1-855-EISAI-4-U(1-855-347-2448)

Monday - Friday, 8 am to 5 pm ET

Financial Assistance

Eisai Assistance Program

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

The Eisai Assistance Program can also provide information about the FYCOMPA® Patient Assistance Program which provides support to customers who need assistance paying for FYCOMPA®. This program provides FYCOMPA® at no cost to financially needy patients who meet program eligibility criteria.

Have Your Physician’s Office Contact Us

Eisai Assistance Program

Phone: 1-855-EISAI-4-U (1-855-347-2448)
Fax: 1-800-226-2059
Monday – Friday, 8 am to 5 pm ET

FYCOMPA® Instant Savings Card Program*

Important Update For Patients Taking or Considering Fycompa
The FYCOMPA Co-pay Program now covers UP TO $1300 PER YEAR

Overview

With the FYCOMPA® Instant Savings Card Program, you may qualify to pay no more than $10 for your monthly prescription.* The savings card is available through your doctor or by clicking Register or Activate. The back of the card has rules for the savings program. These rules will help you make sure that the offer applies to you. If you are not sure, ask your doctor or pharmacist.

Once you have your prescription for FYCOMPA®, you can use this card at the pharmacy. Be sure to show your savings card to the pharmacist each time you fill your prescription.

How the Program Works

The Instant Savings Card Program helps you save in two ways:

  • With the FYCOMPA® Instant Savings Card, patients with prescription coverage and a copayment of more than $10 may be eligible to receive out of pocket support. A patient will pay no more than $10 for his/her FYCOMPA® co-pay, and Eisai will pay the remaining out-of-pocket expense up to $1,300 a year. Patients without prescription coverage may receive up to $60 off their FYCOMPA® prescription up to $720 a year.
  • Eligible patients could have additional financial responsibility for any amounts over Eisai's maximum liability.

Who's Eligible for Savings?

This offer is available to commercially insured patients and patients without insurance. This offer is not available to patients enrolled in a state or federal healthcare program, including Medicare, Medicaid, Medigap, VA, DoD or TRICARE. If you have any questions regarding eligibility or if you wish to discontinue participation, call the FYCOMPA® Assistance Program at 1-855-347-2448 (9:00 AM - 5:00 PM ET Monday - Friday).

Register Online to Activate Savings

To receive an Instant Savings Card, patients must register for the program. Please register online, or call The FYCOMPA® Assistance Program at 1-855-347-2448 (9:00 AM - 5:00 PM ET Monday - Friday) to register.

*Restrictions and Conditions of Use for the Instant Savings Card Program

  • Good toward the purchase of FYCOMPA® prescriptions.
  • No substitutions permitted.
  • Save this card to reuse with each prescription.
  • Not available to patients enrolled in Federal or state healthcare programs, including Medicare, Medicaid, Medigap, VA, DoD or TRICARE.
  • Offer available to MA residents through July 1, 2019.
  • May not be combined with any other discount or offer.
  • Federal law prohibits the selling, purchasing, trading, or counterfeiting of this card.
  • Void outside the USA and where prohibited by law.
  • Eisai Inc. reserves the right to rescind, revoke, or amend this offer at any time without notice.
  • Must be 12 years of age or older.
  • 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, third-party payers, and applicable law on the redemption.
  • The value of this card is not contingent on any prior or future purchases.
  • This card may not be accepted at all pharmacies.
  • Not valid for prescriptions for FYCOMPA® or any other product reimbursed in full by third-party payers.
  • This card is not an insurance program.
  • No membership fees.
  • This offer will expire July 1, 2019.

FYCOMPA® Patient Assistance Program

Eisai has created the FYCOMPA® Assistance Program for customers who need assistance paying for FYCOMPA®. This program provides FYCOMPA® at no or low cost to financially needy patients who meet program eligibility criteria. Patients and healthcare providers can call the FYCOMPA® Patient Assistance Program at 1-855-EISAI-4-U (1-855-347-2448). Hours of operation are Monday to Friday 8 am to 5 pm ET.

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.

Do You Need Educational Assistance?

Programs run by Patient Support Foundations offer financial and educational assistance

Find Options for Treating Your Seizures

Ask your doctor if FYCOMPA® is right for you 

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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Important Safety Information

What is FYCOMPA® (perampanel)?

FYCOMPA is a prescription medicine used in people with epilepsy aged 12 and older alone or with other medicines to treat partial-onset seizures with or without secondarily generalized seizures and with other medicines to treat primary generalized tonic-clonic seizures.

