Otsuka Patient Experience Liaison Enrollment Form

Otsuka is committed to the patients we serve. As a patient who has been prescribed an Otsuka product, you are now eligible for personalized support through Otsuka Patient Support™.

Connect with a Patient Experience Liaison (PEL)
Dedicated professionals who can provide you and your care partner(s) with personal support for
prescribed Otsuka medications, which include:

ABILIFY MAINTENA^® (aripiprazole) for extended release injectable suspension
ABILIFY ASIMTUFII^® (aripiprazole) extended release suspension for injection
ABILIFY MYCITE^® (aripiprazole tablets with sensor)

U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING for ABILIFY MAINTENA, ABILIFY ASIMTUFII, and ABILIFY MYCITE.
See MEDICATION GUIDES for ABILIFY MAINTENA, ABILIFY ASIMTUFII, and ABILIFY MYCITE.

To support you and your care partner(s) during your treatment journey, PELs can help with:

Support after discharge from a hospital or other times when you change care providers
Questions about insurance, affordability, and getting your prescription filled at the pharmacy
Scheduling outpatient appointments, including your next injection (if applicable)

Please complete the following information and a PEL will be in contact with you within 2 business days. Note: once you submit, you will receive an email from DocuSign to complete your enrollment.

Step 1 of 2

I am 18 years of age or older and a resident of the U.S. or its territories

I am not 18 years of age or older nor a resident of the U.S. or its territories

PEL support is only eligible in the U.S. or its territories if you are 18 years of age or older. Please talk to your healthcare provider if you have any additional questions or contact Otsuka Patient Support at 1-833-468-7852.

Step 2 of 2

*First Name

*Last Name

*Email Address

*Street Address

*City

*State

*ZIP Code

*Phone (select at least one)

Home

*Home Number

Mobile

*Mobile Number

Select Otsuka Product (required)

*I consent to receive calls and/or texts and/or emails from and on behalf of Otsuka America Pharmaceutical, Inc. and confirm that I am the primary user for the mobile phone number provided above. I understand that my consent to receive calls, texts and/or emails is not required or a condition of the program. The number of messages will vary based on my program selections. By consenting to text or email messages, I understand that every effort is made to protect information, SMS/Text and Email messages may not be secure. Message and data rates may apply. For additional information, see Otsuka America Pharmaceutical Privacy Policy at: Privacy Policy. Text STOP to opt out and HELP for help.

*I expressly authorize the uses and disclosures of PHI referenced in this Authorization.

Click the below button to have a Patient Experience Liaison contact you.

Thank you for providing your information

In a few moments you will receive an email from DocuSign to complete your enrollment and provide your signature. Please complete that final step in the process.

Individuals signing electronically: By signing this Authorization electronically, you understand that you will receive a copy of my completed Authorization to the email address that you provide. You must let us know if your email or other contact information changes. You understand that your email system may not be a completely secure form of transmission and is not always encrypted. You understand that you may sign a hard copy of this form if you prefer not to sign electronically.

Once you do, a Patient Experience Liaison will be in contact with you within 2 business days. If you have a question now, please contact us at 833-468-7852.

Otsuka Patient Support™ Health Information Use and
Disclosure Authorization (“Authorization”)

Permission to Use and Disclose Health Information: This Authorization relates to the Otsuka Patient Experience Program and patient experience team. The Program provides services relating to drugs and devices ("Products") of OPH Inc. and its affiliates and successors ("Otsuka"). Your "Providers," for purposes of this Authorization, include any physician, pharmacy, care center, clinic, or other healthcare facilities and professionals, as well as any discount plan, health plan, or other payors that may have information related to the Products you use. By signing this Authorization, you (or your personal representative on your behalf) allow your Providers and Otsuka, along with the Recipients defined below, to use and disclose some of your Protected Health Information as defined below ("PHI") and as described in this Authorization.

PHI Recipients: Your Providers may give your PHI to Otsuka and any Program operators, manufacturers and distributors of the Product, and contractors ("Recipients"). The Recipients can also re-disclose your information to their contractors, vendors, and third parties that may take over the Program in the future. For example, Otsuka may give your information to vendors, advocacy organizations, patient assistance programs, patient access centers, data aggregators, laboratories, safety program administrators, Otsuka Digital Health, other business partners, website tracking tool vendors, and personnel of these third parties. For purposes of this Authorization, “Recipients” include Otsuka and all of these other third parties. “Recipients” also include any legal representatives, caregivers or other contacts listed in this Authorization.

