Aristada Initio 675mg Patient Assistance Programs

Aristada Initio 675mg: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Aristada Initio 675mg. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Aristada Care Support Patient Assistance Program

(Program 1 of 1 — Scroll down to see them all )

Provided by: Alkermes, Inc.
PO Box 220549 Charlotte, NC 28222-0549
TEL: 866-274-7823
FAX: 844-464-7171
Languages Spoken:
English Spanish
Program Website
Medications
  • Aristada Initio 675mg (aripiprazole lauroxil)
Eligibility Requirements
  • Insurance Status Must be uninsured
  • Those with Part D Elibible? No, must be ineligible
  • Income Varies
  • Diagnosis/Medical Criteria Schizophrenia
  • U.S. Residency Required? The patient must also be a US resident.
Application
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Varies
Medication
  • Amount/Supply Varies
  • Sent To Licensed Health Care Provider
  • Delivery Time Varies
  • Refill Proces Good for one year
  • Limit Varies
  • Re-application New enrollment every 12 months
Additional Information
Resources for HEALTHCARE PROFESSIONALS ONLY. Contact program for details: www.AristadaHCP.com This program also provides copay assistance.
Updated September 28, 2018

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