Reimbursement Support Program

Lundbeck is the maker of Sabril (vigabatrin). Lundbeck's primary objective is to help ensure that patients and their physicians have access to needed therapies. As a result, we provide a comprehensive drug access program that includes reimbursement assistance for eligible patients, as well as a Patient Assistance Program for qualified uninsured individuals. We also provide support for vision testing.

What is the Lundbeck Reimbursement Support Program?

This program is a free service available to patients, caregivers, medical billing staff, healthcare professionals, and others who have questions about insurance coverage and reimbursement-related issues.

Sabril can cause permanent vision loss in infants, children, and adults. Because of this risk, Sabril is available only through a restricted distribution program called SHARE (Support, Help, And Resources for Epilepsy).

You are automatically registered in the SHARE program when your doctor prescribes Sabril for you or your child. The SHARE Call Center is available to answer your questions about your Sabril prescription by calling 1-888-45-SHARE (1-888-457-4273).

Manage Medication Costs

The SHARE program offers services that may help you find a way to manage your medication costs.

  • For insured Sabril (vigabatrin) patients with prescription coverage:
    • Reimbursement Support Program
      • Helps you determine third-party payor requirements, including confirming your coverage and getting prior approval if needed. It also helps confirm any co-pay or co-insurance requirements, and assists with necessary appeals
    • Co-pay Assistance
      • Assists qualified patients with payment of co-pay or co-insurance
      • Average monthly co-pay has been $50 or less for a majority of patients*
    • Patient Starter Rx Program
      • May provide patients with a starter prescription if insurance confirmation and reimbursement status are delayed (where permitted by law)
  • For uninsured Sabril patients or patients who do not have prescription coverage:
    • Patient Assistance Program
      • For qualified patients, SHARE provides Sabril therapy if the patients are not insured and demonstrate financial need

Additionally, SHARE offers:

  • Coordination with a specialty pharmacy, which will send your prescription for Sabril to your home, as well as refill reminders and notices about needed eye exams
  • A seizure diary

Vision Testing Assistance Program

The SHARE program can connect you with a foundation that may be able to offer financial assistance for vision testing, if assistance is needed.

  • At the start of Sabril (vigabatrin) therapy, the SHARE Call Center will ask you if financial assistance for vision testing is needed. If so, you will be given a phone number to call for additional information
  • A third-party foundation** will work with you directly to determine eligibility
  • If eligible, a debit card will be issued to assist with the cost of specific types of vision testing
  • The foundation managing this program will answer your questions related to the amount of coverage, and will provide details on how the debit card program works

* Data represents 60% of full prescription volume between September 2009 and October 2013. Data for the remaining 40% are not available
** The third-party foundation determines financial eligibility and manages the program in its entirety.

Use for SABRIL® (vigabatrin) Tablets and Powder for Oral Solution

SABRIL is a prescription medicine used with other treatments in adults and children 10 years of age and older with refractory complex partial seizures (CPS), who have not responded well enough to several other treatments, and if the possible benefits outweigh the risk of vision loss. SABRIL should not be the first medicine used to treat CPS.

SABRIL is a prescription medicine used in babies, 1 month to 2 years old, with infantile spasms (IS), if the possible benefits outweigh the possible risk of vision loss.

Important Safety Information

WARNING: VISION LOSS
See Medication Guide and full Prescribing Information for complete information

In all people who take SABRIL:

