SYPRINE (trientine) Patient Assistance Program

Don’t let Wilson’s disease therapy costs threaten your survival. We help eligible patients access Syprine (trientine) for as little as $69.95 per month through manufacturer Patient Assistance Programs.

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Key ​Takeaways:

What is Syprine Prescription Assistance Program?

The Syprine Prescription Assistance Program is a manufacturer-sponsored initiative designed to help qualifying patients who cannot afford Syprine access the medication at no or reduced cost. A copay assistance program is available for commercially insured patients, and a Patient Assistance Program provides Syprine free of charge to eligible patients without insurance or with limited incomes.

Wilson’s disease is a condition that demands unwavering treatment — every day you go without chelation therapy, copper silently accumulates in your liver and brain, causing irreversible damage. When you’ve already been through the ordeal of trying penicillamine and couldn’t tolerate it, and your hepatologist prescribes Syprine as the alternative, discovering that it costs $20,781+ for 100 capsules can feel like the cruelest possible addition to an already exhausting medical journey.

AffordMyPrescriptions specializes in rare disease medication access. For a flat $69.95 per month, our Patient Advocates work with the urgency that a copper-accumulating disorder demands.

Pharmacy Price Comparison

Pharmacy(With Coupon)PrIce (30-Day)*You Save W/ Us
Walgreens

~$410.00

Save ~$340/mo
CVS Pharmacy

~$401.00

Save ~$331/mo

Walmart

~$405.00

Save ~$335/mo

Costco

~$401.00

Save ~$331/mo

SingleCare

~$446.00

Save ~$376/mo

*Retail prices are estimates based on public data and vary by pharmacy. Coupon prices from GoodRx and SingleCare as of April 2026. Afford My Prescriptions Advocacy Service bypasses retail pricing by using drug manufacturer programs to secure your medication for you—independent of dosage or retail price.

Our Pricing:

$69.95 Per month

1 Medications

$79.95 Per Month

2 Medications

$89.95 Per Month

3 Medications

$99.95 Per Month

4+ Medications

Why choose us For Your Syprine Prescription Program?

Living with Wilson’s disease means living with a condition that requires absolute medication adherence — every missed day of chelation therapy allows copper to re-accumulate, and the organ damage it causes is often irreversible. When you’ve already failed penicillamine due to intolerance and Syprine is your remaining chelation option, losing access to this medication because of cost is not just a financial problem — it’s a medical emergency in slow motion.

Our trained Patient Advocates understand rare disease medication access and work with the urgency that Wilson’s disease demands. From the moment you enroll, your advocate prepares your application, coordinates with your hepatologist or geneticist, submits everything to the appropriate program, and tracks your status through every stage. When your capsules are due for refill, they manage that proactively — because for Wilson’s disease patients, even a brief interruption allows copper accumulation to begin again.

Our pricing is simple and predictable: $69.95 per month — every month. While the medication itself is provided at no cost through assistance programs (or at the lowest available coupon price for the generic), our monthly fee covers all advocacy and program management. If we’re unable to secure access, you won’t be charged.

Enroll

Complete a simple eligibility form so our team can determine if you may qualify for medication assistance programs.

We Advocate

Our specialists help gather documentation, complete applications, and coordinate with program providers.

Receive Medication

Once approved, you may receive your medication through the assistance program while we help manage ongoing paperwork and renewals.

Discount Coupons vs. Patient Assistance Programs

Many patients try discount cards first. Here’s why the Patient Assistance Program through Afford My Prescriptions is the better long-term solution:

Limitations of Coupons

  • Generic trientine still costs $401+/month with coupons
  • Cards expire and require constant renewal

  • Even discounted, $4,800–$7,800/year for lifelong therapy
  • Penicillamine alternative — but most patients failed it already
  • Insurance coverage often limited for rare disease medications

Advantages of PAP Through Us

  • Fixed $69.95/month — never changes regardless of retail price

  • No expiration — continuous access as long as you qualify
  • Medication supplied directly from the manufacture

  • We manage all paperwork, refills, and annual renewals
  • Specialized rare disease medication advocacy

DO YOU QUALIFY?

Eligibility is generally determined by annual household income levels. Most programs follow guidelines that include a limit of up to $40,000 for individuals, $60,000 for couples, and $100,000 for larger families. A confirmed diagnosis of Wilson’s disease is also required.

