In some communities there are free medical clinics that also have access to free medications. Since you're not eligible for the patient assistance program, and Medicaid won't pay for Topamax, I suggest you see if you can find a free clinic in your area. Also, talk to your Medicaid case manager. She might know of other resources.
Yes, the patents on Topamax are a bit confusing. Some don't expire until early next year. It's not unusual for generic manufacturers to have tentative approval before the patients expire. That makes the process quicker once the patent expires.
There is now a generic out for Topimax out called Topirimate. I had to go off of my Topimax for nearly a year due to the price and have now been back on the generic for a month. It is exactly the same, and costs $11 a month. Hopefully that helps, granted this post is much later than the last two...
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It's a good point that generic topiramate is now available. It wasn't when the question was originally asked.
However, I do want to comment on your statement that "it is exactly the same." It's not necessarily exactly the same. In fact, several of our members have been having severe problems with the generics not working as well for them. Please take a look at Topamax or Topiramate for Migraine - A difference? If you ever have problems with generic medications, this information could prove important for you.
Need help with my medicamento
If you mean you need help paying for your medications, please see
Partnership for Prescription Assistance:
Helping Those Who Can't Afford Medications and Health Care.
Hope this helps,