Patient-Helpdesk.com

2019 patient assistance program re-enrollment form for abilify

by Mr. Rhett Keeling Published 2 years ago Updated 1 year ago

What is the cost of Abilify?

Abilify is administered in tablet form. Bristol-Myers Squibb Patient Assistance Program For Abilify, a patient assistance program provided by Bristol-Myers Squibb Company, offers Abilify at no cost for up to 90 days to those who are eligible for the program. Eligibility is based off of the following requirements:

What drugs are eligible for the Abilify Patient Assistance Program?

The drugs applicable for this patient assistance program include Abilify (aripiprazole), Abilify (aripiprazole) DISCMELT, and Abilify Maintena (aripiprazole) Injection; Extended-Release and Abilify Mycite (aripiprazole) Tablet. Below is a clearer breakdown of the procedure of Abilify’s patient assistance programs.

Why do I need a doctor’s signature to apply for Abilify?

This is usually to verify the information and obtain consent on the financial condition or health condition of the patient concerning their request for Abilify. This part of the application will require a doctor’s signature to proceed with the enrollee’s application for the sorting process.

What are the age requirements for the Abilify savings card?

For patients between the ages of 6 and 17, an adult must use the card on their behalf. Patients are not eligible for the ABILIFY Savings Card if their prescriptions are covered in whole or in part by any state or federally funded programs, including, but not limited to, Medicare or Medicaid (including Medicaid managed care),...

How to report abilify side effects?

What are some unusual urges with abilify?

What is the phone number for the ABILIFY savings card?

Can you take abilify if you are allergic to aripiprazole?

Can you get an ABILIFY card with Medicare?

Does Abilify work with a savings card?

Is Abilify safe for elderly?

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About this website

Does Abilify have a patient assistance program?

Abilify is distributed to low income patients who meet certain eligibility criteria by the Bristol-Myers Squibb Patient Assistance Foundation, Inc. through the generous support of the Bristol-Myers Squibb Company and Otsuka America Pharmaceutical, Inc. Enclosed you will find the application form you had requested.

What is Otsuka Patient Assistance Foundation?

The Otsuka Patient Assistance Foundation, Inc. (OPAF) is a nonprofit organization that provides eligible patients with prescribed Otsuka medication free of cost. For assistance, please contact a Dedicated Patient Case Coordinator at 1-855-727-6274.

How do I get Abilify Maintena?

Receiving ABILIFY MAINTENA LCCs are places where you can get your prescribed injection instead of your healthcare provider's office. These can be retail pharmacies, urgent care clinics, dialysis centers, and infusion centers where a healthcare provider can give you your ABILIFY MAINTENA.

Who manufactures Abilify?

Bristol-Myers Squibb Company and Otsuka Pharmaceutical Co. are the two companies responsible for Abilify.

What is Rexulti medication?

Brexpiprazole is a medication that works in the brain to treat schizophrenia. It is also known as a second generation antipsychotic (SGA) or atypical antipsychotic. Brexpiprazole rebalances dopamine and serotonin to improve thinking, mood, and behavior.

What is the difference between Abilify and Abilify Maintena?

They both contain the active ingredient aripiprazole, an atypical antipsychotic, and are approved for the treatment of schizophrenia and bipolar disorder. Abilify is approved for other uses, too. Abilify comes as an oral medication taken daily, while Abilify Maintena is a long-acting injection given every 4 weeks.

Is Abilify available as an injectable?

Abilify Maintena (aripiprazole) is an injectable medication that's FDA-approved to treat bipolar disorder and schizophrenia in adults.

How often do you get the Abilify shot?

Aripiprazole extended-release injection (Abilify Maintena) is usually given once every 4 weeks. If you have never received aripiprazole previously, your doctor will tell you to take aripiprazole tablets by mouth for up to 2 weeks before you receive your first injection.

How early can Abilify Maintena be given?

ABILIFY MAINTENA is only to be administered by intramuscular injection by a healthcare professional. The recommended starting and maintenance dose of ABILIFY MAINTENA is 400 mg monthly (no sooner than 26 days after the previous injection).

Is there a monthly shot for bipolar?

ABILIFY MAINTENA is the first and only FDA-approved once-monthly* maintenance treatment for bipolar I in adults. It is an injection that is prescribed by your healthcare provider.

How long does Abilify Maintena stay in your system?

