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Aptiom - Sunovion Support

Aptiom - Sunovion Support 2026

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The document provides information about the Sunovion Support Prescription Assistance Program for APTIOM (eslicarbazepine acetate), a medication used to treat partial-onset seizures. It outlines the application process for financial assistance, including required patient and healthcare provider information, proof of income, and consent to share health information. The document also includes important safety information regarding potential side effects and drug interactions associated with APTIOM.

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Click ‘Get Form’ to open the Aptiom - Sunovion Support application in the editor.
Begin by filling out the Patient Information section. Enter your name, date of birth, phone number, gender, and mailing address. Ensure all details are accurate.
In the Household Income Information section, provide the number of people in your household and total gross annual income. Attach necessary documentation like paycheck stubs or tax returns as proof.
Complete the Patients Insurance Information section by indicating if you have Medicare or any other prescription drug coverage. Fill in your insurance company details if applicable.
Sign and date the consent form at the end of the application. If a representative is assisting you, they must also sign and indicate their relationship to you.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does aptiom affect mood?

mood concerns, such as suicidal thoughts and behavior. previous allergic reaction to Aptiom or oxcarbazepine (Trileptal) pregnancy. breastfeeding.

What not to take with aptiom?

Examples of seizure medications that can interact with Aptiom include: (Tegretol, others) (Onfi, others) phenobarbital (Sezaby) phenytoin () primidone.

Does aptiom affect the liver?

Liver damage, also called hepatotoxicity, can happen when taking eslicarbazepine. Call your health care provider right away if you have any of the following symptoms of liver damage. Blood Disorders.

What is the Sunovion support prescription assistance program Aptiom?

The Sunovion Support Prescription Assistance Program: Aptiom offers eligible patients vital access to the drug Aptiom at no cost. This program primarily supports patients with a valid prescription by providing up to 12 months of medication.