Savings Options may be available

Kyowa Kirin Cares may have options to help pay for your Nourianz prescription.

Cost Savings for Eligible NOURIANZ Patients

Co-pay card program

Eligible patients may be able to fill their prescription for no more than $20 per month through the co-pay card program.

Co-pay card program terms and conditions

Commercial insurance

If you have commercial insurance, you may be eligible to receive co-pay assistance. Review the terms and conditions to learn if you qualify.a,b

Government insurance

In most cases, Kyowa Kirin doesn’t offer a program for government- or military-insurance patients.c You may be eligible for assistance through independent charitable foundations. Please refer to the information below for savings options through Medicare.

No insurance

If you do not have insurance, you may be eligible for the patient assistance program.c Review the terms and conditions to learn if you may qualify.

If you have Medicare Part D, you may be able to get "Extra Help" with prescription medicine costs through the Extra Help program.§

Extra Help is designed to help people who are on Medicare with a limited income. The program provides a range of financial assistance for prescription drug costs. Benefits may include:

  • Help with your monthly premiums
  • Reduced or no annual deductible
  • $0 or reduced costs on brand-name drugs
  • No gap in coverage ("donut hole")

To learn more:
Call 1-800-MEDICARE(1-800-633-4227; TTY users call 1-877-486-2048) or visit

aPatients must be US residents with an active primary commercial plan; patients with federal or state government insurance such as Medicare, Medicaid, and Tricare are not eligible for co-pay assistance. Other terms and conditions may apply.

bCommercially insured patients do not need to participate in Kyowa Kirin Cares to be eligible for co-pay assistance.

cPatients must be US residents with no active medical or pharmacy benefit insurance and an annual gross income ≤400% of the federal poverty level, confirmed by electronic income verification response or documented proof of income.

NOURIANZ resources

Refer to the important forms and resources below for additional support

Access Kyowa Kirin Cares forms as well as useful NOURIANZ information and resources below.

Patient assistance program

If you’re uninsured, you may qualify for the patient assistance program. Fill out this form with your healthcare provider, who will then fax it to Kyowa Kirin Cares to determine eligibility.


Visit the NOURIANZ website to learn more about how NOURIANZ works and how it may help you.

Appeal letter

Download this appeal letter template for your healthcare provider if you have been denied coverage.

Consumer Brochure

Download this brochure for more information about NOURIANZ.

What is NOURIANZ® (istradefylline)

NOURIANZ is a prescription medicine used with levodopa and carbidopa to treat adults with Parkinson’s disease (PD) who are having “off” episodes.

Important Safety Information

Before you take NOURIANZ, tell your healthcare provider about all your medical conditions, including if you:

  • have a history of abnormal movement (dyskinesia)

  • have a history of psychotic thinking or behavior

  • have reduced liver function

  • smoke cigarettes or use other tobacco products

  • are pregnant or plan to become pregnant. NOURIANZ may harm your unborn baby

  • are breastfeeding or plan to breastfeed

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

NOURIANZ and other medicines may affect each other causing side effects. NOURIANZ may affect the way other medicines work, and other medicines may affect how NOURIANZ works.

What are the possible side effects of NOURIANZ?

NOURIANZ may cause serious side effects, including:

  • uncontrolled sudden movements (dyskinesia). Uncontrolled sudden movements is one of the most common side effects.

  • hallucinations and other symptoms of psychosis. NOURIANZ can cause abnormal thinking and behavior.

    • being overly suspicious or feeling people want to harm you (paranoid ideation).

    • believing things that are not real (delusions)

    • seeing or hearing things that are not real (hallucinations)

    • confusion

    • increased activity or talking (mania)

    • disorientation

    • aggressive behavior

    • agitation

    • delirium (decreased awareness of things around you)

  • unusual urges (impulse control or compulsive behaviors). Some people taking NOURIANZ get urges to behave in a way unusual for them. Examples of this are unusual urges to gamble, increased sexual urges, strong urges to spend money, binge eating, and the inability to control these urges.

If you notice or your family notices that you are developing any new or unusual symptoms or behaviors, talk to your healthcare provider.

The most common side effects of NOURIANZ include uncontrolled movements (dyskinesia), dizziness, constipation, nausea, hallucinations, and problems sleeping (insomnia).

These are not all the possible side effects of NOURIANZ.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Please see Patient Information.