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ARISTADA IS COVERED BY A MAJORITY OF HEALTHCARE PLANS1

Including Medicare, Medicaid, Veterans Health Administration, and most commercial plans1

ARISTADA
COVERAGE IS
AVAILABLE FOR
OF LIVES1*

*Data source: MMIT, November 2018.

IMPORTANT: Healthcare providers are responsible for keeping current and complying with all applicable coverage requirements and for the selection of diagnosis and procedure codes that accurately reflect their patient’s condition and the services rendered. Healthcare providers also are responsible for the accuracy of all claims and related documentation submitted for reimbursement. Alkermes does not guarantee coverage or reimbursement. Under no circumstances will Alkermes, Inc., or its affiliates, employees, consultants, agents or representatives be liable for costs, expenses, losses, claims, liabilities or other damages that may arise from, or be incurred in connection with, the information provided here or any use thereof.

Find out if ARISTADA is covered by your patient’s insurance plan

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ARISTADA INITIO

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

Unclassified drug codes may be used when no existing national code adequately describes the item of service being billed. Until a specific code is assigned, an unclassified code may be used.

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 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.

ARISTADA

ARISTADA® (aripiprazole lauroxil) has been assigned a J-Code: J1942

  • J-Codes are used when submitting a claim for an injectable drug under a patient’s medical benefit
  • Use this J-Code on a medical claim form when ARISTADA has been administered

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.

Access support

ARISTADA Care Support can provide general coverage information for ARISTADA INITIO® (aripiprazole lauroxil) and ARISTADA treatment, including prior authorization requirements, in about 15 minutes.

Patient enrollment allows for ARISTADA Care Support to conduct a full benefit investigation and provide a written summary of benefits, usually within 24 hours.

ARISTADA Care Support can provide medical necessity templates and authorization forms, submit completed forms, and follow up with the insurance company, reporting back status and outcome.

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

The ARISTADA Patient Assistance Program provides uninsured patients who meet program eligibility access to ARISTADA INITIO and ARISTADA treatment at no charge for up to 12 months. Certain restrictions apply.

Patients with commercial insurance may be eligible to receive assistance to reduce their co-pay to as low as $10 per prescription. Savings will occur at the point of purchase and are not dependent on any income criteria. 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 administration of ARISTADA INITIO and ARISTADA. Demonstrations can be scheduled in both the inpatient and outpatient setting by contacting your ARISTADA representative.

Visit aristadacaresupport.com to learn more about coding and billing information

Learn more
Reference: 1. Data on file. Alkermes, Inc.