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otsuka 2019 patient assistance program re-enrollment form for abilify

by Gus Kling Published 2 years ago Updated 1 year ago

How do I apply for Otsuka Patient Assistance Foundation?

If you qualify, please contact your HCP, who must apply on your behalf. Learn more about the application process. If you’re an HCP, you can use the Otsuka Patient Assistance Foundation (OPAF) portal on behalf of your patients to submit and track applications, download forms, access patient information, and more.

How do I get reimbursed for Abilify maintena through my health insurer?

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.* If you’re required to utilize a buy-and-bill option, you can receive ABILIFY MAINTENA through a specialty distributor.

What is the Otsuka network?

The network also includes news, events, and the opportunity to join the OPEN community. The Otsuka Patient Assistance Foundation, Inc (OPAF), is a nonprofit organization that assists underinsured and uninsured patients who have been prescribed Otsuka medications.

What is Abilify for?

Pharmacy rules or local laws may apply. What is ABILIFY for? Use as an add-on treatment for adults with Major Depressive Disorder when an antidepressant alone is not enough Treatment of Tourette's Disorder in pediatric patients 6 to 18 years of age For patients between the ages of 6 and 17, an adult must use the card on their behalf.

What time does Otsuka open?

How to contact OPAF about a hardship?

Have Questions About OPAF and Don't Have Time for a Phone Call?

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 to 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.

Who manufactures ABILIFY MAINTENA?

It was created by Otsuka in Japan and has been co-developed and co-commercialized by the alliance between Otsuka and Lundbeck. ABILIFY MAINTENA was approved in the U.S. in 2013 for the treatment of adults with schizophrenia.

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.

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 company makes Rexulti?

Lundbeck A/S (Lundbeck) announced today that the U.S. Food and Drug Administration (FDA) approved REXULTI® (brexpiprazole) as an adjunctive therapy for the treatment of adults with major depressive disorder (MDD) and as a treatment for adults with schizophrenia.

What medications should not be taken with Abilify?

What Other Medications May Interact With Aripiprazole?The antibiotic clarithromycin (Biaxin®)Antidepressants, such as fluoxetine (Prozac®), paroxetine (Paxil®), and nefazodone.Antifungals, such as fluconazole (Diflucan®), ketoconazole (Nizoral®), and itraconazole (Sporanox®)The antiarrhymia agent quinidine.More items...

What is the best antipsychotic drug?

Efficacy (symptom change) – the best performers were Clozapine, Amisulpride & Olanzapine, the worst performers were Asenapine, Lurasidone & Iloperidone. All cause discontinuation – the best performers were Amisulpride, Olanzapine & Clozapine, the worst performers were Lurasidone, Sertindole & Haloperidol.

How long does Abilify Maintena stay in 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.

When should I start taking Abilify Maintena?

2.1 Dosage Overview for the Treatment of Schizophrenia The recommended starting and maintenance dose of ABILIFY MAINTENA is 400 mg monthly (no sooner than 26 days after the previous injection).

Can Abilify Maintena be given every 3 weeks?

Aripiprazole long-acting-injection (Abilify Maintena, ARISTADA) [National Drug Monograph]. Typical dose: 6.25-25 mg every 2-4 weeks. General conversion formula: For each 10 mg/day PO, give 12.5 mg decanoate every 3 weeks. Increase by 12.5 mg increments if doses >50 mg needed.

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.

New Patient Application

New Patient Application READ BELOW TO SEE IF THIS PROGRAM IS RIGHT FOR YOU. WHO MAY BE ELIGIBLE To be eligible for Connection to Care: o Your total family household income must be at or below 200% of the Federal Poverty Level.

Patient Assistance Program Application

Johnson & Johnson Patient Assistance Foundation, Inc.of 5 • • • • • • • • • • • • ® • ®® ®® • • • •

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

Patient Assistance Program PO BOX 66764, St. Louis, MO 63166 - Allergan

Patient Assistance Program PO BOX 66764, St. Louis, MO 63166 Phone: 1 844-424-6727 Fax 844-708-0036 . The Allergan Patient Assistance Program (PAP) provides Allergan medicines at no cost to eligible

LILLY CARES FOUNDATION Patient Assistance Program Application

Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Phone: 1-800-545-6962 | Fax: 1-844-431-6650 | www.lillycares.com : ®® ® ® ®:

PFIZER Patient Assistance Program Form

1 Patient Declaration – By signing below, I affirm that my answers and my proof-of-income documents are complete, true, and accurate to the best of my knowledge. I understand that: • Completing this application form does not guarantee that I will qualify for the Pfizer Patient Assistance Program.

