Find the best drug prices from verified online pharmacies

Topiramate Patient Assistance Programs

Looking for a different medication?

Enter your medication below:

Qudexy XR: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Qudexy XR. 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.

Rx Outreach Medications

(Program 1 of 3. Scroll down to see them all.)

Provided by: Rx Outreach
PO Box 66536 St. Louis, MO 63166-6536 TEL: 888-796-1234 FAX: 800-875-6591	Languages Spoken: English, Spanish Program Website

Program Applications and Forms

Medications
Qudexy XR (topiramate)

Eligibility Requirements
Insurance Status	May have insurance
Those with Part D Eligible?	Yes
Income	At or below 300% of FPL
Diagnosis/Medical Criteria	Not required
US Residency Required?	The patient must also be residing in the US.

Application
Obtaining	Call, download or apply online
Receiving	Faxed, mailed or downloaded from website
Returning	Fax or E-Prescribe online
Doctor's Action	Give prescription to patient
Applicant's Action	Complete section and sign
Decision Communicated	Medications sent if accepted. If denied patient and doctor notified
Decision Timeframe	Usually same day

Medication
Amount/Supply	Varies
Sent To	Doctor's office or patient's home
Delivery Time	Not specified
Refill Process	Company contacts patient to arrange
Limit	Only limited by manufacturer's guidelines
Re-application	New application yearly

Additional Information
Some medications are available for a fee of $20 for up to a 180 day supply. Check the Rx Outreach website for the exact price and most current medication list. Contact Program for Spanish Application(s)/Form(s).
Updated 7/16/2018

^Back to top

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

Rx Outreach Medications

(Program 2 of 3. Scroll down to see them all.)

Provided by: Rx Outreach
PO Box 66536 St. Louis, MO 63166-6536 TEL: 888-796-1234 FAX: 800-875-6591	Languages Spoken: English, Spanish Program Website

Program Applications and Forms

Medications
Qudexy XR (topiramate)

Eligibility Requirements
Insurance Status	May have insurance
Those with Part D Eligible?	Yes
Income	At or below 300% of FPL
Diagnosis/Medical Criteria	Not required
US Residency Required?	The patient must also be residing in the US.

Application
Obtaining	Call, download or apply online
Receiving	Faxed, mailed or downloaded from website
Returning	Fax or E-Prescribe online
Doctor's Action	Give prescription to patient
Applicant's Action	Complete section and sign
Decision Communicated	Medications sent if accepted. If denied patient and doctor notified
Decision Timeframe	Usually same day

Medication
Amount/Supply	Varies
Sent To	Doctor's office or patient's home
Delivery Time	Not specified
Refill Process	Company contacts patient to arrange
Limit	Only limited by manufacturer's guidelines
Re-application	New application yearly

Additional Information
Some medications are available for a fee of $20 for up to a 180 day supply. Check the Rx Outreach website for the exact price and most current medication list. Contact Program for Spanish Application(s)/Form(s).
Updated 7/16/2018

^Back to top

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

Supernus Patient Assistance Program

(Program 3 of 3. Scroll down to see them all.)

Provided by: Supernus Pharmaceuticals, Inc.
c/o The Lash Group, Inc. 9717 Key West Avenue Rockville, MD 20850 TEL: 866-398-0833 FAX: 855-998-1515	Languages Spoken: English Program Website

Program Applications and Forms

Eligibility Requirements
Insurance Status	Must be uninsured
Those with Part D Eligible?	No
Income	Not disclosed
Diagnosis/Medical Criteria	Medically Necessary as determined by a Doctor
US Residency Required?	The patient must also be a US resident.

Application
Obtaining	Download from website
Receiving	Downloaded from website
Returning	The completed application must be faxed back.
Doctor's Action	Complete section and sign
Applicant's Action	Complete section and sign
Decision Communicated	Not specified
Decision Timeframe	Not specified

Medication
Amount/Supply	Up to 1 month supply
Sent To	Patient's home
Delivery Time	Not specified
Refill Process	Company contacts patient to arrange
Limit	Not specified
Re-application	New application yearly

Additional Information
This program also provides copay assistance. www.oxtellarxr.com www.trokendixrhcp.com
Updated 4/17/2018

^Back to top

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

Topiramate Patient Assistance Programs

Qudexy XR: Apply for prescription assistance below

Rx Outreach Medications

Provided by: Rx Outreach

Program Applications and Forms

Medications

Eligibility Requirements

Application

Medication

Additional Information

Rx Outreach Medications

Provided by: Rx Outreach

Program Applications and Forms

Medications

Eligibility Requirements

Application

Medication

Additional Information

Supernus Patient Assistance Program

Provided by: Supernus Pharmaceuticals, Inc.

Program Applications and Forms

Medications

Eligibility Requirements

Application

Medication

Additional Information