Eisai Assistance Program

The Eisai Assistance Program can provide information to patients and healthcare professionals about coverage for BELVIQ® or BELVIQ XR® and programs to help patients afford their medication.  Depending on your financial situation and clinical status, resources may be available to help with your costs for BELVIQ®.

The Eisai Assistance Program can also provide information about the Patient Assistance Program for BELVIQ® which provides support to customers who need assistance paying for BELVIQ®. This program provides BELVIQ® at no cost to financially needy patients who meet program eligibility criteria. BELVIQ XR® is not available through the Patient Assistance Program at this time.

Contact Us

Eisai Assistance Program
Phone: 1-866-61- EISAI (1-866-613-4724)
Fax: 1-866-57-EISAI (1-866-573-4724)
Monday – Friday, 8 am – 8 pm ET

2 EASY WAYS TO SAVE MONEY* ON BELVIQ® and BELVIQ XR®:

1.  If your commercial insurance covers BELVIQ® or BELVIQ XR®, simply use the card to Save Up to $160 on every 30 day supply.**
2.  If you don’t have commercial coverage for BELVIQ® or BELVIQ XR®, or if you pay cash for your prescription or have Medicare Part D, we can help! Use the card to Save Up to $185 on every 30 day supply**

Get your savings card by clicking here.  If you have any questions about the program rules or require additional information, please call 1-855-BELVIQ1 (tel: 1-855-235-8471) (8:00AM - 11:00 PM ET Monday - Friday)

* Not available to patients who are eligible for state or federal healthcare programs. Please refer to complete Restrictions and Conditions of Use below.

**Out of Pocket Costs, for saving card users, on average for Commercial coverage are ≤ $35 or less. If you have not reached your plan deductible, out of pocket costs may be higher. For Cash pay, average out of pocket costs are ≤ $95 based on McKesson Cost/Coverage data 2015.

Restrictions and Conditions of Use

  • Good toward the purchase of prescriptions for BELVIQ® (lorcaserin HCI) CIV or BELVIQ XR® (lorcaserin HCI) CIV for up to 12 uses per year. Limited to 1 prescription per patient for any 30-day period. Eisai Inc. will contribute no more than $160 per Commercially Insured, covered prescription and no more than $185 per Cash, Medicare D insured, or commercially insured, not covered prescriptions. Save the card to reuse each month up to the expiration date. No substitutions permitted.
  • Must be 18 years of age or older.
  • Not available to individuals eligible for federal healthcare programs that cover prescription drugs, including Medicare, Medicaid, MediGap, VA, DOD, TRICARE, or any similar state or federal healthcare programs. However, Medicare Part D patients may use this card if paying the full cash price for a prescription covered by this card and no claim is submitted to Medicare or any other federal, state, or other governmental program. Out-of-pocket expenses incurred using this card cannot be applied towards Medicare Part D true out-of-pocket (TrOOP) expenses.
  • Not valid for prescriptions for BELVIQ or BELVIQ XR reimbursed in full by any third-party payer.
  • Patients and pharmacies are responsible for disclosing to insurance carriers the redemption and value of the card and complying with any other conditions imposed by insurance carriers or third-party payers.
  • May not be combined with any other coupon, discount, prescription savings card, free trial, or other offer.
  • The value of this card is not contingent on any prior or future purchases. The card is solely intended to provide savings on any purchase of BELVIQ or BELVIQ XR. Use of the card for any single purchase does not obligate the patient to make future purchases of BELVIQ or BELVIQ XR or any other product.
  • Void outside the USA and where prohibited by law.
  • This card expires 03/31/2018
  • Federal law prohibits the selling, purchasing, trading, or counterfeiting of this savings card; such activities may result in imprisonment of 10 years, fines of $250,000, or both.
  • Eisai Inc. reserves the right to rescind, revoke, or amend this offer without notice at any time.
  • Other restrictions apply.

If you have any questions about the program rules or require additional information, please call 1-855-BELVIQ1 (1-855-235-8471).

Patient Assistance Program for BELVIQ®

Eisai has created the Assistance Program for BELVIQ® for customers who need assistance paying for BELVIQ®. This program provides BELVIQ® at low cost to financially needy patients who meet program eligibility criteria. Patients can call the Patient Assistance Program for BELVIQ® at 1-866-61-EISAI (1-866-613-4724) to determine eligibility. The hours of operation are Monday through Friday, 8am to 8pm ET. BELVIQ XR® is not available through the Patient Assistance Program at this time.

Eisai reserves the right, at its sole discretion, to discontinue the Patient Assistance Program or change the qualifications at any time. All patient information remains confidential. Product supply for the program depends upon availability

Denied Coverage for BELVIQ® or BELVIQ XR®?

Find supporting documentation to request coverage or appeal a denial

Is BELVIQ® and BELVIQ XR® Right for You?

BELVIQ®  and BELVIQ XR® are FDA-approved weight-loss medications.

Eisai cannot guarantee payment of any claim. Coding, coverage, and reimbursement may vary significantly by payor, plan, patient, and setting of care. Actual coverage and reimbursement decisions are made by individual payors following the receipt of claims. For additional information, customers should consult with their payors for all relevant coding, reimbursement, and coverage requirements. It is the sole responsibility of the provider to select the proper code and ensure the accuracy of all claims used in seeking reimbursement. All services must be medically appropriate and properly supported in the patient medical record

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What are BELVIQ® and BELVIQ XR®?

