Patient access & affordability with AUSTEDO XR
Preferred coverage1
AUSTEDO XR has preferred coverage across a majority of national Medicare Part D plans.
Find Local Coverage
93% of patients pay $10 or less1*
Patients can start AUSTEDO XR for $0 with 30-day Free Trial Voucher. Additional financial assistance support available for eligible patients.†
Financial Assistance OfferingsComprehensive support to get patients started
Start a Prior Authorization (PA)
through CoverMyMeds®
Services available through CoverMyMeds:
- Initiate, submit, and monitor PA requests in one central hub when prescribing
- Option to enroll patients in Shared Solutions directly from CoverMyMeds portal for:
- Benefits investigation
- Affordability assistance
- Ongoing patient support, including nurse calls (patient authorization required)
To get started with CoverMyMeds: Log into an existing account at CoverMyMeds.com or create one for free.
Teva Shared Solutions® provides additional support to help your patients achieve treatment goals
Shared Solutions can help with:
Access
Navigating patients’ insurance:
- Conducting benefits verification
- Identifying in-network pharmacies
- Supporting your office and the
pharmacy through the PA process
Affordability
Identifying financial assistance offerings:
- Free Trial Voucher
- Copay Card
- Patient Assistance Program (PAP)
Adherence1
Ongoing treatment support from a dedicated nurse:
- Adherence support
- Expectation reinforcement
- Dosing and titration guidance
- Patient education
- Tools and resources to help manage treatment
Enrolling in Shared Solutions:
- You can enroll patients starting on AUSTEDO XR via the CoverMyMeds portal or by using the Prescription Service Request Form (patient authorization required)
- Patients can also self-enroll at MySharedSolutions.com (also accessible from QR code on 4-week Titration Kit)
Access & Reimbursement Managers (ARMs) are available to educate on PA process, payer coverage, and patient support offerings for AUSTEDO XR
ARMs can assist with:
- Education about PA process (including CoverMyMeds portal)
- Information on affordability programs, payer coverage, and reimbursement
- Education on the Teva Shared Solutions® and other patient support
Request a visit from an ARM or ask your Teva Sales Representative to connect you with your local ARM for more information.
Teva Shared Solutions® can help patients understand financial assistance options available to them.
†Certain restrictions apply. Terms and conditions on AUSTEDOcardform.com.
93% of patients pay $10 or less with financial assistance offerings1*
- Access is available for patients with insurance coverage (commercial, Medicare
Part D, and Medicaid)1 - Available at both specialty and retail pharmacies
Getting started at no cost (30 days)
For all new,
non-sampled patients
30-day Free Trial Voucher
New, non-sampled patients can receive
their first
30 days of AUSTEDO XR for free.
Voucher available at
AUSTEDOcardform.com.
Remind pharmacy to apply.
Continuing treatment after first 30 days
For eligible patients with
commercial insurance
Copay Card
Patients may pay as little as $0 per
month for AUSTEDO XR.
Patients must self-enroll at
MySharedSolutions.com.
Visit AUSTEDOcardform.com to send a
link
to patients with more information.
For patients with
Medicare Part D
Medicare Prescription Payment
Plan (MPPP) and Extra Help/
Low-income Subsidy (LIS)
MPPP2
As of January 1, 2025, MPPP offers Medicare Part D enrollees the option to pay OOP prescription drug costs in monthly payments instead of all at once at the pharmacy. This optional plan may be beneficial to patients who experience high drug costs early in the year.
Monthly costs can be calculated at medicare.gov.
Enhanced LIS for Medicare Part D3
The expanded Extra Help program (also known as LIS) provides greater prescription drug cost assistance for eligible Medicare beneficiaries. More patients are eligible and will pay no more than $12.15 for
AUSTEDO XR.
Patients can learn more and apply at ssa.gov or by calling
1-800-772-1213.