Abilify's half-life can be used to figure out how long Abilify stays in your system. It typically takes about five half-lives for a drug to leave your system entirely. So Abilify tablets and Abilify Maintena will stay in your system for about 16 days. And Abilify Maintena will stay in your system for about 150 days.

What does Abilify Maintena treat?

Generic Name: aripiprazole Extended-release aripiprazole injection is used to treat a mental/mood disorder called schizophrenia. This medication can decrease hallucinations (hearing/seeing things that are not there) and improve your concentration.

Abilify (aripiprazole): Side effects, dosage, uses, and more

Abilify (aripiprazole) is a prescription drug used to treat mood disorders such as schizophrenia. Learn about side effects, dosage, uses, and more.

Aripiprazole: Uses, Dosage, Side Effects, Warnings - Drugs.com

Although Abilify (aripiprazole) has been found to cause less weight gain than other atypical antipsychotics, there is evidence that in certain people it can cause significant weight gain and it may be more likely to cause weight gain in people who are taking it for depression alongside other antidepressants.

Abilify Uses, Dosage, Side Effects, Warnings - Drugs.com

Generic name: aripiprazole (oral) [ AR-i-PIP-ra-zole ] Drug class: Atypical antipsychotics Medically reviewed by Philip Thornton, DipPharm.Last updated on Jun 30, 2022. Warnings; Side effects; Interactions; Dosage; FAQ; What is Abilify? Abilify is an antipsychotic medication.

Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

Uses

This medication is used to treat schizophrenia. It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters).

How To Use

Take this medication by mouth, usually once daily, with or without food; or take as directed by your doctor. Do not take this medication more often or increase your dose without consulting your doctor. Your condition will not improve any faster but the risk of serious side effects will be increased.

Side Effects

Vomiting, fever, lightheadedness, dizziness, change in weight, blurred vision or drowsiness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Precautions

Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (e.g., history of heart attacks or chest pain, heart failure, irregular heart rhythm), history of stroke, dehydration, seizures, Alzheimer's disease, swallowing problems (e.g., history of aspiration), any allergies.

Drug Interactions

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: quinidine, fluoxetine, paroxetine, carbamazepine, azole antifungals (e.g., ketoconazole, itraconazole), alpha-blockers (e.g., doxazosin, prazosin), medications for treating high blood pressure (e.g., "water pills" or diuretics such as furosemide or hydrochlorothiazide).

Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: persistent vomiting or persistent drowsiness.

What is the Abilify drug?

Abilify is a antipsychotic medication launched by Bristol-Myers Squibb Company in 2002. Abilify has been approved by the FDA for treatment of psychotic conditions such as schizophrenia and manic depression.

What are the requirements to be eligible for Medicare?

Eligibility is based off of the following requirements: - You must be a citizen of the United States or its Territories. - You must not be covered by any private, public, or Medicare Part D prescription coverage programs. - You must not be eligible for both Medicaid and Medicare. - You must meet an undisclosed income guideline.

How to enroll in Bristol Myers Squibb?

Fill out the program enrollment form located to your right. If you don't see an enrollment form available please call Bristol-Myers Squibb Company program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.

Where do you send medication to?

The medication must be sent to the physicians office.

How to report abilify side effects?

at 1-800-438-9927 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. INDICATIONS: ABILIFY is indicated for: Treatment of Schizophrenia in adults and in adolescents 13 to 17 years of age.

What are some unusual urges with abilify?

Some people taking ABILIFY have had unusual urges, such as gambling, binge eating or eating that you cannot control (compulsive), compulsive shopping and sexual urges. If you or your family members notice that you are having unusual urges or behaviors, talk to your healthcare provider.

What is the phone number for the ABILIFY savings card?

For more information about the ABILIFY Savings Card, call 1-855-427-7470 from 8 AM to 7 PM ET, Monday through Friday.

Can you take abilify if you are allergic to aripiprazole?

ABILIFY is not approved for use in pediatric patients with depression (see BOXED WARNING). Do not take ABILIFY if you are allergic to aripiprazole or any of the ingredients in ABILIFY.

Can you get an ABILIFY card with Medicare?

Patients are not eligible for the ABILIFY Savings Card if their prescriptions are covered in whole or in part by any state or federally funded programs, including, but not limited to, Medicare or Medicaid (including Medicaid managed care), Medigap, VA, DOD, or TRICARE.

