How do I get EPIDIOLEX?
From talking with your doctor to understanding financial support and receiving your medication, here's what to expect along the way.
at age 7 | living with LGS
How to talk to your doctor about EPIDIOLEX
Use the Appointment Preparation Tool to feel confident going into your next appointment. It’s important to check in with your doctor to make sure your current treatment plan is meeting your needs and helping you reach your goals. Answer these questions to start the conversation with your doctor at your next appointment. You’ll be able to email yourself your responses and download them to use for discussion at your upcoming appointment.
How to prepare for your doctor's appointment
With the right preparation, asking your doctor about EPIDIOLEX can be an effective conversation. Greg is in the office with Dr. Labiner, an epilepsy specialist, to help you plan ahead.
A caregiver's advice when considering changing treatment
Considering changing your loved one's treatment? Carmen's been there too. And now she's here for you. Find out how she advocated for her son, Corey, and how you can do the same for your loved one.
How the copay savings program works
The EPIDIOLEX® Copay Savings Program
The copay savings program is designed to help make EPIDIOLEX affordable and accessible for eligible commercially insured patients.*
*Eligibility criteria:
- A legal resident of the United States or Puerto Rico
- Commercially insured (patients are not eligible for this program if they are receiving prescription reimbursement for EPIDIOLEX under Medicare Part D, Medicaid, Medigap, VA/DoD [TRICARE] programs, the Indian Health Service, or any other federal or state-funded healthcare program, or where prohibited by law)
This offer is subject to change or discontinuation at any time without notice. Other restrictions, including monthly and/or annual maximum limits, may apply.
See below for full terms and conditions.† No enrollment is required. Eligibility is assessed as part of the standard benefit investigation process performed by the pharmacy. Any copay benefit will be automatically deducted from the patient’s copay. The copay savings program is not prescription coverage or insurance. Patients cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this program.
For more information about paying for your medicine, call 1-833-426-4243. Customer service associates are available Monday through Friday, 8:00 AM – 8:00 PM ET (excluding holidays).
Eligible patients may pay as low as $0 per EPIDIOLEX prescription. Monthly and/or annual maximum limits may apply. The copay savings program is only available for residents of the United States or Puerto Rico with a domestic mailing address (no P.O. boxes) who have commercial insurance coverage with out-of-pocket expenses, including copayments, co-insurance, and deductibles. The copay savings program is not valid for beneficiaries of Medicare, Medicaid, VA/DoD (TRICARE) programs, the Indian Health Service or other federal or state healthcare programs, if patient pays for prescription in cash or if patient chooses not to use their insurance coverage. The copay savings program requires a valid, signed prescription for EPIDIOLEX. The pharmacy will bill patient’s insurance for the portion that patient’s insurance plan has agreed to cover. The copay savings program is not health insurance. The pharmacy, patient, or prescriber cannot submit a claim for reimbursement under any federal, state, or other governmental programs or to any third party for any part of the benefit received by the patient through the copay savings program. By using this offer, patients or their representative certify that they will comply with any terms of their health insurance contract requiring notification to their payer of the existence and/or value of this offer. The copay savings program may not be used with any other coupon, discount, prescription savings card, free trial, or other offer. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is non-transferable. This offer is void where prohibited by law. No purchase necessary. Copay savings program benefits may not be applied retroactively. If patient’s insurance changes, the pharmacy must be notified immediately. Based on patient’s insurance change, patient may no longer be able to participate in the copay savings program. Jazz Pharmaceuticals reserves the right to terminate or modify this program at any time and without notice and in its sole discretion. In administering the copay savings program, Jazz Pharmaceuticals will process patient’s personal information in accordance with Jazz Pharmaceuticals’ Privacy Policy, which can be found at www.jazzcares.com
How EPIDIOLEX gets delivered to you
From prescription to your doorstep in 3 steps
Now that you’ve been prescribed EPIDIOLEX, you’re probably eager to get started. Here’s what comes next:
Step 1
Your doctor sends the prescription to a specialty pharmacy
Your doctor and staff will submit your prescription. It will be sent to the specialty pharmacy that works with your insurance to determine coverage.
Step 2
Expect a call from the specialty pharmacy confirming your insurance information
You will probably get a call from the pharmacy (look out for a 1-800 number or a local number).
You may not recognize the phone number but it’s important to answer the phone when the pharmacy calls to avoid delays with your EPIDIOLEX shipment.
Be sure to have your insurance and prescription information handy when the pharmacy calls.
You can also talk to your specialty pharmacy about the best way to communicate (phone, email, or text)
Step 3
The prescription is delivered to your door
Once your insurance coverage is confirmed, the prescription will be filled and the medicine will be shipped directly to your home.
The aim is to get your prescription filled and delivered to you as quickly as possible, but this may take some time.
Specialty pharmacies have expertise in preparing and filling medicines like EPIDIOLEX. They fill FDA-approved prescriptions just as traditional pharmacies do. Certain specialty pharmacies can ship your medicine to a local store for pickup. If you are interested in this option, talk to your specialty pharmacy to find out more.
Get personalized support
Your dedicated JazzCares® Nurse Navigator will be available to answer questions, offer guidance, and help you handle the details when taking EPIDIOLEX.
Your easy guide to EPIDIOLEX
Everything you need to know to get started on treatment.