BELVIQ® and BELVIQ XR® are FDA-approved prescription weight-loss medications that, when used with diet and exercise, can help some overweight (Body Mass Index [BMI] ≥27 kg/m²) adults with a weight-related medical problem, or obese (BMI ≥30 kg/m²) adults, lose weight and keep it off.

It is not known if BELVIQ or BELVIQ XR when taken with other prescription, over-the-counter, or herbal weight-loss products is safe and effective. It is not known if BELVIQ or BELVIQ XR changes your risk of heart problems, stroke, or death due to heart problems or stroke.

Important Safety Information

  • Pregnancy:

    Do not take if you are pregnant or planning to become pregnant, as weight loss offers no potential benefit during pregnancy and BELVIQ or BELVIQ XR may harm your unborn baby.
  • Hypersensitivity Reactions:

    Do not take if you are allergic to either of these medicines or any of their ingredients.
  • Serotonin Syndrome or Neuroleptic Malignant Syndrome (NMS)-like reactions:

    Before using, tell your healthcare provider about all the medicines you take, especially medicines that treat depression, migraines, mental problems, or the common cold. These medicines may cause serious or life-threatening side effects if taken with BELVIQ or BELVIQ XR. Call your healthcare provider right away if you experience agitation, hallucinations, confusion, or other changes in mental status; coordination problems; uncontrolled muscle spasms; muscle twitching; restlessness; racing or fast heartbeat; high or low blood pressure; sweating; fever; nausea; vomiting; diarrhea; or stiff muscles.
  • Valvular heart disease:

    Some people taking medicines like BELVIQ or BELVIQ XR have had heart valve problems. Call your healthcare provider right away if you experience trouble breathing; swelling of the arms, legs, ankles, or feet; dizziness, fatigue, or weakness that will not go away; or fast or irregular heartbeat. Before taking BELVIQ or BELVIQ XR, tell your healthcare provider if you have or have had heart problems.
  • Changes in attention or memory:

    BELVIQ or BELVIQ XR may slow your thinking. You should not drive a car or operate heavy equipment until you know how BELVIQ or BELVIQ XR affects you.
  • Mental problems:

    Taking too much BELVIQ or BELVIQ XR may cause hallucinations, a feeling of being high or in a very good mood, or feelings of standing outside your body.
  • Depression or thoughts of suicide:

    Call your healthcare provider right away if you notice any mental changes, especially sudden changes in your mood, behaviors, thoughts, or feelings, or if you have depression or thoughts of suicide.
  • Low blood sugar:

    Weight loss can cause low blood sugar in people taking medicines for type 2 diabetes, such as insulin or sulfonylureas. Blood sugar levels should be checked before and while taking BELVIQ or BELVIQ XR. Changes to diabetes medication may be needed if low blood sugar develops.
  • Painful erections:

    If you have an erection lasting more than 4 hours while on BELVIQ or BELVIQ XR, stop taking BELVIQ or BELVIQ XR and call your healthcare provider or go to the nearest emergency room right away.
  • Slow heartbeat:

     Both BELVIQ or BELVIQ XR may cause your heart to beat slower.
  • Decreases in blood cell count:

    BELVIQ or BELVIQ XR may cause your red and white blood cell counts to decrease.
  • Increase in prolactin:

    BELVIQ or BELVIQ XR may increase the amount of a hormone called prolactin. Tell your healthcare provider if your breasts begin to make milk or a milky fluid, or if you are a male and your breasts increase in size.
  • Most common side effects of BELVIQ® or BELVIQ XR®:

    Headache, dizziness, fatigue, nausea, dry mouth, constipation, cough, low blood sugar (hypoglycemia) in patients with diabetes, and back pain.
  • Nursing:

    BELVIQ or BELVIQ XR should not be taken while breastfeeding.
  • Drug interactions:

    Before taking BELVIQ or BELVIQ XR, tell your healthcare provider if you take medicines for depression, migraines, or other medical conditions, such as: triptans; medicines used to treat mood, anxiety, psychotic or thought disorders, including tricyclics, lithium, selective serotonin reuptake inhibitors, selective serotonin-norepinephrine reuptake inhibitors, monoamine oxidase inhibitors, or antipsychotics; cabergoline; linezolid (an antibiotic); tramadol; dextromethorphan (an over-the-counter (OTC) common cold/cough medicine); OTC supplements such as tryptophan or St. John’s Wort; or erectile dysfunction medicines.

BELVIQ and BELVIQ XR are federally controlled substances (CIV) because they may be abused or lead to drug dependence.

For more information about BELVIQ® or BELVIQ XR® talk to your healthcare provider and see the full Product Information for BELVIQ® or BELVIQ XR®.

You are encouraged to report negative side effects of prescription drugs to the FDA.

Visit www.fda.gov/medwatch

The information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare professional. All decisions regarding patient care must be made with a healthcare professional, considering the unique characteristics of the patient.

This site is intended for residents of the United States only. Any products discussed herein may have different product labeling in different countries.

BELVIQ® and BELVIQ XR® are registered trademarks of Arena Pharmaceuticals GmbH.
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