Financial Support Resources

The Otsuka Patient Experience Liaison (PEL) program

If you are a patient being treated with any of the products listed on this site, you can enroll in the PEL program to connect with a dedicated patient support representative. A PEL can answer your treatment-related questions, help you navigate insurance coverage, and provide helpful resources.

To enroll in the PEL program, fill out and submit the PEL Consent Form. You can complete and submit your form online, or you can download, print, and fax your form to 1-240-514-3999.

View the PEL Consent Form in Spanish (En Español)

View the PEL Consent Form in Chinese (中文)

After submitting your consent form, your enrollment in the PEL program will expire after 1 year. If you choose to continue enrollment, you will be required to renew your PEL consent form on a yearly basis.

For additional information and support, you can call Otsuka Connect Monday through Friday, 9 AM to 5 PM eastern time, excluding holidays at 1-833-468-7852.

Government programs and resources

There are multiple support options through Medicare. Here is a list of resources that may be helpful to you.

Medicare.gov “What’s Covered” App
Medicare’s free “What’s Covered” app delivers accurate cost and coverage information right on your smartphone.

Medicare.gov State Pharmaceutical Assistance Programs
Find out if your state has a State Pharmaceutical Assistance Program for financial support for prescription drugs.

Medicare.gov Savings Programs
The Medicare Savings Program can assist people with limited income pay for their Medicare premiums and other medical expenses.

Medicare.gov Extra Help (Part D)
Extra Help is a program to help people with limited income and resources pay Medicare prescription drug program costs, including premiums, deductibles, and coinsurance.

Medicare State Health Insurance Assistance Programs
View programs that educate and assist Medicare-eligible individuals, their families, and caregivers through outreach, counseling, and providing access to care and benefits.

Additional financial assistance

If you are looking for more affordability resources, we have you covered.

Patient Access Network Foundation
Helps uninsured patients get the treatment they need by assisting with out-of-pocket costs and advocating for access and affordability.

HealthWell Foundation
Assists with copays, premiums, deductibles, and out-of-pocket expenses for those who are underinsured.

The Assistance Fund
Helps patients and families facing high medical out-of-pocket costs by providing financial assistance for their copays, coinsurance, deductibles, and other health-related expenses.

Details and Eligibility

For patients:

In order to redeem this offer you must have a valid prescription for ABILIFY MAINTENA^® (aripiprazole). This offer may not be redeemed for cash. By using this offer, you are certifying that you meet the eligibility criteria (not a member of a federal, state, or government insurance program) and will comply with the terms and conditions described in the Restrictions section below. Patients with questions about the offer should call 1-888-591-9812.

Pharmacist:

When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs for this prescription. As a condition of payment, you certify that you are in compliance with all program rules, terms, and conditions, as well as with any obligations to provide notice of your participation in this program to third-party payers as required by law, contract, or otherwise.

Submit the claim to the primary Third Party Payer first, then submit the balance due to Therapy First Plus as a Secondary Payer COB [coordination of benefits] with patient responsibility amount and a valid Other Coverage Code (eg, 8). Eligible patients are responsible for as little as $10, with up to $8,000 in annual savings. A valid Prescriber ID# is required on the prescription. Reimbursement will be received from Therapy First Plus. For any questions regarding Therapy First Plus online processing, please call the Help Desk at 1-800-422-5604.

For healthcare professionals:

When you apply for this offer, you are certifying that you have not submitted a claim for reimbursement under any federal, state, or other governmental programs for this prescription. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider. By participating in this program, you are certifying that you will comply with the terms and conditions described in the Restrictions section below.

Restrictions:

This offer is only valid in the United States and Puerto Rico and is not transferable. Patients are not eligible if they are under 18 years of age or are covered in whole or in part by any state program or federal healthcare program, including, but not limited to, Medicare or Medicaid (including Medicaid managed care), Medigap, VA, DOD, or TRICARE. Offer void where prohibited by law, taxed, or restricted. Other restrictions may apply. This program is not health insurance. Otsuka America Pharmaceutical, Inc. has the right to rescind, revoke, or amend this program at any time without notice. Your participation in this program confirms that this offer is consistent with your insurance coverage and that you will report the value received if required by your insurance provider. When you use this card, you are certifying that you understand and will comply with the program rules, terms, and conditions. Program managed by PSKW, LLC on behalf of Otsuka America Pharmaceutical, Inc. Offer not valid for cash-paying patients OR where drug is not covered by the primary insurance.

Please see U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING, AND MEDICATION GUIDE for ABILIFY MAINTENA.

Paying for treatment

Learn about financial support options for your treatment