The Valeant Coverage Plus Program (VCPP) is available to ensure eligible* patients have access to SYPRINE (trientine hydrochloride) Capsules. Coverage Plus representatives will assist with:
- Enrolling you in the VCPP
- Identifying the best cost saving options based on your insurance coverage and financial needs
- If requested, informing you of when you will be receiving your medication from VCPP, which will replace your need to have prescriptions filled through a retail pharmacy. Medicine will be delivered directly to your home
For more information, call a Coverage Plus representative at 888-607-7267 Monday-Friday, 8:00 AM to 6:00 PM Eastern Time.
Eligible* patients will pay no more than $25 per month in out-of-pocket costs on their monthly prescription of SYPRINE.
For more information about eligibility criteria and how the VCPP Co-Pay Savings Offer works, call a Coverage Plus representative at 888-607-7267 Monday-Friday, 8:00 AM to 6:00 PM Eastern Time.
When patients need help paying for SYPRINE:
Wilson's Disease Patient Assistance Program (WDPAP)†**: may provide patients in financial need with SYPRINE therapy at no cost for up to 6 months
To learn more about how the VCPP can help with alternative financial assistance programs, please call 888-607-7267 or simply download the VCPP enrollment form from this website. Eligibility requirements may apply. †Patient enrollment in the WDPAP will be evaluated every 6 months. Renewal will depend on financial status.
** Eligibility requirements may apply and can be discussed with a VCPP representative
Foundation program may be available through a third party, non profit organization that can offer co-pay assistance to eligible Wilson's Disease patients.
I have commercial insurance.
Patients with commercial insurance may want to consider the co-pay savings offer. Eligible patients will pay no more than $25 per month in out-of-pocket costs on their monthly prescription of SYPRINE.
I am underinsured or still have difficulty paying for my SYPRINE in spite of having insurance.
Patients who are underinsured (e.g., high copays, insurance provider does not cover SYPRINE, etc.) may want to consider the co-pay savings offer. Eligible patients will pay no more than $25 per month in out-of-pocket costs on their monthly prescription of SYPRINE.
I have no prescription drug coverage.
Patients with no prescription drug coverage may qualify for the Wilson's Disease Patient Assistance Program† (where eligible patients pay $0 in out-of-pocket costs on their monthly prescription of SYPRINE). For more information, call a Coverage Plus representative at 888-607-7267.
I am a low income patient.
Low income patients may qualify for the Wilson's Disease Patient Assistance Program† (where eligible patients pay $0 in out-of-pocket costs on their monthly prescription of SYPRINE).
For more information, call a Coverage Plus representative at 888-607-7267.
If you are still unsure about which option may be best for you, call the Valeant Coverage Plus Program at 888-607-7267 Monday to Friday, 8:00 AM to 6:00 PM Eastern Time
†Patient enrollment in the Wilson's Disease Patient Assistance Program will be evaluated every 6 months. Renewal will depend on financial status.
Enrollment Is Easy
To get started, download the Valeant Coverage Plus Program (VCPP) enrollment form and follow the simple steps below. The process is the same whether you are starting SYPRINE for the first time or are currently on treatment.
STEP 1: Download and Complete Enrollment Form
The patient and doctor complete the appropriate sections on the enrollment form
STEP 2: The Doctor Prescribes SYPRINE
The doctor attaches a valid prescription to the enrollment form and has a choice of submitting to VCPP in one of two ways:
- Faxing to 855-735-4624; or,
- Mailing to:
Valeant Coverage Plus Program
PO Box 220667
Charlotte, NC 28222-0667
If the patient does not hear back from VCPP in a week of submitting a completed form, the patient should follow up with the doctor’s office
STEP 3: VCPP Gets to Work
Your Coverage Plus representative:
- Researches insurance coverage and determines which VCPP assistance options are right for the patient
- Calls the patient to complete the enrollment
STEP 4: Delivery Is Scheduled
- Medication is delivered to the patient's home 5-10 days after enrollment is complete
- Patients should make VCPP aware if the medication is needed urgently. VCPP may be able to provide medication while enrollment is awaiting approval
Once the enrollment form is received, a Coverage Plus representative will help determine which is the best financial option for the patient. After the patient's situation has been evaluated, the patient will be contacted to complete the enrollment; the VCPP will then arrange for shipment of SYPRINE directly to the patient's home.
Information provided will always be kept confidential. Valeant offers the Coverage Plus program in compliance with patient privacy regulations (HIPAA).
