With the FYCOMPA Instant Savings Card Program, eligible, commercially insured patients may
pay as little as $10 per month with a maximum savings of $1,300 per year.*
Eligible cash patients can receive up to $60 per prescription for a maximum savings of $720 per year. Ask your
doctor or pharmacist if you are not sure whether the offer applies to you.
Once you've been prescribed FYCOMPA, you can receive your savings card through your doctor or by clicking
Register or Activate Now. You can also activate the card by calling 1-855-347-24481-855-347-2448.
Once your card has been activated:
- Bring it to the pharmacy
- Show it to the pharmacist each time you fill your prescription
The back of the card has details for the savings program. This will help ensure that the offer applies to you.
*With the FYCOMPA Instant Savings Card, eligible commercially insured patients could pay as little as $10 for their FYCOMPA
co-pay, and Eisai will pay the remaining out-of-pocket expenses (up to $1,300 per year). For eligible cash-paying
patients, Eisai will pay up to $60 per prescription for a maximum of $720 per year. The FYCOMPA Instant Savings Card
program is not available to patients enrolled in state or federal healthcare programs, including Medicaid, Medigap, VA,
DoD, or TRICARE. Depending on the insurance plan, patients could have additional financial responsibility for any
amounts over Eisai’s maximum liability.