FYCOMPA may cause mental (psychiatric) problems, including: new or worse aggressive behavior (including homicidal behavior), hostility, anger, anxiety, or irritability; being suspicious or distrustful (believing things that are not true); seeing objects or hearing things that are not there; confusion; difficulty with memory; other unusual or extreme changes in behavior or mood. Tell your healthcare provider right away if you have any new or worsening mental problems while taking FYCOMPA.

Like other antiepileptic drugs, FYCOMPA may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you: thoughts about suicide or dying; new or worse depression; feeling agitated or restless; trouble sleeping (insomnia); acting aggressive; being angry, or violent; an extreme increase in activity and talking (mania); attempt to commit suicide; new or worse anxiety; panic attacks; new or worse irritability; acting on dangerous impulses; other unusual changes in behavior or mood. Suicidal thoughts or actions can be caused by things other than medicines. If you have suicidal thoughts or actions, your healthcare provider may check for other causes.

Pay attention to any changes especially sudden changes in mood, behaviors, thoughts, or feelings and keep all follow-up visits with your healthcare provider as scheduled. Call your healthcare provider between visits as needed, especially if you are worried about symptoms.

Do not stop FYCOMPA without first talking with your healthcare provider. Stopping suddenly can cause serious problems and can cause you to have seizures more often.

Before taking FYCOMPA, tell your healthcare provider about all of your medical conditions, including if you: have or have had depression, mood problems, aggressive or hostile behavior (for example, homicidal behavior), suicidal thoughts or behavior, or other psychiatric problems; have liver or kidney problems; drink alcohol; have abused prescription medicines, street drugs, or alcohol in the past; are pregnant or plan to become pregnant. It is not known if FYCOMPA will harm your unborn baby. If you become pregnant while taking FYCOMPA, talk to your healthcare provider about registering with the North American Antiepileptic Drug Pregnancy Registry (1-888-233-2334); are breastfeeding or plan to breastfeed. Talk to your healthcare provider about the best way to feed your baby if you take FYCOMPA and to decide if you will take FYCOMPA or breastfeed. You should not do both.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Taking FYCOMPA with certain other medicines can cause side effects or reduce either drug’s benefit. These medicines include: birth control, carbamazepine, phenytoin, oxcarbazepine, rifampin, and St. John’s Wort.

What should I avoid while taking FYCOMPA?

Do not drive, operate heavy machinery, or do other dangerous activities until you know how FYCOMPA affects you. FYCOMPA may make you dizzy, sleepy, or tired. Do not drink alcohol or take other medicines that make you sleepy or dizzy until you talk to your healthcare provider. FYCOMPA taken with alcohol or medicines that cause sleepiness or dizziness may make your sleepiness or dizziness worse. FYCOMPA when taken with alcohol may also make your mood worse, increase anger, confusion, and depression.

FYCOMPA may cause other serious side effects, including: Dizziness, vertigo (sense of spinning), and problems walking normally. You may have problems walking normally if you are unsteady because you feel dizzy. These symptoms can increase when your dose of FYCOMPA is increased. Your risk of feeling dizzy and having problems walking normally may be higher if you are elderly; Sleepiness and tiredness; Increased risk of falls. Taking FYCOMPA can increase your chance of falling. These falls can cause serious injuries. Your risk of falling may be higher if you are elderly; A serious allergic reaction that may affect your skin or other parts of your body such as your liver, kidneys, heart, or blood cells. This allergic reaction can be life-threatening and can cause death. Call your healthcare provider right away if you have: a skin rash, hives; fever or swollen glands that do not go away; swelling of your face; shortness of breath; swelling of the legs; yellowing of the skin or whites of the eyes; or dark urine.

The most common side effects of FYCOMPA include: dizziness; sleepiness; tiredness; irritability; falls; nausea and vomiting; weight gain; vertigo (sense of spinning); problems walking normally; problems with muscle coordination; headache; bruising; abdominal pain; anxiety.

FYCOMPA is a controlled substance (CIII) because it can be abused or lead to drug dependence. Keep FYCOMPA in a safe place to protect it from theft and never give it to anyone else because it may harm them. Selling or giving away FYCOMPA is against the law.

Please see accompanying full Prescribing Information and Medication Guide for Fycompa

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch or call 1-800-FDA-1088
.

The information contained herein is provided for educational purposes only and is not intended to replace discussions with a health care professional. All decisions regarding patient care must be made with a health care 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.

FYCOMPA® is a trademark used by Eisai under license from Eisai R & D Management Co., Ltd. Manufactured and Marketed by Eisai, Inc. Woodcliff Lake, NJ 07677.

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