Below you will find resources to help patients manage out-of-pocket expenses for BANZEL®. Including information about Eisai Assistance Program and the Rx Outreach Patient Assistance Program.
The Eisai Assistance Program provides information to patients and healthcare professionals regarding the patient’s insurance benefits for coverage of BANZEL®. In addition, our agents can also provide information relating to payor-specific policies for the coverage of BANZEL®, information regarding billing and coding requirements, and answer questions regarding financial assistance options. Call the Eisai Assistance Program today for billing, coding, coverage and financial assistance questions.
Eisai Assistance Program
Phone: 1-855-EISAI-4-U (1-855-347-2448)
Monday – Friday, 9 am to 5 pm ET
*Eligible patients pay the first $25 and Eisai Inc. will pay up to $275 per month. Patient could have additional financial responsibility depending on patient's insurance plan. For questions, please call 1-855-EISAI-4-U (1-855-347-2448).
Good toward the purchase of BANZEL® prescriptions. Eligible patients pay the first $25 and Eisai Inc. will pay up to a maximum of $275 per month. No substitutions permitted. Save the Savings 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. Not valid for BANZEL® prescription reimbursed in full by any third-party payer. 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 without notice at any time. You must be 18 years or older to use the card for yourself or a minor. Patients and pharmacies are responsible for disclosing to insurance carriers the redemption and value of the Savings Card and complying with any other conditions imposed by insurance carriers, third-party payers, and applicable law on the redemption. The value of the Savings Card is not contingent on any prior or future purchases. This card may not be accepted at all pharmacies. This card is not an insurance program. No membership fees. This offer will expire July 31, 2021.
Rx Outreach is an independent non-profit pharmacy making medications affordable for eligible patients. The Rx Outreach Patient Assistance Program is for patients who are unable to afford their prescriptions and who meet specific financial and other eligibility criteria. The Rx Outreach Program may be able to assist eligible Banzel patients.
For more information, including program eligibility requirements, please call 1-888-796-1234.
Hours: Monday-Friday, 7:00 AM-5:30 PM (Central Time).
*This program is not offered by Eisai.
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.
BANZEL is indicated for adjunctive treatment of seizures associated with Lennox-Gastaut Syndrome (LGS) in pediatric patients 1 year of age and older, and in adults.
For more information about BANZEL® please see Prescribing Information.
BANZEL® is available by prescription only.
This information is intended for use by our healthcare professionals in the United States only. Eisai Inc. recognizes the Internet is a global communications medium; however, laws, regulatory requirements and medical practices for pharmaceutical products vary from country to country. The Prescribing Information included here is not appropriate for use outside the United States.
This site contains information about products that may have different product labeling in different countries. This site is published by Eisai Inc.