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Patient Assistance Information

Program Sponsored By Supernus Pharmaceuticals, Inc. (External Link)
Supernus Patient Assistance Program

c/o The Lash Group, Inc.
9717 Key West Avenue
Rockville, MD 20850
Phone : 866-398-0833
> Patients must be uninsured, meet income requirements that have not been disclosed and be a US resident. The medication must be medically necessary as determined by a doctor.
Who Can Apply
> Patients or healthcare providers can download the application.
> Doctors and patients must each complete a section of the application and sign.
> Up to 1 month supply
Ship To
> Patient's home
> This program also provides copay assistance.
Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
oxcarbazepine tablet; extended release
topiramate capsule; extended release
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
Download printable Form
Download printable Form
(Requires Acrobat Reader