Full Answer
How long does it take to activate OPAF?
How to contact OPAF about a hardship?
What is the phone number for OPAF?
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.
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.
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.
Can a pharmacist administer Abilify Maintena?
Long-acting injectable antipsychotics (LAIs) can help improve adherence. Pharmacies can provide LAIs in about the same time as a flu shot....Antipsychotic injectable medications provided by pharmacists.Generic nameBrand nameAripiprazoleAbilify, MaintenaAripiprazole lauroxilAristadaFluphenazineProlixin4 more rows•May 1, 2018
How expensive is the Abilify injection?
As a guide, 1 Abilify Maintena intramuscular powder for injection, extended-release 300 mg will cost around $1,900.
What is Patient Assist program?
AssistRx. Patient assistance programs (or PAPs) are generally sponsored by pharmaceutical manufacturers to provide free drug or financial assistance to patients who are uninsured or underinsured.
What is SaveOnSP program?
SaveOnSP is a service that negotiates prices for specialty drugs and in exchange for the exclusive right to do so, guarantees that the recipients of those covered prescriptions will pay $0. The only requirement is you must register with SaveOnSP – a one-time process that takes approximately 15 minutes.
Does Organon have a patient assistance program?
The Organon Co-pay Assistance Program offers assistance to eligible, privately insured patients who need help affording their medication. For product-specific information, please visit your medication website.
Where can I get Abilify injections?
LCCs are places where you can get your prescribed injection instead of at 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.
Where can I get Abilify shot?
Abilify Maintena (aripiprazole) is used to treat schizophrenia and bipolar I disorder in adults. It's an extended-release injectable medication that's given monthly. But you have to get the injection at a healthcare provider's office.
Who can administer Abilify Maintena?
Abilify Maintena is an injection given only by a healthcare provider at your doctor's office or hospital one time every month. It comes as an extended-release injection used to treat schizophrenia and bipolar I disorder in adults.
Can you get a shot of Abilify?
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.
Patient Assistance Program Enrollment Form for REXULTI ... - RxHope
Confidential - Protected Health Information May 2015 11US15EBA0023 The patient, or the patient’s authorized representative, MUST sign this form to receive product at no cost from the Otsuka Patient Assistance
ABILIFY Patient Assistance Program
There are over 100 million Americans that either can‚t afford their medication or are struggling to afford their medication. We aim to help each and every American in that situation.
Mobile Injection Form
Please see FULL PRESCRIBING INFORMATION, including BOXED WARNING. Mobile Injection Form PATIENT PRESCRIPTION DELIVERY Please fill out applicable fields OR indicate that the information is attached.
Patient Enrollment Form - ARISTADA Care Support
PAGE 14 PAGE 1 ˚˛˝˙ˆ˛ˇ˘ˆ ˙ˆ˛ˇ 4. PAtiEnt DiAGnosis Primary Diagnosis Code: F20.0 Paranoid schizophrenia F20.1 Disorganized schizophrenia
Patient resources | Otsuka US
Visit the website to get more information about how Otsuka Patient Support can help, or speak to a nurse at: 855-242-7787, Monday through Friday, 8 AM to 8 PM eastern time, excluding holidays.
Otsuka Patient Support
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How long does it take to activate OPAF?
The activation process takes less than 3 minutes. Once your account is active, you can send messages to OPAF immediately. To setup your OPAF secure message account follow the steps below: Click on the (button or envelope) below to start the process.
How to contact OPAF about a hardship?
If you are facing a hardship because of the COVID-19 crisis such as: Changes to your employment status such as losing your job or being temporarily furloughed; Changes in your insurance or medication costs; Please contact OPAF immediately at 1-855-727-6274 to discuss potential assistance.
What is the phone number for OPAF?
If you have any questions, please contact OPAF at 1-855-727-6274 8:00 AM - 8:00 PM EST.
Prescriber forms
The below forms can be used with the Integrated Pharmacy Network (IPN), Local Care Center (LCC), or another selected outpatient care site.
Need more information about ABILIFY MAINTENA?
You can find more resources, learn more about the safety and efficacy of ABILIFY MAINTENA, or explore patient profiles at ABILIFYMAINTENAhcp.com.
Coding and billing information
If a patient’s health insurer requires that ABILIFY MAINTENA be reimbursed through a buy-and-bill option, Otsuka Patient Support can research and provide coding information for that health insurer.*
How old do you have to be to get a prescription for Abilify?
By doing so, you agree that you have a prescription for ABILIFY MAINTENA, have commercial health insurance, and are at least 18 years of age. *Conditions apply. Click to view. For Patients: In order to redeem this offer you must have a valid prescription for ABILIFY MAINTENA® (aripiprazole).
Can you save on a abilify card?
You may be eligible to start saving on your ABILIFY MAINTENA prescription by taking this card to your next injection appointment.*
Does abilify cause dyskinesia?
