ACCESS AND SUPPORT
ARISTADA IS COVERED BY A MAJORITY OF HEALTHCARE PLANS
Coverage includes Medicare and Medicaid and most commercial plans1
*Data source: MMIT, September 2017.
†This is not a guarantee of payment, coverage, or reimbursement. Alkermes does not provide any advice, recommendation, guarantee, or warranty relating to coverage, reimbursement, or coding for any product or service. Healthcare providers are responsible for determining coverage and reimbursement information and ensuring the accuracy and completeness of claim submissions for their patients. Coding, coverage, and reimbursement vary significantly by payer, patient, and setting of care and are subject to change. Additional information may exist. Actual coverage and reimbursement decisions are made by individual payers.
Suggested miscellaneous HCPCS codes are:
- J 3490 – Unclassified drugs OR
- C 9399 – Unclassified drugs or biologicals
- Unclassified Drug C codes are used in the Medicare Outpatient Hospital Setting
ARISTADA® (aripiprazole lauroxil) has been assigned a J-Code: J1942
ARISTADA CARE SUPPORT
ARISTADA Care Support provides a comprehensive suite of services to help make ARISTADA therapy more accessible for your patients
No matter where your patients are in their journey, ARISTADA Care Support is ready to help.
ARISTADA Care Support can conduct a full benefit investigation for your patients living with schizophrenia, including prior authorization requirements, in about 15 minutes. We can provide a written summary of benefits usually within 24 hours.
If a prior authorization is needed, ARISTADA Care Support can provide letter of medical necessity templates and authorization forms for ARISTADA INITIO and/or ARISTADA.
If you have a claim denied, ARISTADA Care Support can help obtain information regarding the denial of coverage and provide appeal requirements for ARISTADA INITIO and/or ARISTADA.
Assistance programs available
Providing qualifying uninsured patients who meet program eligibility access to ARISTADA INITIO and ARISTADA treatment at no charge for up to 12 months. Certain restrictions apply.
Helping to reduce qualifying patients’ out-of-pocket costs for ARISTADA to as low as $10 co-pay per prescription. Certain restrictions apply.
ARISTADA INITIO and ARISTADA
If you are located in a hospital setting, your representative can help register your facility for the ARISTADA Hospital Inpatient Free Trial Program. Additional restrictions may apply. Learn more.Request SamplesProduct Ordering
Clinical educators are available to provide a demonstration of the proper preparation and injection of ARISTADA INITIO™ (aripiprazole lauroxil) and ARISTADA® (aripiprazole lauroxil). Demonstrations can be scheduled by contacting your ARISTADA representative.