you qualify to applying and what to do next. It's based on official program details from Bausch Health.[1][2][3] ## Who Qualifies for the Program? The program is for people struggling to afford their medication. You may qualify if you: - Are a **legal U.S. resident** (proof like Social Security number or residency documents may be needed).[1][3] - Have a **valid prescription** for Xifaxan from a licensed U.S. healthcare provider.[1] - Are **uninsured or underinsured**—meaning no coverage or insufficient coverage for Xifaxan.[1][2] - Are treated as an **outpatient** (not in the hospital).[1] - Meet **household income limits** (up to 300% FPL; excludes child support, alimony, food stamps).[1][2] - For Medicaid patients: Provide proof of Medicaid denial or that your plan doesn't cover Xifaxan.[1] **Important:** All applications are reviewed case-by-case. There's no cost to apply.[1] ## About Xifaxan (Rifaximin) **Xifaxan** is an oral tablet that works in the gut without being absorbed much into the bloodstream, reducing bacteria causing gut issues. Common uses: - **IBS-D**: Relieves diarrhea and pain in adults. - **Hepatic encephalopathy**: Prevents brain-related symptoms from liver problems. - **Traveler's diarrhea**: Caused by noninvasive E. coli (not for bloody stools or fever).[4] Take as prescribed—usually 550 mg three times daily for 2 weeks for IBS-D, or 14 days for hepatic encephalopathy. Side effects can include nausea, stomach pain, or dizziness. Always discuss with your doctor. This program provides the medication free if approved, helping you stick to treatment without high costs (Xifaxan can retail over $2,000 per course).[2] ## Income Eligibility Breakdown Income must be **≤300% of the Federal Poverty Level (FPL)** based on household size. Use your **total annual household income** before taxes, excluding alimony, child support, and food stamps. Check 'no income' if applicable.[1][2] Here's a table with 2026 FPL estimates (FPL updates yearly; confirm current at healthcare.gov): | Household Size | 100% FPL | 300% FPL Limit | |---------------|----------|----------------| | 1 | $15,060 | $45,180 | | 2 | $20,440 | $61,320 | | 3 | $25,820 | $77,460 | | 4 | $31,200 | $93,600 | | +1 person | +$5,380 | +$16,140 | **Example:** A single person earning $40,000/year qualifies; $50,000 does not.[2] Provide **proof of income** like tax returns, pay stubs, or W-2s.[1] ## Insurance Requirements You must be **uninsured for Xifaxan** or underinsured (e.g., high copays/deductibles). Attach copies of insurance cards (front/back) and a **pharmacy statement** showing your out-of-pocket (OOP) cost—**required or application is incomplete**.[1] Medicare patients may qualify if no coverage for Xifaxan, but Medicaid has special rules (use Medicaid-only form).[1][3] ## Step-by-Step Application Process 1. **Talk to your doctor:** Get a valid prescription for Xifaxan and ask them to help with the form.[1] 2. **Download the form:** Visit BauschHealthPAP.com or prescriberpoint.com for the application (all-other-patients or Medicaid version).[1][2] 3. **Fill out your sections:** Page 2 (patient/insurance info), sign authorization (page 3), note pharmacy OOP.[1] 4. **Doctor completes:** Pages 4-6, including product selection, prescription (electronic/stamped OK, except controlled substances), and signature.[1] 5. **Gather documents:** Proof of income, insurance cards (front/back), pharmacy OOP statement. **No medical records needed**.[1] 6. **Submit:** - **Fax:** 1-844-705-0160[1][3] - **Mail:** Bausch Health PAP, P.O. Box 991624, Louisville, KY 40269[1][3] - **Phone (Medicaid only):** 1-833-862-8727 (8 AM-5 PM ET)[2][3] - Online option via some sites after eligibility quiz.[2] Your doctor or caregiver can assist, but **you must sign** (or verbal attestation by phone if unable).[3] ## Timeline and Delivery Processing time isn't specified—call 1-833-862-8727 for status. If approved, medication ships **free to your doctor's office or home**.[1][2] Have info ready: name, address, SSN/residency proof, insurance, product details.[3] ## Alternatives if Denied - **Appeal:** Contact program at 1-833-862-8727 with more info.[3] - **Other programs:** Check RxAssist.org, NeedyMeds.org, or Partnership for Prescription Assistance.[4] - **Generic rifaximin:** None available yet; no biosimilars.[ ] - **Doctor samples** or low-income clinics. - **State programs** or manufacturer copay cards (if insured).[2] ## Disclaimer This guide is for informational purposes only and based on available program details as of 2026. Eligibility, rules, and FPL can change—always verify at BauschHealthPAP.com or by calling 1-833-862-8727. Not medical advice; consult your healthcare provider. Bausch Health reserves rights to modify/discontinue the program. Applications reviewed case-by-case; approval not guaranteed.[1][3]

Program information last verified: March 25, 2026