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Otezla SupportPlus Program
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Phone
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844-468-3952
Fax:
855-850-2955
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Eligibility
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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
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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. |
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Required
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Income requirements not disclosed at this time. Must provide a FDA-approved diagnosis. |
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Supply
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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. |
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Ship To
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Medication will be shipped to the patient's home within 1 week of receiving prescription. |
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Note
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*Patients are subject to audit and must provide financial documentation.
This program also provides co-pay, reimbursement assistance and adherence support. |
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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.
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| Otezla tablet |
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