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Patient Assistance Information

 
 
 
Otezla SupportPlus Program


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Phone : 844-468-3952
Fax: 855-850-2955
Eligibility
> Insurance requirements are determined on a case by case basis, this includes Medicare part D patient's. Patient must reside permanently in the US or US territories.
Who Can Apply
> Provider must call for application & fax in the prescription. The patient responds to questions over the phone to verify eligibility. The patient will be given a decision over the phone during the screening process. No online application available.
Required
> Income requirements not disclosed at this time. Must provide a FDA-approved diagnosis.
Supply
> Supply varies by patient. Patient will be contacted by the company to arrange refills. Patient must re-enroll at the end of every calendar year.
Ship To
> Medication will be shipped to the patient's home within 1 week of receiving prescription.
Note
> *Patients are subject to audit and must provide financial documentation. This program also provides co-pay, reimbursement assistance and adherence support.
 
Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
 
Otezla tablet