Enroll your eligible patients to get services like benefit investigation, financial assistance, and transition of care services. There are 4 simple steps:
Enroll your patient in any care setting.
Online patient enrollment is also available with iAssist.
Sample benefits verification report
The benefits verification report will detail the coverage information for your patients so you can understand their insurance situation.
It will include both pharmacy and major medical benefits, such as co-pays, deductibles, and out-of-pocket maximum amounts.
If your patient cannot provide an IRS 1040 tax return as proof of income, download, complete, and submit the Provider Attestation Form AND one of the following items:
ARISTADA is covered by majority of healthcare plans, including Medicare, Medicaid, Veterans Health Administration, and most commercial plans.1 See if your patients are covered.
Reference: 1. Data on file. Alkermes, Inc.
The ARISTADA Provider Network provides access to those in search of a healthcare provider to administer ARISTADA INITIO and ARISTADA to appropriate patients and/or provide medical management for patients with schizophrenia, including treatment with ARISTADA.
You can also join the ARISTADA Provider Network.
During the initial benefit investigation process, determine whether the payer requires a PA for ARISTADA INITIO or ARISTADA and what the criteria are for PA approval.
This editable template supports your prior authorization/formulary exception requests for ARISTADA INITIO and ARISTADA.
CoverMyMeds offers free prior authorization services and the ability to:
iAssist provides attachment and direct submission of electronic medical records and electronic prescriptions to:
iAssist and CoverMyMeds are third-party platforms not created by Alkermes.
Have you had a claim for ARISTADA INITIO and/or ARISTADA denied? You may want to review this checklist and consider submitting an appeal.
This editable template was developed to help patients request an appeal of a denied insurance claim for ARISTADA INITIO and/or ARISTADA.
This brochure provides a summary of the process for appeals of both Original Medicare and Part D coverage decisions and available sources of information.
ARISTADA INITIO® (aripiprazole lauroxil) and ARISTADA® (aripiprazole lauroxil) are coded differently than oral aripiprazole, and ARISTADA has a unique J-Code. See the list of billing codes and additional information in this compact guide.
Reimbursement for ARISTADA INITIO and ARISTADA differs from oral therapies dispensed to patients for self-administration. Place of service, type of payer, and benefit category are the 3 main considerations that affect coverage and reimbursement for treatment with ARISTADA INITIO and ARISTADA. This comprehensive guide will help you understand ARISTADA INITIO and ARISTADA reimbursement.
ARISTADA INITIO and ARISTADA are available from a variety of pharmaceutical wholesalers. See the comprehensive list here.
Samples are available for your patients with schizophrenia. Just request a visit from an ARISTADA representative.
See ordering information for ARISTADA INITIO and ARISTADA prescribers.
Get information to set up ARISTADA INITIO and/or ARISTADA in your electronic medical records (EMR) system.
*Shipments will not be processed on holidays or pending inclement weather. These factors may result in a delay in shipment.
A comprehensive review of product information to assist hospital pharmacists, physicians, and executives in making formulary decisions.
For patients transitioning from hospital to outpatient care, be sure to select the Transition of Care Support Program on the enrollment form.* A prescription is not required for transition support. Through the program, ARISTADA Care Support nurse coordinators can:
*However, for patients to receive services through ARISTADA Care Support, you must complete the enrollment form and your patient or their designee must sign it.
Complete the information on this ARISTADA transition form and attach to your patients’ discharge plan for their next place of care. It may help provide important information to their outpatient healthcare professional.
Informative brochure about treating schizophrenia with ARISTADA INITIO and ARISTADA.
Information to help with navigating the coverage landscape.
Complete this treatment reminder card and provide it to patients when they are leaving the hospital. It may help provide important information to their outpatient healthcare professional.