Welcome to
SK Life Science
Navigator

Helping patients who are prescribed XCOPRI^® (cenobamate tablets) CV get started and continue on therapy as appropriate.

2026 SK Life Science Navigator
Patient Assistance Program (PAP) Changes

SK Life Science Navigator may assist eligible
patients with the following*:

SK Life Science Navigator
can help patients access XCOPRI^® (cenobamate tablets) CV with the following:

Benefits Verification

Determine drug coverage for patients prescribed XCOPRI based on the patient’s individual health plan

Prior Authorization Information

Determine the information that may be necessary to help obtain a PA decision from a patient’s insurer

Patient Assistance Program (PAP)

SK Life Science Inc., may provide XCOPRI for free to eligible patients who do not have prescription drug or health insurance coverage and who, without assistance, cannot afford XCOPRI^‡

SK Life Science Navigator Enrollment Form

HCP Offices can electronically fill out the Navigator Enrollment Form. Click the link below to get started.

SK Life Science Navigator Enrollment Form

Patient Authorization

You can sign a Patient Authorization for the SK Life Science Navigator program electronically. Click the link below to get started.

Patient Authorization

Patient Assistance Program (PAP) Application

You can fill out and sign the Patient Assistance Program (PAP) Application electronically. Click the link below to get started.

SK Life Science Navigator PAP Application – English

SK Life Science Navigator PAP Application – Spanish

Always talk to a healthcare provider if there are any questions.

^‡Patients must meet eligibility criteria for PAP, which includes: 1) US resident, 2) on-label diagnosis, 3) meets financial threshold, 4) patient is uninsured, functionally uninsured, or has a financial hardship.

Downloadable Resources

Download

Downloadable Resources

SK Life Science Navigator Enrollment Form

This enrollment form should be filled out by a Prescriber to start the enrollment process. Patients should sign the Patient Authorization section while at the office.

Download

Downloadable Resources

Patient Assistance Program Application – English

Patients should fill out this application to be evaluated for the Patient Assistance Program.

Download

Downloadable Resources

Patient Assistance Program Application – Spanish

Los pacientes deberían llenar esta solicitud para ser evaluados para el Programa de Asistencia al Paciente.

Download

Downloadable Resources

Letter of Medical Necessity

This is a templated Letter of Medical Necessity for office staff to fill out and provide to insurers.

Download

Downloadable Resources

Letter of Appeal

For patients who have been denied coverage for XCOPRI^® (cenobamate tablets) CV, office staff may use this templated Letter of Appeal to advocate for coverage.

Download

Downloadable Resources

Medicare Part D Tier Exception Letter

For Medicare Part D patients that have a high copay for their XCOPRI^® (cenobomate tablets) CV, office staff are able to use this template to write a Medicare Tier Exception Letter which may make their copay more affordable.

Download

Downloadable Resources

Low Income Subsidy/Extra Help Information

This is a one-page document that will provide offices and patients information about Medicare Low Income Subsidy/Extra Help program and how to apply.

Should you need additional information, or to speak to a care manager, please call 866-756-2844
(866-SK-NAVIG) or email SKnavigator@rxallcare.com.

Welcome to SK Life Science Navigator

SK Life Science Navigator may assist eligible patients with the following*:

SK Life Science Navigator can help patients access XCOPRI® (cenobamate tablets) CV with the following:

Benefits Verification

Prior Authorization Information

Patient Assistance Program (PAP)

SK Life Science Navigator Enrollment Form

Patient Authorization

Patient Assistance Program (PAP) Application

Downloadable Resources

Downloadable Resources

SK Life Science Navigator Enrollment Form

Downloadable Resources

Patient Assistance Program Application – English

Downloadable Resources

Patient Assistance Program Application – Spanish

Downloadable Resources

Letter of Medical Necessity

Downloadable Resources

Letter of Appeal

Downloadable Resources

Medicare Part D Tier Exception Letter

Downloadable Resources

Low Income Subsidy/Extra Help Information

Welcome to
SK Life Science
Navigator

SK Life Science Navigator may assist eligible
patients with the following*:

SK Life Science Navigator
can help patients access XCOPRI^® (cenobamate tablets) CV with the following: