Zubsolv

Indicated For

opioid addiction, opioid use disorder

About This Medication

# Zubsolv Patient Assistance Program: How to Get Buprenorphine/Naloxone at Low or No Cost ## About This Program The **Zubsolv Patient Assistance Program (PAP)** is designed to help uninsured or underinsured patients access Zubsolv (buprenorphine/naloxone) at no cost. Administered by NeedyMeds, a registered charitable organization, this program provides monthly supplies of Zubsolv directly to eligible patients prescribed by qualified physicians for opioid dependence treatment. ## What Is Zubsolv? Zubsolv is a prescription medication used to treat opioid addiction in adults as part of a comprehensive treatment program that includes counseling and behavioral therapy. The medication combines buprenorphine and naloxone in sublingual tablet form to help manage opioid dependence safely and effectively. ## Who Qualifies for This Program? To be eligible for the Zubsolv Patient Assistance Program, you must meet all of the following criteria: - Be at least 18 years old - Have a valid prescription for Zubsolv 5.7mg/1.4mg sublingual tablets from a qualified physician with a DEA "X" number for opioid dependence maintenance treatment - Have a household income at or below 300% of the federal poverty level - Have no other insurance coverage that pays for Zubsolv prescriptions (with limited exceptions for Medicare Part D) - Be a U.S. citizen or legal resident - Be accepted as one of the 1,000 eligible patients currently enrolled (additional eligible patients are placed on a waiting list) ## Income Eligibility Breakdown Your household income must not exceed 300% of the federal poverty level. The following table shows approximate income limits for 2026: | Household Size | 300% of Federal Poverty Level | |---|---| | 1 person | ~$42,000 | | 2 people | ~$56,000 | | 3 people | ~$70,000 | | 4 people | ~$84,000 | | Each additional person | ~$14,000 | *Note: These figures are approximate and based on federal poverty guidelines. Verify current limits by contacting the program.* ## Insurance Requirements You are eligible for this program if: - You have **no insurance coverage** that reimburses for Zubsolv, OR - You have **Medicare Part D** but it does not cover your Zubsolv prescription If you have private or commercial insurance that covers Zubsolv, you are not eligible for this patient assistance program. However, you may qualify for the ZUBSOLV Savings Program copay card, which can reduce your out-of-pocket costs to as little as $10 per prescription. ## Step-by-Step Application Process ### Step 1: Gather Required Documents Before starting your application, collect the following: - **Proof of income**: Recent pay stubs, tax returns, Social Security statements, or unemployment benefits documentation - **Proof of residency**: Utility bill, lease agreement, or government-issued ID showing your current address - **Valid prescription**: Your Zubsolv prescription from your physician - **Photo identification**: Copy of your driver's license or state-issued photo ID - **Insurance information**: Documentation showing you have no coverage for Zubsolv (or Medicare Part D documentation if applicable) ### Step 2: Obtain the Application You can access the application through: - **NeedyMeds website**: Visit www.NeedyMeds.org and search for the Zubsolv Patient Assistance Program application - **Phone**: Call 1-888-236-4167 to request an application be mailed to you - **Your healthcare provider**: Ask your prescribing physician's office for assistance obtaining the application ### Step 3: Complete Your Application Fill out all sections of the application form with accurate information: - **Page 1**: Personal information including your name, address, phone number, and email - **Eligibility section**: Confirm your residency status and provide your total annual household income - **Medical section**: List any current medications and allergies - **Signature**: Sign and date the application ### Step 4: Have Your Prescriber Complete the Form Provide your completed application to your prescribing physician. They must: - Complete page 3 of the application - Provide their signature - Confirm your Zubsolv prescription details - Include their DEA "X" number ### Step 5: Submit Your Application Submit your completed application with all supporting documents by: - **Mailing**: Send to the address provided on the application form - **Faxing**: Fax to the number listed on the application Double-check that all required sections are completed and all documents are attached before submitting. ## Timeline and Medication Delivery **Processing time**: While specific processing timelines are not publicly stated, you should expect to wait several weeks for a response after submitting your application. **Approval notification**: NeedyMeds will contact you once your application is reviewed and approved. **Medication delivery**: Once approved, Zubsolv is dispensed directly to your home via a licensed mail-order pharmacy. Your first order is typically delivered within 2-4 weeks of final approval. **Ongoing refills**: After your initial delivery, the program manages monthly refills and deliveries automatically. ## Reauthorization Requirements Your eligibility must be verified every six months. You will be contacted by the program when reauthorization is needed. You must provide updated documentation to confirm that you still meet all eligibility criteria, including current income verification. ## Program Capacity and Waiting List The Zubsolv Patient Assistance Program can enroll up to 1,000 eligible patients at any one time. If the program has reached capacity when you apply, you will be placed on a waiting list. As patients complete treatment or move off the program, additional eligible patients from the waiting list are enrolled. ## What If Your Application Is Denied? If you are denied enrollment, consider these alternatives: - **ZUBSOLV Savings Program copay card**: If you have insurance, you may qualify for the copay card, which reduces your cost to as little as $10 per prescription with up to $225 off each fill - **Prescription Hope**: This organization helps patients find and enroll in manufacturer assistance programs within 48 hours - **State and local resources**: Contact your state health department or local community health centers for additional assistance programs - **Reapply**: If your circumstances change (income decreases, insurance coverage ends), you may reapply to the program ## Important Reminders - Zubsolv is part of a complete treatment program that includes counseling and behavioral therapy—medication alone is not sufficient treatment - Inform your healthcare provider about all medical conditions, medications, and allergies before starting Zubsolv - The program administrator, Orexo US, Inc., reserves the right to rescind, revoke, or amend the program at any time - Program terms and conditions apply ## Contact Information **Zubsolv Patient Assistance Program** - **Phone**: 1-888-236-4167 (toll-free) - **Website**: www.NeedyMeds.org - **Administrator**: NeedyMeds (registered charitable organization) **ZUBSOLV Savings Program (copay card alternative)** - **Phone**: 1-877-264-2440 (toll-free) ## Disclaimer This guide provides general information about the Zubsolv Patient Assistance Program based on publicly available information. Program eligibility, requirements, and benefits may change at any time. For the most current and complete information, contact the program directly at 1-888-236-4167 or visit www.NeedyMeds.org. This information is not medical advice. Always consult with your healthcare provider about your treatment options and eligibility for assistance programs.

Program information last verified: March 30, 2026