Resources for JYNARQUE® (tolvaptan)

Talk to a patient support representative

Starting on a treatment may require additional support. You can enroll in the Patient Experience Liaison (PEL) program to connect with a PEL over the phone to support you as you start on JYNARQUE and throughout your time on treatment.

A PEL is there to answer your questions about access, insurance or the REMS Program, review treatment access steps, and help you navigate educational resources.

Download the PEL Flashcard for more information on the PEL program.

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.

Talk to a fellow patient

If you have questions about managing treatment with JYNARQUE, check out the Peer Mentor Program. You can talk to other people who are already on treatment.

Access support services

Patient Support Resources Flashcard
Has more information on all the Otsuka support services available to you.

Patient Consent Form
Fill out this form to enroll in the Otsuka Patient Support Program so you can access support services.

Manage your care with Connect Rx

If you are being treated with JYNARQUE, the Connect Rx by Otsuka mobile app was developed to support you. The app includes:

A calendar that tracks and sends reminders for upcoming appointments
Messaging that enables you to securely message your doctor and share your calendar, lab results, or life events (if your doctor opts into the program)
A Digital Pill Case where you can add and review your medications, and report taken or missed doses
Helpful resources with access to relevant educational materials

Download the Connect Rx Flashcard to get information and instructions on how to access Connect Rx.

See more information and resources

Otsuka is here for every step of your treatment journey—your health is important to us.

For more information on JYNARQUE, including how to get started, tips while on treatment, or how you can connect with a peer mentor, go to JYNARQUE.com.

To find more information about communities and organizations you can connect with, or to find support and advocacy groups, explore our list of educational resources.

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.

JYNARQUE^®

(tolvaptan) tablets