Aptiom Prescription Assistance Programs

Aptiom: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Aptiom. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Sunovion Support Prescription Assistance Program (Aptiom)

(Program 1 of 1 — Scroll down to see them all )

Provided by: Sunovion Pharmaceuticals, Inc.
PO Box 220285 Charlotte, NC 28222-0285
TEL: 877-850-0819
FAX: 877-850-0821
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
  • Aptiom tablet (eslicarbazepine acetate tablet)
Eligibility Requirements
  • Insurance Status Must have no prescription coverage for needed medication
  • Those with Part D Elibible? No
  • Income At or below 300% of FPL
  • Diagnosis/Medical Criteria Must provide diagnosis code
  • U.S. Residency Required? The patient must reside in the US, Puerto Rico or the USVI.
  • Obtaining Call or download
  • Receiving Mailed or downloaded from website
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach a copy of proof of income
  • Decision Communicated Patient and Doctor notified in writing
  • Decision Timeframe Within a week
  • Amount/Supply 30 day supply
  • Sent To Pharmacy
  • Delivery Time 1-3 business days
  • Refill Proces Automatically filled at pharmacy
  • Limit Maximum of 11 refills in one year
  • Re-application New application yearly
Additional Information
Updated December 5, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

Back to top

Sign up for PharmacyChecker News

Exclusive drug savings tips & news straight to your inbox.

PharmacyChecker uses cookies to track & improve your online experience.