Patient-Helpdesk.com

otsuka patient assistance refill form

by Neil Reilly PhD Published 1 year ago Updated 1 year ago
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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.

What if I Can’t afford my Otsuka medication?

If you don’t have health insurance or can’t afford your prescribed Otsuka medication, the Otsuka Patient Assistance Foundation (OPAF) might be able to help you get it at no cost to you. OPAF is a nonprofit organization that assists underinsured and uninsured patients who have been prescribed Otsuka medications.

What is Otsuka patient education network?

Patients are more than just their diagnoses. 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.

How do I use the OPAF care connect patient portal?

If you’re a Patient, you can use the OPAF Care Connect Patient Portal to submit and track applications, download forms, upload required documents, and more. 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.

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?

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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.

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 can I replace Abilify with?

Besides Abilify and Rexulti, other second-generation antipsychotics include:Geodon (ziprasidone)Risperdal (risperidone)Seroquel (quetiapine)Latuda (lurasidone)Vraylar (cariprazine)Zyprexa (olanzapine)Clozaril (clozapine) has restricted distribution in the US because of its severe side effects.

Why was Abilify taken off the market?

The complaint alleges that Bristol-Myers Squibb promoted the drug for off-label uses including in elderly Alzheimer's patients and that the company violated state consumer protection laws by misrepresenting and minimizing risks of the drug including metabolic and weight gain side effects.

Does Abilify make you want to spend money?

The U.S. Food and Drug Administration (FDA) is warning that compulsive or uncontrollable urges to gamble, binge eat, shop, and have sex have been reported with the use of the antipsychotic drug aripiprazole (Abilify, Abilify Maintena, Aristada, and generics).

What is Abilify most commonly prescribed for?

Abilify is a prescription medicine used to treat the symptoms of schizophrenia, bipolar I disorder (manic depression), and major depressive disorder. Abilify may be used alone or with other medications. Abilify is an antipsychotic, antimanic agent.

Is Abilify an antidepressant or mood stabilizer?

Aripiprazole is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). It may also be used in combination with other medication to treat depression. Aripiprazole is known as an antipsychotic drug (atypical type).

What is Abilify mostly prescribed for?

Descriptions. Aripiprazole is used alone or together with other medicines to treat mental conditions such as bipolar I disorder (manic-depressive illness), major depressive disorder, and schizophrenia. It is also used in children to treat irritability associated with autistic disorder and Tourette syndrome.

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.

Pfizer Patient Assistance Program

PP-PAT-USA-0894 © 2018 Pfizer Inc. Printed in USA/November 2018

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 Application

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

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 : ®® ® ® ®:

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.

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 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.

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 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.

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.*

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 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.

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?

(OPAF). The FAQs provide guidance to patients, caregivers, and healthcare professionals (HCPs). If you have further questions, please call us at 1-855-727-6274.

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.

How long does it take for OPAF to process?

Once the application and all documentation has been received, OPAF will provide your healthcare professional a determination of benefits within 48 hours. OPAF cannot process an application without all documentation. If there is missing information or documentation, the application may take longer to process and possibly could be denied after 90 days.

What is OPAF treatment?

OPAF is an organization that provides free treatment to eligible uninsured and underinsured patients on ABILIFY MAINTENA® (aripiprazole), JYNARQUE® (tolvaptan), REXULTI® (brexpiprazole), or SAMSCA® (tolvaptan) medications. How is OPAF funded? OPAF is funded by donations.

How does OPAF work?

Once all of the documentation and the application are submitted to OPAF, the application will go through an eligibility approval process. Once the application has completed the eligibility approval process, the OPAF team will notify you, as well as your Healthcare Professional [HCP] what the application approval decision is. If approved, the next steps are receiving your medication at no cost. OPAF will review the application to ensure that it is complete. If additional information is required, OPAF will contact your healthcare professional.

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 OPAF resource center?

The OPAF Resource and Solutions Center may help patients find local, state, and national resources which are not affiliated with OPAF. These alternative organizations may be able to help with other concerns such as other medication and medical financial assistance, disease state educational material, other financial assistance, transportation assistance, housing assistance, and nutritional assistance. You can reach the OPAF Resource and Solutions Center at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET) and speak with one of our Patient Assistance Advocates.

Get a prescription savings card

The REXULTI Savings Card offers two separate benefits for patients with commercial insurance.* Eligible patients may pay as little as $0 for two months of REXULTI and $15 per refill, even for a 90-day prescription.

Get prescription support with GoodRx

Otsuka has collaborated with GoodRx to give you support on prescription savings during your treatment journey with REXULTI. Head over to GoodRx to find the lowest prices, coupons, and more ways you can save on your REXULTI prescription.

Learn about patient assistance

If you don’t have health insurance or can’t afford your prescribed Otsuka medication, the Otsuka Patient Assistance Foundation (OPAF) might be able to help you get it at no cost to you.

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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