Xopenex HFA

Indicated For

asthma

About This Medication

# Xopenex HFA Patient Guide: How to Get Xopenex HFA at Low or No Cost Xopenex HFA (levalbuterol tartrate) is a rescue inhaler used to treat or prevent bronchospasm in adults, adolescents, and children 4 years and older with reversible obstructive airway disease, such as asthma.[1][4] This guide explains patient assistance options, primarily through the **Patient Access Network Foundation (PAN)** copay program and manufacturer savings cards from **Lupin Pharmaceuticals**, to help reduce costs for eligible patients.[2][9] ## About Xopenex HFA **Xopenex HFA** is a short-acting beta2-adrenergic agonist bronchodilator delivered via an inhaler. It works quickly by relaxing muscles around the airways, relieving symptoms like wheezing, coughing, shortness of breath, and chest tightness during asthma attacks or bronchospasm.[1][4] Unlike long-term controller medications, it's a **rescue inhaler** for immediate relief, not a substitute for corticosteroids or maintenance therapy.[3][4] Each canister provides **200 inhalations**, with a **dose indicator** showing remaining sprays—turn red when about 20 are left, signaling time for a refill.[1] Common side effects include dizziness, nervousness, tremors, fast heart rate, sore throat, and runny nose. Report serious issues to your doctor or FDA at 1-800-FDA-1088 or Lupin at 1-800-399-2561.[1] Always follow your doctor's instructions, prime the inhaler before first use (shake and spray 4 times away from face), and clean the actuator regularly to avoid blockages.[1] ## Who Qualifies for Assistance Assistance for Xopenex HFA targets patients struggling with costs, especially those with insurance. Key programs: - **PAN Foundation Copay Assistance**: For insured patients whose coverage includes Xopenex HFA. Medicare Part D considered case-by-case. Income at or below **400-500% of the Federal Poverty Level (FPL)**, US residency, and appropriate diagnosis required.[2] - **Lupin Copay Savings Card**: Commercially insured patients pay **as little as $25** per fill (up to 12 fills). Not for government insurance like Medicare/Medicaid.[1][6][9] - Other options like Prescription Hope offer it for a flat **$60-70/month**, working alongside insurance.[7] Uninsured or low-income patients may explore general PAPs, but no direct manufacturer free-drug program from Lupin is listed.[5][8] ## Income Eligibility Breakdown PAN uses **400-500% FPL** (call 866-316-7263 for exact current guidelines, as they vary).[2] Here's a sample table for 2026 FPL (estimates; verify with program): | Household Size | 400% FPL | 500% FPL | |----------------|----------|----------| | Individual | $60,240 | $75,300 | | Couple | $81,760 | $102,200 | | Family of 3 | $103,280 | $129,100 | | Family of 4 | $124,800 | $156,000 | *Notes: Add ~$21,520 per additional person for 400% FPL. Assets may factor in. Medicare patients reviewed individually. Table illustrative—contact PAN for precise thresholds.*[2][5] ## Insurance Requirements - **PAN**: **Must have insurance** covering Xopenex HFA. Medicare Part D eligible case-by-case.[2] - **Copay Card**: **Commercial insurance only**; excludes Medicare, Medicaid, etc.[1][9] - No assistance for uninsured via these; consider Extra Help for Medicare (income/assets limits, reduces copays/deductibles) or state programs.[5] ## Step-by-Step Application 1. **Confirm Eligibility**: Check insurance covers Xopenex HFA. Verify income vs. FPL (use PAN pre-screener online).[2] 2. **Choose Program**: - Copay Card: Visit xopenexhfa.com, download card for pharmacy use.[1][9] - PAN: Call **866-316-7263** or apply online at rxhope.com. Patients or doctors can apply.[2] 3. **Gather Documents**: Proof of income (tax return, paystubs), insurance card, prescription, diagnosis proof. PAN may require doctor input.[2] 4. **Submit**: Electronically, phone, or printable form via doctor. PAN ships copay card to pharmacy.[2] 5. **Follow Up**: Note confirmation number; track status online/phone.[2][7] ## Timeline and Delivery - **Copay Card**: Instant at pharmacy.[1] - **PAN**: Approval in days to weeks; copay card sent to pharmacy for immediate use.[2] - **Prescription Hope**: 2-4 weeks for first shipment after approval.[7] Delivery: Cards for pharmacy pickup; no home shipping for meds via these programs.[2] ## Alternatives if Denied - **Extra Help (Medicare)**: Apply via SSA.gov if low-income; covers Part D costs.[5] - **Prescription Hope**: $60/month flat fee, works with insurance.[7] - **GoodRx/Discount Cards**: Pharmacy discounts (not PAP).[5] - **Biosimilars/Generics**: Levalbuterol generics available; check coverage.[5] - **Other PAPs**: Search rxhope.com or partnersforkids.org for inhaler lists.[8] - Talk to doctor about alternatives like albuterol inhalers. ## Reauthorization and Refills PAN: Annual renewal; doctor may need to reconfirm. Copay card valid up to 12 fills.[2][6] Track dose indicator for refills.[1] ## Disclaimer This guide is for informational purposes only, based on available data as of 2026. Programs change; **always verify directly** with PAN (866-316-7263), Lupin, or xopenexhfa.com. Not medical/financial advice. Consult your doctor/pharmacist. Eligibility not guaranteed. FPL examples approximate—use official calculators.[1][2][5]

Program information last verified: March 30, 2026