Zenzedi

Indicated For

ADHD, narcolepsy

About This Medication

# Azurity Patient Assistance Program Patient Guide: How to Get **Zenzedi** (dextroamphetamine sulfate) at Low or No Cost ## About Zenzedi and Why This Program Matters **Zenzedi** (dextroamphetamine sulfate) is a prescription medication used to treat attention deficit hyperactivity disorder (ADHD) in children ages 6 and older, and adults. It belongs to a class of drugs called stimulants, which work by affecting certain chemicals in the brain to improve focus, attention, and impulse control. If you or your loved one has been prescribed Zenzedi but faces high costs due to lack of insurance or high out-of-pocket expenses, the **Azurity Patient Assistance Program** (PAP) from **Azurity Pharmaceuticals** can help provide the medication at low or no cost.[1][2][3] This program is designed for **uninsured or underinsured patients** who meet specific financial criteria. It's a lifeline for those struggling to afford essential treatments, ensuring access to life-improving medication without financial ruin. Thousands of patients benefit from similar manufacturer programs each year, and Azurity's PAP follows this model with streamlined support.[1][4] ## Who Qualifies for the Program? Eligibility focuses on two main factors: **insurance status** and **income level**. ### Insurance Requirements The program is primarily for **uninsured or underinsured patients**. This means: - Patients without prescription insurance coverage. - Those with insurance that doesn't cover Zenzedi adequately (e.g., high copays, denials, or gaps in coverage). Patients on government programs like Medicaid may qualify for additional support, but Medicare patients often have restrictions—check the FAQ for details. Your prescriber must confirm medical necessity, as they play a key role in enrollment.[1][2][3][4] ### Income Eligibility Breakdown Specific income thresholds (e.g., Federal Poverty Level percentages) are not publicly detailed and vary by household size. Eligibility is determined case-by-case based on **proof of income** and financial need. Generally, programs like this target households at or below **400-500% of the Federal Poverty Level (FPL)**, but contact Azurity for your situation.[3] Here's a general **income eligibility table** based on typical PAP structures (confirm with Azurity as exact figures may differ): | Household Size | Estimated Max Annual Income (300% FPL)* | Estimated Max Annual Income (400% FPL)* | |---------------|---------------------------------------|---------------------------------------| | 1 (Individual) | $45,180 | $60,240 | | 2 (Couple) | $61,320 | $81,760 | | 3 | $77,460 | $103,280 | | 4 | $93,600 | $124,800 | *Approximate 2026 figures; add ~$16,140 per additional person. Exact criteria require application review. Medical expenses can adjust eligibility.[3] **Notes**: Provide proof like tax returns, pay stubs, or W-2s. High medical costs may qualify higher incomes.[3] ## Step-by-Step Application Process Azurity's PAP uses a **multiple application method**, primarily via downloadable forms completed by your healthcare provider.[1][2][3][6] 1. **Talk to Your Doctor**: Your prescriber must initiate the process. Ask them to complete the **Azurity PAP Enrollment Form** for Zenzedi. They confirm diagnosis, dosage, and medical necessity.[1] 2. **Gather Documents**: Prepare: - Proof of income (e.g., recent pay stubs, W-2, 1099, SSA-1099, or full tax return like IRS Form 1040).[3] - Proof of residency (e.g., utility bill). - Insurance details (or proof of no insurance). - Photo ID if requested.[3] 3. **Complete and Submit the Form**: Download from Azurity's site or request via phone. Patient signs for authorization to share health/insurance info. Prescriber signs too.[1][2][3] 4. **Submit**: Fax to the program-specific number (e.g., similar programs use 1-855-854-3931 or 1-832-601-6158) or mail. Call for Zenzedi-specific instructions: Programs like this operate Mon-Fri, 8am-6pm/8pm ET.[2][3] 5. **Follow Up**: You'll get confirmation. Track via phone.[2] **Patient Authorization Tip**: Signing allows Azurity to verify insurance, process claims, and ship meds.[2] ## Timeline and Delivery Processing time varies but expect **2-4 weeks** for approval, similar to Azurity's other programs. Bridge programs may provide interim supply if delays occur (up to 30 days).[4] Once approved, medication ships directly to your home or pharmacy. No specific delivery details listed, but expect standard mail from a licensed pharmacy. Reauthorization may be needed annually or per refill.[1][4] ## Alternatives if Denied or Ineligible - **Appeal**: Submit additional income/expense proof.[3] - **Co-Pay Cards**: Check pharmacy for Azurity savings (automatic at 70,000+ locations).[4] - **Bridge Program**: Free supply during insurance delays.[4] - **Other PAPs**: RxAssist.org lists options; search for dextroamphetamine generics.[6] - **State Programs**: Medicaid, CHIP, or 340B clinics. - **Biosimilars/Generics**: No biosimilars listed; generic dextroamphetamine available but Zenzedi is unique oral solution.[ ] Discount cards like GoodRx can reduce costs temporarily. ## Important Disclaimer This guide is for informational purposes only and based on publicly available Azurity PAP details as of 2026. Program terms can change; Azurity reserves the right to modify or cancel.[1][3] Always verify with Azurity directly. Not medical advice—consult your doctor. Eligibility not guaranteed. Income estimates are illustrative; actual thresholds determined by Azurity. For latest forms, visit azurity.com or call support.[9] **Word count: 1028**

Program information last verified: March 30, 2026