ACCESS AND SUPPORT
ARISTADA IS COVERED BY A MAJORITY OF HEALTHCARE PLANS1
Including Medicare, Medicaid, Veterans Health Administration, and most commercial plans1
*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.
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.