Understanding Syprine:

Syprine (trientine hydrochloride) is a prescription oral capsule used to treat Wilson’s disease — a rare genetic disorder in which the body cannot properly eliminate copper, causing it to accumulate to dangerous levels in the liver, brain, and other vital organs. Syprine is available as 250 mg capsules taken 2 to 4 times daily on an empty stomach. Treatment is lifelong — stopping therapy allows copper to re-accumulate and cause progressive organ damage.


How It Works:

Wilson’s disease involves a mutation in the $ATP7B$ gene that prevents the liver from naturally excreting copper, causing toxic buildup in vital organs. Syprine (Trientine) acts as a chelating agent, using its polyamine structure to bind to these copper ions. This process creates a water-soluble complex that is too large to be reabsorbed by the body. Consequently, the copper is safely filtered by the kidneys and removed through urine, reducing the body’s overall copper burden.

Form and Use:

The medication is provided in 250 mg capsules, with a standard adult dosage ranging from 750 mg to 1,250 mg daily, split into multiple doses. For maximum effectiveness, it must be taken on an empty stomach, either one hour before or two hours after eating. This timing is crucial because food and minerals can block the drug’s ability to bind with copper. Additionally, patients should maintain a two-hour gap between taking this medication and any iron supplements.

Generic Availability:

Generic trientine hydrochloride is available in the United States and offers significant savings, costing roughly $401 to $446 for 100 capsules compared to over $20,000 for the brand-name version. While the generic is 97% cheaper, it remains relatively expensive due to the rarity of Wilson’s disease and the small number of patients requiring treatment. For those facing financial hurdles, assistance programs like AffordMyPrescriptions offer the medication for a monthly fee of $69.95.

Warnings:

Patients must never stop taking the medication without a doctor’s supervision, as copper levels will begin to rise immediately. Common side effects to watch for include nausea, abdominal pain, and the development of iron deficiency anemia. To ensure the treatment is working correctly and safely, regular blood and urine tests are mandatory. These consistent evaluations allow medical professionals to monitor copper levels and adjust the treatment plan as needed.

FAQ (Frequently Asked Questions)

How Much Does Syprine Cost Without Insurance?

Brand-name Syprine costs approximately $20,781–$25,520 for 100 capsules. Generic trientine costs approximately $401–$446 for 100 capsules with coupons. Through AffordMyPrescriptions, qualifying patients receive their medication at no cost — our $69.95 monthly fee covers advocacy.

Yes. The Syprine supplied through assistance programs is the same FDA-approved trientine hydrochloride medication, supplied directly from the manufacturer.

Syprine is specifically indicated for Wilson’s disease patients who cannot tolerate penicillamine — the first-line chelation agent. While both medications remove excess copper, some patients develop significant intolerance to penicillamine. For these patients, Syprine is the essential alternative.

Wilson’s disease requires lifelong chelation therapy. If you stop taking Syprine, copper will begin re-accumulating immediately, leading to progressive liver damage, neurological deterioration, and organ damage. There is no cure for Wilson’s disease — only continuous management through chelation.

Trientine must be taken at least 1 hour before or 2 hours after meals because food — especially minerals like iron, zinc, and calcium — can bind to trientine in your digestive tract, preventing it from chelating the excess copper in your body. Taking it on an empty stomach ensures maximum absorption and effectiveness.

Our Patient Advocates will immediately explore every alternative — including GoodRx and SingleCare coupons for generic trientine ($401–$446 for 100 capsules), the manufacturer’s copay assistance program for commercially insured patients, penicillamine (Cuprimine) as an alternative chelator (if retoleration is possible), zinc acetate (Galzin) as maintenance therapy, and independent rare disease assistance foundations.

Take Control of Your Medication Costs

If you are struggling with the high cost of Syprine, our team may be able to help you access assistance programs designed to make medications more affordable. Check your eligibility today and take the first step toward reducing your prescription costs.

Submit Enrollment Form

Start free by filling out a simple online form.

Receive Welcome Call

Our specialist will contact you for a quick welcome call.

We Manage The Process

Our team handles everything, so you can focus on your health.

Receive Welcome Call

We Manage The Process