  • You are at risk for vision loss with any amount of SABRIL
  • Your risk of vision loss may be higher the more SABRIL you take daily and the longer you take it
  • It is not possible for your healthcare provider to know when vision loss will happen. It could happen soon after starting SABRIL or any time during treatment. It may even happen after treatment has stopped.
  • Because SABRIL might cause vision loss, it is available to healthcare providers and patients only under a special program called the Support, Help And Resources for Epilepsy (SHARE) Program. Your healthcare provider will explain the details of the SHARE Program to you.
  • SABRIL can permanently damage the vision of anyone who takes it. The most noticeable loss is in the ability to see to the side when looking straight ahead (peripheral vision). If this happens, it will not get better. People who take SABRIL do not lose all of their vision, but some people can have severe loss and may only be able to see things straight in front of them (sometimes called “tunnel vision”), and they may also have blurry vision.
  • Tell your healthcare provider right away if you (or your child): might not be seeing as well as before starting SABRIL; start to trip, bump into things, or are more clumsy than usual; are surprised by people or things coming in front of you that seem to come out of nowhere; or if your baby is acting differently than normal. These changes can mean that vision damage has occurred.
  • Your healthcare provider will test your (or your child’s) vision before or within 4 weeks after starting SABRIL, and at least every 3 months during treatment until SABRIL is stopped. Vision should also be tested about 3 to 6 months after SABRIL is stopped. You (or your child) may not be able to be tested in certain situations. It is difficult to test vision in babies, but to the extent possible, all babies should have their vision tested. Your healthcare provider will determine if testing can be done. Regular vision testing is important because damage can happen before any changes are noticed.
  • Vision tests cannot prevent the vision damage that can happen with SABRIL, but they do allow SABRIL to be stopped if vision has gotten worse, which usually will lessen further damage. Even these regular vision tests may not show vision damage before it is serious and permanent. Parents, caregivers, and healthcare providers may not recognize the symptoms, or find vision loss in babies, until it is severe.
  • If vision tests are not done regularly, your healthcare provider may stop prescribing SABRIL for you (or your child). Some people are not able to complete vision testing. If vision testing cannot be done, your healthcare provider may continue prescribing SABRIL, but will not be able to watch for any vision loss.
  • Brain pictures taken by magnetic resonance imaging (MRI) show changes in some babies after they are given SABRIL. It is not known if these changes are harmful.
  • Like other antiepileptic drugs, SABRIL may cause suicidal thoughts and actions in some people. Call a healthcare provider right away if you (or your child) have any symptoms, especially sudden changes in mood, behaviors, thoughts or feelings, and especially if they are new, worse, or worry you.
  • Do not stop SABRIL without first talking to a healthcare provider. Stopping SABRIL suddenly can cause seizures that will not stop.
  • SABRIL can cause serious side effects such as low red blood cell counts, sleepiness and tiredness, nerve problems, weight gain, and swelling. Because SABRIL causes sleepiness and tiredness, do not drive, operate machinery, or perform hazardous tasks, unless it is decided that these things can be done safely. SABRIL may make certain types of seizures worse. Tell your healthcare provider right away if seizures get worse.
  • Before starting SABRIL, tell your doctor about all of your (or your child’s) medical conditions including depression, mood problems, suicidal thoughts or behavior, any allergic reaction to SABRIL, vision problems, kidney problems, low red blood cell counts, and any nervous or mental illness. Tell your doctor about all the medicines you (or your child) take.
  • If you are breastfeeding or plan to breastfeed, SABRIL can pass into breast milk and may harm your baby. If you are pregnant or plan to become pregnant, it is not known if SABRIL will harm your unborn baby. You and your healthcare provider will have to decide if you should take SABRIL while you are pregnant.
  • The most common side effects of SABRIL in adults include: problems walking or feeling uncoordinated, feeling dizzy, shaking (tremor), joint pain, memory problems and not thinking clearly, eye problems like blurry vision, double vision, and eye movements that cannot be controlled. The most common side effects of SABRIL in children 10 to 16 years of age include weight gain, upper respiratory tract infection, tiredness, and aggression. Also expect side effects like those seen in adults.
  • The most common side effects of SABRIL in babies include: sleepiness—some babies may have a harder time suckling and feeding or may be irritable, swelling in the bronchial tubes (bronchitis), ear infection, and irritability.
  • Tell your healthcare provider if you or your child have any side effect that bothers you or that does not go away. These are not all of the possible side effects of SABRIL. For more information, ask your healthcare provider or pharmacist

Please see SABRIL Medication Guide, full Prescribing Information including Boxed Warning, and Instructions for Use; or call toll-free 1-888-45-SHARE (1-888-457-4273).

Para más información, vea por favor la información que prescribe completa incluyendo la advertencia encajonada, guía de la medicación y las instrucciones de uso.

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.