Friday, October 31, 2014
Friday, October 10, 2008 ruthierosenquis, Community Member, asks

Q: Is there any financial help available for low income people with insurance taking Topamax

My name is Ruthie and I am a single mother to my four year old son, I am also a college student, and I work part time. I am currently prescribed to Topamax 50mg 2x daily for my migraines (I am so ecstatic to have finally found something that works for me!) The downside of my situation is that I am having a very difficult time affording this medication, as my insurance is medicaid and they will not cover any part of the Topamax (even after my doctor filled out a prior authorization form.) The pharm. reps quit bringing samples to my physicians office, since supposedly Topamax lost it's patent 09/26/08 and should be offered by many generic companys soon. I have applied for the patient assistance program available through J&J and they denied me, I am at a loss of where to turn and have exhausted my finances to a point where I can no longer continue. I am trying so hard to build a solid, strong future for my son and I (this is why I went back to college) although it seems as if every where I turn I am hitting a huge brick wall, if anyone has any advice on any financial help available for people in my situation please let me know. Also if anyone has any information on when Topiramate should be approved (, says tentative approval) or available in the US then please let me know because at this point in time any information would be greatly appreciated.
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Answers (4)
Teri Robert, Health Guide
10/10/08 6:21pm



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.


Good luck,


ejk, Community Member
10/17/08 12:55pm

You didn't say why J&J denied you - if you don't have Rx insurance, and make below a certain income, they probably should have approved you. If that's the case, I would try to appeal their decision.


Try these websites:

Try calling:

Managed Rx @ 800-799-8765

PAF Patience Assistance Program @: 1-866-512-3861


Good luck!


jm511, Community Member
3/24/10 3:14pm

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...

Teri Robert, Health Guide
3/24/10 4:02pm



-:¦:-•:*'""*:•.-:¦:-•*Welcome to MyMigraineConnection!*•-:¦:-•:*'""*:•.-:¦:-


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.


Welcome again,


olga, Community Member
6/17/10 6:07pm

Need help with my medicamento

Teri Robert, Health Guide
6/17/10 6:36pm



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,


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By ruthierosenquis, Community Member— Last Modified: 07/08/13, First Published: 10/10/08