PHI to be Used and Disclosed: PHI includes any and all health information related to the following:

Your name, address, patient ID number, and other demographic data, date of birth, and information you provide on any forms related to the Products
Healthcare records related to your eligibility for and use of the Products, such as dates of treatment, dosage, and dispensing
The healthcare condition for which the Products were or may be prescribed, or your condition while taking or after stopping the Products. You understand that this may include sensitive PHI
Your experience with the Products, including whether you take them as prescribed
Health coverage, financial, payment, and claim information related to the Product or your ability to pay
Information to help support your transition of care, such as getting discharged from a hospital

Purposes: The Recipients may use, share, and re-disclose your PHI, in electronic or any other form or format, for the following purposes:

Determining if you qualify for and contacting you about the Program and Product-related services
Providing assistance to you regarding the Product, facilitating access to the Product, determining health plan coverage requirements, and communicating with you and the Providers regarding the Product, your treatment, or payment for the Product
Internal data collection, research, and reporting, including reviewing utilization, trends, and future needs of patients and providers
Data analysis including de-identifying the PHI, creating limited data sets, or combining it with other information, and monetizing de-identified data as permitted by law
Establishing your treatment profile, tracking coverage, and determining cost sharing
Examining the effectiveness and operation of the Program
Analysis to help evaluate and improve the Program and create new programs
Consistent with applicable law and any applicable standards of ethical conduct, contacting your healthcare provider(s), law enforcement, emergency services, a family member, or any other person reasonably able to assist if a Recipient has a good faith belief that such action is necessary to prevent or lessen a threat to your health or safety, or to the health and safety of others
Fulfilling the Recipients' legal obligations
Using tracking tools on websites and applications to examine your interaction and experience with Program-related or Product-related platforms and to help the websites and applications function
Proper management and administration of the Recipients and the Program, including re-disclosures to other Recipients, Providers, payors, and service providers as needed to operate the Program

Revocation: You may revoke and cancel this Authorization by calling 1-833-468-7852 emailing [email protected], or sending a written notice to Otsuka Patient Support™, 508 Carnegie Center Drive, Princeton, NJ 08540. If you have questions about the Program, you can talk to your Provider and/or call Otsuka Patient Support™ at that number. If a Provider is disclosing PHI for the Program on an ongoing basis, your revocation will take effect with respect to such Provider when they receive notice of your revocation. Revocation will not affect any uses or disclosures of PHI that took place before such cancellation was received. For example, if your PHI has already been shared with third parties, it will not be able to be deleted. If you revoke this Authorization you will no longer be eligible to receive Program services, but this will not affect your ability to receive the Product.

Voluntary Authorization: You do not have to sign this Authorization. Refusal to sign will not affect the start, continuation, or quality of your treatment or any other treatment, payment, enrollment in health plans, or eligibility for benefits for which you qualify. Your Providers may not condition treatment, payment, enrollment, or eligibility for benefits on whether you sign this Authorization.

Re-Disclosure: Once your PHI is disclosed as allowed in this Authorization, it may be re-disclosed by the Recipients and will no longer be protected by the Health Insurance Portability and Accountability Act (HIPAA). Additionally, it may no longer be protected by certain other state and federal privacy and security laws.

Expiration: This Authorization will remain in effect for one (1) year from the date of the signature(s) below or until it is revoked, whichever is earlier.

Copy of Authorization: You have a right to receive a copy of this authorization.

By signing this Authorization, you acknowledge that you have read and understand this Authorization and expressly authorize the uses and disclosures of PHI referenced in this Authorization.

Consent: By signing this Authorization, I acknowledge and confirm that I have read, understand, and agree to this Authorization and expressly authorize the uses and disclosures of PHI referenced in this Authorization.

Individuals signing electronically: By signing this Authorization electronically, you understand that you will receive a copy of your completed Authorization to the email address that you provide. You must let us know if your email or other contact information changes. You understand that your email system may not be a completely secure form of transmission and is not always encrypted. You understand that you may sign a hard copy of this form if you prefer not to sign electronically.