Affordability Check
How to afford PERAMPANEL
Generic name: Perampanel
Pick how you're covered. We'll show you the cheapest legitimate way to get PERAMPANEL — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.
Pick an option above to see your specific path.
Different insurance means different laws and different savings. For example, Medicare patients cannot use manufacturer copay cards (federal law) — but the manufacturer almost always has a Patient Assistance Program that gives the drug free.
About PERAMPANEL and its cost
What is this medication? Perampanel is a prescription medication categorized as an antiepileptic drug, primarily sold under the brand name Fycompa. It is used to treat partial-onset seizures with or without secondarily generalized seizures in patients four years of age and older. Additionally, it is approved for use as an add-on treatment for primary generalized tonic-clonic seizures in adults and children who are at least twelve years old. This medication works as a selective, non-competitive antagonist of the AMPA glutamate receptor, which helps to reduce excessive electrical activity in the brain. This drug is typically taken orally once per day, usually at bedtime because it can cause significant drowsiness. While it is effective for managing epilepsy, it carries a boxed warning regarding serious psychiatric and behavioral adverse reactions. These potential side effects can include irritability, aggression, anger, anxiety, and homicidal ideation. Patients and caregivers are advised to monitor for any changes in mood or behavior while taking this medication and to consult with a healthcare professional regularly to ensure safe and effective use.
PERAMPANEL is made by Eisai. Like most brand-name drugs, it's priced at a high list price — but patients rarely pay that list price. The options above are the real paths most people use to get it affordably.
Common questions
What's the cheapest way to afford PERAMPANEL?
It depends on your insurance. On Medicare, apply for the manufacturer's Patient Assistance Program (PAP) — it gives the drug free if you meet income requirements. With private insurance, the manufacturer copay card usually drops your copay to $0-$25. Uninsured patients should compare the PAP with Cost Plus Drugs cash price.
Can I use a copay card with Medicare for PERAMPANEL?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But Eisai has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover PERAMPANEL?
Part D coverage varies by plan. We query the CMS Prescription Drug Plan file to show you what percentage of plans cover it and at what tier. For your exact copay, pick "Medicare" above and check your plan's Summary of Benefits, or log in to Medicare.gov.
How long does a Patient Assistance Program take?
Most PAPs take 2-6 weeks from application to first fill. Ask the manufacturer about a "bridge supply" — many will ship 30 days free while your application is being reviewed so you don't go without the drug.
What if I have a high-deductible plan?
For generics, Cost Plus Drugs cash price is often cheaper than your deductible-phase copay. For brand names, the manufacturer copay card almost always wins. A GoodRx coupon can be a last resort for uncovered drugs, but it doesn't count toward your deductible.
Are there charity grants for Epilepsy?
Charities like HealthWell Foundation, PAN Foundation, Good Days, and the National Organization for Rare Disorders provide copay help for specific conditions. Funds often run out mid-year — apply early. We list the specific grants for your condition in the options above.
More about PERAMPANEL
Full PERAMPANEL drug page
FDA label, prior authorization rules, full indications list
More options for Epilepsy
Drugs, grants, and assistance for this condition
Guide to Patient Assistance Programs
How PAPs work, who qualifies, typical wait times
If your insurance denied coverage
5-level appeal playbook — Medicare has a 60% win rate at Level 3