Does Abilify work with a savings card?

Remember, your Savings Card only works for brand-name ABILIFY. If your prescription was sent electronically to your pharmacy, your ABILIFY prescription may have been switched to a generic option. If so, ask the pharmacist to reprocess your prescription for brand-name ABILIFY. Pharmacy rules or local laws may apply.

Is Abilify safe for elderly?

IMPORTANT SAFETY INFORMATION: Elderly people with psychosis related to dementia (for example, an inability to perform daily activities as a result of increased memory loss), treated with antipsychotic medicines including ABILIFY, are at an increased risk of death compared to placebo.

Available medicines

Find out if the medicine your doctor prescribed is available through the Bristol Myers Squibb Patient Assistance Foundation.

Eligibility

Complete a brief assessment to see if you might be eligible for assistance.

How to apply

We'll need some information from both you and your doctor to process your application.

How to report abilify side effects?

at 1-800-438-9927 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. INDICATIONS: ABILIFY is indicated for: Treatment of Schizophrenia in adults and in adolescents 13 to 17 years of age.

What are some unusual urges with abilify?

Some people taking ABILIFY have had unusual urges, such as gambling, binge eating or eating that you cannot control (compulsive), compulsive shopping and sexual urges. If you or your family members notice that you are having unusual urges or behaviors, talk to your healthcare provider.

What is the phone number for the ABILIFY savings card?

For more information about the ABILIFY Savings Card, call 1-855-427-7470 from 8 AM to 7 PM ET, Monday through Friday.

Can you take abilify if you are allergic to aripiprazole?

ABILIFY is not approved for use in pediatric patients with depression (see BOXED WARNING). Do not take ABILIFY if you are allergic to aripiprazole or any of the ingredients in ABILIFY.

Can you get an ABILIFY card with Medicare?

Patients are not eligible for the ABILIFY Savings Card if their prescriptions are covered in whole or in part by any state or federally funded programs, including, but not limited to, Medicare or Medicaid (including Medicaid managed care), Medigap, VA, DOD, or TRICARE.

Does Abilify work with a savings card?

Remember, your Savings Card only works for brand-name ABILIFY. If your prescription was sent electronically to your pharmacy, your ABILIFY prescription may have been switched to a generic option. If so, ask the pharmacist to reprocess your prescription for brand-name ABILIFY. Pharmacy rules or local laws may apply.

Is Abilify safe for elderly?

IMPORTANT SAFETY INFORMATION: Elderly people with psychosis related to dementia (for example, an inability to perform daily activities as a result of increased memory loss), treated with antipsychotic medicines including ABILIFY, are at an increased risk of death compared to placebo.

Important Note

  • The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. ARIPIPRAZOLE - ORAL (...
See more on patientassistance.com

Uses

  • This medication is used to treat schizophrenia. It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters).
See more on patientassistance.com

How to Use

  • Take this medication by mouth, usually once daily, with or without food; or take as directed by your doctor. Do not take this medication more often or increase your dose without consulting your doctor. Your condition will not improve any faster but the risk of serious side effects will be increased. Do not stop taking this drug without your doctor's approval. Use this medication regul…
See more on patientassistance.com

Side Effects

  • Vomiting, fever, lightheadedness, dizziness, change in weight, blurred vision or drowsiness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: uncontrolled muscle movements (especially of the face or tongue), severe muscle stiffness, irre…
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Precautions

  • Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (e.g., history of heart attacks or chest pain, heart failure, irregular heart rhythm), history of stroke, dehydration, seizures, Alzheimer's disease, swallowing problems (e.g., history of aspiration), any allergies. To minimize dizziness or fainting, get up slowly from a lying or seated …
See more on patientassistance.com

Drug Interactions

  • Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: quinidine, fluoxetine, paroxetine, carbamazepine, azole antifungals (e.g., ketoconazole, itraconazole), alpha-blockers (e.g., doxazosin, prazosin), medications for treating high blood pressure (e.g., "water pills" or diuretics such as furosemide o…
See more on patientassistance.com

Overdose

  • If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: persistent vomiting or persistent drowsiness.
See more on patientassistance.com

Notes

  • Do not share this medication with others. Laboratory and/or medical tests should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
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Missed Dose

  • If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
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Storage

  • Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture. Brief storage between 59 to 86 degrees F (15 to 30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.
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