SK life science navigator
can help patients access XCOPRI® (cenobamate tablets) CV with the following:
Always talk to a healthcare provider if there are any questions.
‡Patients must meet eligibility criteria for PAP, which includes: 1) US citizenship, 2) on-label diagnosis, 3) meets financial threshold, 4) patient is uninsured, functionally uninsured, or has a financial hardship.
This simple enrollment form will be used as a patient’s first prescription. Have the patient sign the Patient Authorization section while at the office.
Fill out this enrollment form for patients who may need access to the Patient Assistance Program.
This is a templated Letter of Medical Necessity for office staff to fill out and provide to insurers.
For patients who have been denied coverage for XCOPRI® (cenobamate tablets) CV, office staff may use this templated Letter of Appeal to advocate for coverage.