For uninsured or
underinsured patients
Patient Assistance Program
(PAP)
For patients who are uninsured or unable to afford AUSTEDO XR/ AUSTEDO, the Teva Cares Foundation may be able to help.
Teva Cares is an independent, non-profit program that provides
AUSTEDO XR/AUSTEDO at no cost to eligible patients.‡
To learn more, visit TevaCares.org or call 1-877-237-4881.
‡Patient must reside in the United States, meet insurance and income requirements, and have a valid prescription.
Beginning in 2025, Medicare Part D offers an optional plan allowing patients to spread the $2,000 maximum out-of-pocket drug costs, including costs for AUSTEDO XR, into predictable monthly payments.3-5
Patients can learn more about these changes by visiting medicare.gov.
This flashcard outlines improvements to Medicare
made by the Inflation Reduction
Act (IRA) to expand benefits and improve drug costs for many patients.
Prescription
coverage tool
Find health plans that cover AUSTEDO XR extended-release tablets in your state
Find health plans that cover AUSTEDO XR extended-release tablets in your state
Enter a ZIP code or select a state, then select a plan type, select a plan, and click “Search.”
Or
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Select Plan
N/A, not available.
Please note that plans may have multiple formularies and they are subject to change by the plan. Please check with the health plan directly to confirm formulary status, requirements, and coverage information for individual patients.
Source: Fingertip Formulary database as of 05/2025.
This information is intended only to show the formulary coverage status for each product and should not be construed to make any comparisons of safety, efficacy, or other clinical outcome.
Patients typically pay less out of pocket vs tetrabenazine1§#
Meet Tina
- Age: 50
- Diagnosed with Huntington’s disease 6 years ago
- Recently prescribed AUSTEDO for her chorea symptoms
- AUSTEDO is covered in a preferred position on Tina’s commercial healthcare plan
- Tina pays $0 OOP for AUSTEDO
$25 OOP cost
– $25 application of Copay Card||
$0 net OOP cost
~86% of commercial patients on AUSTEDO XR will pay $0 out of pocket vs ~36% of patients on tetrabenazine1¶
Not actual patient.
*Time period: 01/2024 through 09/2024.1
§Time period: 01/2024 through 09/2024.1
||See Copay Card terms and conditions on AUSTEDOcopayterms.com.
¶Time period: 01/2024 through 09/2024.1
Meet Frank
- Age: 47
- Diagnosed with Huntington’s disease (HD) 6 years ago
- Recently prescribed AUSTEDO for his chorea symptoms
- Frank is dual-eligible and qualifies for LIS
- He qualifies for Medicare earlier than age 65 due to disability because of his progressive HD condition
- He qualifies for full Medicare due to low income and limited resources
- Given these circumstances, Frank automatically qualifies for Medicare LIS
- Frank pays $12.15 per month OOP for AUSTEDO2
~96% of all Medicare Part D patients pay ~$10 or less out of pocket for AUSTEDO XR1**
Not actual patient.
#Time period: 01/2024 through 09/2024.1
**Time period: 01/2024 through 09/2024.1
OOP, out-of-pocket.
CoverMyMeds is a registered trademark of CoverMyMeds LLC.
REFERENCES: 1. Data on file. Parsippany, NJ: Teva Neuroscience, Inc. 2. Medicare. What is the Medicare Prescription Payment Plan? Accessed November 7, 2024. https://www.medicare.gov/prescription-payment-plan 3. Medicare. Find your level of Extra Help (Part D). Accessed November 22, 2024. https://www.medicare.gov/basics/costs/help/drug-costs 4. Centers for Medicare & Medicaid Services. Lower out-of-pocket drug costs in 2024 and 2025. Accessed October 10, 2024. https://www.cms.gov/files/document/lower-out-pocket-drug-costs-2024-and-2025-article.pdf 5. U.S. Department of Health and Human Services. Inflation Reduction Act toolkit. Accessed November 25, 2024. https://www.hhs.gov/inflation-reduction-act/toolkit/index.html