INDICATION AND IMPORTANT SAFETY INFORMATION FOR ARISTADA INITIO AND ARISTADAĪRISTADA INITIO® (aripiprazole lauroxil), in combination with oral aripiprazole, is indicated for the initiation of ARISTADA® (aripiprazole lauroxil) when used for the treatment of schizophrenia in adults.ĪRISTADA is indicated for the treatment of schizophrenia in adults. †The ARISTADA Patient Assistance Program does not cover or provide support for supplies, procedures, or any physician-related services associated with ARISTADA therapy.ĭid you know your Medicare patients who qualify for low-income subsidy (LIS) may have minimal co-pays?ĭownload this low-income subsidy guide to find out more. Patient must be prescribed ARISTADA INITIO and ARISTADA for an on-label use and be 18 years of age or older Shipment must be delivered to a licensed healthcare provider at a location within the 50 states (excluding PR and US Territories) Prescription must be by a US licensed healthcare provider Patient must provide proof of household size and annual gross income and certify accuracy that they meet financial criteria Patients must be uninsured or determined to be functionally uninsured, which means that despite having insurance, the patient is being denied coverage for the product The ARISTADA Patient Assistance Program provides your uninsured or “functionally” uninsured patients, who meet program eligibility criteria, access to treatment at no charge, for up to 6 months.† Please download and review the enrollment form for complete program information. Program Administrator or its designee will have the right upon reasonable prior written notice, during normal business hours, and subject to applicable law, to audit compliance with this program. This offer is limited to one per patient, may not be used with any other offer, is not transferable and may not be sold, purchased or traded, or offered for sale, purchase or trade. Alkermes reserves the right to rescind, revoke, or amend this offer, program eligibility, and requirements at any time without notice. This offer is not conditioned on any past, present, or future purchase, including refills. Program may be subject to plan benefit design requirements. If patient becomes eligible for any government program that pays for any portion of medication costs, you will no longer be eligible for this program. Patients eligible to participate in this program must be 18 years or older, be treated consistent with the FDA-approved labeling, have their medication covered by commercial insurance and not be enrolled in, or covered by, any local, state, federal or other government program that pays for any portion of medication costs, including but not limited to Medicare, including Medicare Part D or Medicare Advantage plans Medicaid, including Medicaid Managed Care and Alternative Benefit Plans under the Affordable Care Act Medigap VA DOD TRICARE or a residential correctional program. The healthcare provider can also initiate enrollment by enrolling the patient in ARISTADA Care Support. For ARISTADA INITIO, maximum savings is up to $2000.00 total, and Co-pay card may be used up to 4 times per calendar year.Įligible patients or their caregivers can enroll directly in the Co-pay Savings Program and download the ARISTADA Co-pay Savings card at /copay-savings. Minimum out-of-pocket cost per fill, after Co-pay savings applied, is $10. Maximum savings per fill is $1600.00 for ARISTADA 1064 mg, up to 6 fills per calendar year, with maximum savings up to $7600 per calendar year. Maximum savings per fill is $800.00 for ARISTADA 441 mg, 662 mg, and 882 mg, up to 12 fills per calendar year, with maximum savings up to $7600 per calendar year. Patients may pay as low as a $10 co-pay per prescription for ARISTADA INITIO® (aripiprazole lauroxil) and ARISTADA® (aripiprazole lauroxil) with the ARISTADA Co-pay Savings Program. *Eligibility requirements and restrictions apply.Ĭo-pay Savings Program for eligible patients with commercial insurance Please see Important Safety Information, including Boxed Warning, for ARISTADA INITIO and ARISTADA, below.Ĭall 1-866-ARISTADA (1-86)Monday–Friday, 9 AM to 8Īssistance to help your patients pay for ARISTADA INITIO and ARISTADA may be available* By using our website without changing your cookie settings you agree to our use of cookies as described in our Privacy Policy >.Ĭall 1-866-ARISTADA (1-86) Monday–Friday, 9 AM to 8 PM, ET. ARISTADA Care Support | Assistance Programs
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