Uncontrolled body movements (tardive dyskinesia). ABILIFY MAINTENA may cause movements that you cannot control in your face, tongue, or other body parts. Tardive dyskinesia may not go away, even if you stop receiving ABILIFY MAINTENA. Tardive dyskinesia may also start after you stop receiving ABILIFY MAINTENA.
What is a continuity of care form?
The Continuity of Care Form can be used to support patients' transition to their next site of care.
How to contact Otsuka patient support?
For in-person support, contact your local Patient Support Manager (PSM) at 1-855-242-7787. If a patient’s health insurer requires that ABILIFY MAINTENA be reimbursed through a buy-and-bill option, Otsuka Patient Support can research and provide specific coding information for that health insurer.*.
Does Otsuka work with CoverMyMeds?
Otsuka also collaborates with CoverMyMeds to help the creation and management of PA requests. Log in to an existing account or create a free account to seamlessly submit, track, and manage PA requests.
Why is Abilify needed?
Why Abilify Needs a Patient Assistance Program. Abilify (Aripiprazole) is in a family of drugs known as atypical antipsychotics. This medication is often used in patients with different mental and neurological disorders.
How often can you refill Abilify?
The limit of refills is subject to change, along with other certain guidelines. Re-application for Abilify patient assistance program is possible annually.
How much does Abilify cost?
The retail cost of an oral tablet of Abilify (2mg) is around $941 for a supply of 30 tablets. This could, of course, change depending on which pharmacy you visit, but even the rough approximation of this medication is still far too expensive for many to afford.
Why do pharmaceutical companies offer patient assistance?
However, since pharmaceuticals companies often provide patient assistance programs, it’s the specific medication brand that decides whether or not a drug is eligible for a patient assistance program.
How to get a prescription hope form?
A patient can call and obtain a request for an application form from Prescription Hope simply by enrolling here .
Where is Abilify sent?
If the enrollee’s application for Abilify is accepted, then the medication will be sent to the address provided or the doctor’s office.
Does Abilify have a patient assistance program?
Yes, the Abilify has a 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 ...
How to contact OPAF about a hardship?
If you are facing a hardship because of the COVID-19 crisis such as: Changes to your employment status such as losing your job or being temporarily furloughed; Changes in your insurance or medication costs; Please contact OPAF immediately at 1-855-727-6274 to discuss potential assistance.
Have Questions About OPAF and Don't Have Time for a Phone Call?
Send a secure message directly to a Dedicated OPAF Patient Case Coordinator.
How long does it take to get an OPAF application?
Plus, the portal offers the fastest patient application processing time — you’ll receive your eligibility determination within 48 hours once all documentation has been submitted. If you do not have access to the portal, you can download the paper application below.
How long does it take to activate an OPAF account?
Because it is HIPAA-compliant, there is a one-time account activation process. The activation process takes less than 3 minutes. Once your account is active, you can send messages to OPAF immediately.
What is the phone number for OPAF?
If you have any questions, please contact OPAF at 1-855-727-6274 8:00 AM - 8:00 PM EST.
How to get an OPAF online?
If you'd prefer, you can download the application and email it to your HCP or bring it to your next appointment.
How to contact OPAF about a hardship?
If you are facing a hardship because of the COVID-19 crisis such as: Changes to your employment status such as losing your job or being temporarily furloughed; Changes in your insurance or medication costs; Please contact OPAF immediately at 1-855-727-6274 to discuss potential assistance.
What happens if you are not accepted for OPAF?
If you aren’t accepted for OPAF assistance, please check your eligibility again when your income or insurance coverage changes.
How long does it take to get an answer from OPAF?
If your healthcare professional [HCP] submits an application online via the OPAF Care Connect Prescriber Portal, they will receive an answer within 48 hours upon receipt of the submitted application and all required supporting documentation.
Where to apply for HCP?
Having your healthcare professional [HCP] apply online at the OPAF Care Connect Prescriber Portal is the fastest way to get an official decision from OPAF.
How to contact OPAF?
We encourage you to call our Dedicated Patient Case Coordinators to discuss your eligibility. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM -8 PM (ET).
How to check if you qualify for Jynarque?
To check eligibility for JYNARQUE, please call 1-855-727-6274. You may not be eligible for assistance. Before assistance can be considered, a valid prescription is required. This interactive tool is just your first step in determining eligibility for medication from Otsuka provided at no cost.
How long does it take to activate OPAF?
The activation process takes less than 3 minutes. Once your account is active, you can send messages to OPAF immediately. To setup your OPAF secure message account follow the steps below: Click on the (button or envelope) below to start the process.
How to contact OPAF about a hardship?
If you are facing a hardship because of the COVID-19 crisis such as: Changes to your employment status such as losing your job or being temporarily furloughed; Changes in your insurance or medication costs; Please contact OPAF immediately at 1-855-727-6274 to discuss potential assistance.
What is the phone number for OPAF?
If you have any questions, please contact OPAF at 1-855-727-6274 8:00 AM - 8:00 PM EST.