What time does Otsuka open?

Our foundation is open during our standard business hours of Monday-Friday 8am-8pm EDT.

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.

What time does Otsuka open?

Our foundation is open during our standard business hours of Monday-Friday 8am-8pm EDT.

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.

Locate your pharmacy network

Pressing needs can sometimes arise during treatment. Otsuka formed the Integrated Pharmacy Network (IPN) to help ensure that you have the support you need, when you need it. The IPN connects patients, care partners, and their healthcare team with carefully chosen retail and specialty pharmacies that have experience navigating the healthcare system.

Talk to a patient support representative

Starting on a treatment may require additional support. You can enroll in the Patient Experience Liaison (PEL) program to connect with a patient support representative over the phone as you start ABILIFY MAINTENA and throughout your time on treatment.

See more information and resources

Otsuka is here for every step of your treatment journey—your health is important to us.

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.

What is Otsuka patient support?from abilifymaintena.com

Otsuka Patient Support offers tools and personalized patient support to help you throughout your treatment journey.

How old do you have to be to get a prescription for Abilify?from abilifymaintena.com

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).

Does abilify cause dyskinesia?from abilifymaintena.com

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 Otsuka Patient Assistance Foundation?

The Otsuka Patient Assistance Foundation, Inc (OPAF), is a nonprofit organization that assists underinsured and uninsured patients who have been prescribed Otsuka medications. OPAF has specific eligibility criteria that applicants must meet prior to their approval for assistance.

What is Otsuka Patient Education Network?

That’s why we started the Otsuka Patient Education Network (OPEN), which develops and nurtures projects that give patients, their families, and their caregivers educational resources about diseases they may face.

What is the phone number for Otsuka?

Visit the website to learn more, or for more information about assistance with a specific medication, call OPAF at: 855-727-6274, Monday through Friday, 8 AM to 8 PM eastern time. Visit site.

How to contact Otsuka patient support?from otsukapatientsupport.com

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.*.

What are the most common adverse reactions to Abilify?from otsuka-us.com

Most Commonly Observed Adverse Reactions: The most commonly observed adverse reactions with ABILIFY MAINTENA in patients with schizophrenia (incidence ≥5% and at least twice that for placebo) were increased weight, akathisia, injection site pain, and sedation.

What is MyCite Patch?from otsuka-us.com

The MYCITE Patch detects and records the date and time of the ingestion of the tablet, as well as, certain physiological data such as activity level, and communicates this and the tablet ingestion data to the MYCITE APP on a compatible mobile device.1

How long does it take for Abilify MyCite to detect?from otsuka-us.com

Although most ingestions will be detected within 30 minutes, it may take up to two hours for the smartphone app and web portal to detect the ingestion of ABILIFY MYCITE; in some cases, the ingestion of the tablet may not be detected. If the tablet is not detected after ingestion, do not repeat the dose.

Why is abilify mycite not recommended?from otsuka-us.com

The use of ABILIFY MYCITE to track drug ingestion in “real-time” or during an emergency is not recommended because detection may be delayed or not occur

What is a ablemycit?from otsuka-us.com

ABILIFY MYCITE (aripiprazole tablets with sensor) is a drug-device combination product comprised of Otsuka’s oral aripiprazole tablets embedded with an Ingestible Event Marker (IEM) sensor. The ABILIFY MYCITE System includes: ABILIFY MYCITE, the MYCITE® Patch (wearable sensor); the MYCITE APP (a smartphone application); and web-based portals for healthcare providers and caregivers1

Why did Otsuka form the IPN?from otsukapatientsupport.com

Otsuka formed the IPN to ensure that you have the support you need, when you need it. The network connects patients, their care partners, and the prescribing team with retail and specialty pharmacies that are carefully chosen for their expertise within the mental healthcare system.

OTSUKA PRODUCT

you are currently prescribed or will be taking (to be completed by patient)

PATIENT AUTHORIZATION

I understand that Otsuka and its business partners may use and share with each other and with my healthcare providers, pharmacies, and health insurance plans, my information in connection with providing services to me under the program, administering the program, or as otherwise required for Otsuka to meet its legal obligations.

What time does Otsuka open?

Our foundation is open during our standard business hours of Monday-Friday 8am-8pm EDT.

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.

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