Enrollment in the program is effective from the date of approval through the end of the calendar year (January 1 through December 31). Patients will automatically be enrolled in the program for the next calendar year (January 1 through December 31) unless they decide to opt out of the program or their insurance coverage changes.
Q: How do I enroll in the Valeant Coverage Plus Program (VCPP)?A: You can download an enrollment form from this website, complete your portion, and bring the form to your doctor. He or she will complete and submit the form, and then a Coverage Plus representative will call you.
Q: What if I don't have a prescription?A: You will need to visit your doctor. If he or she decides to prescribe the medication, the doctor can complete and submit an enrollment form.
Q: Does VCPP answer specific questions about SYPRINE or about my condition?A: If you have questions about SYPRINE or your condition, speak with your doctor.
Q: What happens if I am running low on SYPRINE and VCPP hasn't called me to reschedule my refill shipment?A: Contact the VCPP by telephone at 888-607-7267. Coverage Plus representatives are available to assist you from
8:00 AM to 6:00 PM (Eastern Time) Monday through Friday.
Q: What should I do if I need to contact VCPP during the off hours or holidays?A: If you are calling outside of normal business hours, please leave your name, number, and a message so that one of the VCPP representatives can return your phone call the next business day.
Q: Can I contact VCPP after receiving the initial shipment of SYPRINE?A: Yes. Some reasons to get in touch with the VCPP include changing the mailing address for SYPRINE shipments, reporting shipping-related damage or delays, or updating insurance arrangements.
Q: Can healthcare professionals contact VCPP after the patient receives the initial shipment of SYPRINE?A: Yes. Some reasons to get in touch with the VCPP include changing the prescription dose or patient instructions.
Q: What should I do if I am not available to sign for shipment or if I need an emergency supply?A: Contact VCPP and explain the situation and ask for assistance.
Q: Who files the claim with my insurance company?A: Once VCPP starts sending you SYPRINE, they will also send the claim to your insurance company.
Q: Will I have to call VCPP every month to arrange for my shipment?A: No. Once you are enrolled in the program, you have the option of authorizing VCPP to automatically send you SYPRINE every month, up to your prescription refill limit, until or unless you contact VCPP to notify them that your therapy is stopping.
Q: What if I already have a prescription?A: Just call VCPP and we will contact your local pharmacy to arrange transfer of the prescription.
Q: Am I eligible for the program?A: Patients ineligible for the VCPP Program include those enrolled in Medicare, Medicaid, VA/DOD (Tricare), the Indian Health Service, or any other federally or state-funded healthcare program, or where prohibited by law, or whose commercial healthcare insurance providers prohibit the use of select specialty pharmacies. For more information, call a Valeant Coverage Plus representative at 888-607-7267.
This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan or any other federal or state health care programs. These patients may qualify for alternative financial assistance. Additional terms and conditions apply. For more information, call a Valeant Coverage Plus representative at 888-607-7267.
INDICATIONS AND USAGE
SYPRINE® (trientine hydrochloride) is used to treat Wilson's disease in patients who cannot take the medication known as penicillamine. Wilson's disease is a condition where the body stores too much copper. SYPRINE is not recommended to treat cystinuria (a condition where a protein known as cystine is excreted into the urine), rheumatoid arthritis, or a disease affecting the bile ducts in the liver known as biliary cirrhosis.
IMPORTANT SAFETY INFORMATION
- Do not take SYPRINE if you are allergic to it or any parts of the formulation.
- You should remain under regular medical supervision the entire time you are taking SYPRINE. Your doctor should regularly check to see if you have iron deficiency anemia. This is particularly important for women.
- Take SYPRINE on an empty stomach, at least one hour before a meal or two hours after a meal and at least one hour apart from any other drug, food, or milk. The capsules should be swallowed whole with water and should not be opened or chewed. For the first month of treatment, take your temperature every night, and report any symptom such as fever or skin rash to your doctor.
- Tell your doctor if you are pregnant, plan to become pregnant, or are nursing.
- The following adverse reactions have been reported from a clinical study: iron deficiency and a condition affecting the immune system known as systemic lupus erythematosus. In addition, the following adverse reactions have been reported in marketed use: abnormal or uncontrolled muscle contractions, muscle spasm and an immune disease affecting muscles known as myasthenia gravis.
- Do not take mineral supplements because they may block the absorption of SYPRINE.
Please see full Prescribing Information for SYPRINE Capsules.
» Click here for full Prescribing Information.
You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.