Jynarque Prescription Assistance Programs

Jynarque: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Jynarque. 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?

Otsuka Patient Assistance Foundation (OPAF) Patient Assistance Program

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

Provided by: Otsuka Patient Assistance Foundation, Inc.
Otsuka Patient Assistance Foundation, Inc. PO Box 3640 Gaithersburg, MD 20885-3640
TEL: 855-727-6274
FAX: 844-727-6274
Languages Spoken:
English, Others By Translation Service
Program Website
  • Jynarque (tolvaptan)
Eligibility Requirements
  • Insurance Status *Contact program for details.
  • Those with Part D Elibible? Varies
  • Income Based on FPL
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must live in United States or Puerto Rico
  • Obtaining Health care provider must complete online
  • Receiving Complete online or by phone
  • Returning The application must be submitted online by the health care provider
  • Doctor's Action Enroll in program, complete form and obtain patient consent
  • Applicant's Action Inform Doctor that he/she is in need
  • Decision Communicated Doctor notified
  • Decision Timeframe Not specified
  • Amount/Supply Varies
  • Sent To Varies
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Varies
  • Re-application Varies
Additional Information
Updated July 15, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

Back to top