*Eligibility requirements and restrictions apply.
Patients may pay as low as a $10 co-pay per prescription for ARISTADA INITIO® (aripiprazole lauroxil) and ARISTADA® (aripiprazole lauroxil) with the ARISTADA Co-pay Savings Program. Restrictions apply.
Maximum savings per fill is $800.00 for ARISTADA 441 mg, 662 mg, and 882 mg, up to 12 fills per calendar year, with maximum savings up to $7600 per calendar year. Maximum savings per fill is $1600.00 for ARISTADA 1064 mg, up to 6 fills per calendar year, with maximum savings up to $7600 per calendar year. Minimum out-of-pocket cost per fill, after Co-pay savings applied, is $10. For ARISTADA INITIO, maximum savings is up to $2000.00 total, and Co-pay card may be used up to 4 times per calendar year.
Eligible patients or their caregivers can enroll directly in the Co-pay Savings Program and download the ARISTADA Co-pay Savings card at aristada.com/copay-savings.
The healthcare provider can also initiate enrollment by enrolling the patient in ARISTADA Care Support.
Patients eligible to participate in this program must be 18 years or older, be treated consistent with the FDA-approved labeling, have their medication covered by commercial insurance and not be enrolled in, or covered by, any local, state, federal or other government program that pays for any portion of medication costs, including but not limited to Medicare, including Medicare Part D or Medicare Advantage plans; Medicaid, including Medicaid Managed Care and Alternative Benefit Plans under the Affordable Care Act; Medigap; VA; DOD; TRICARE; or a residential correctional program. If patient becomes eligible for any government program that pays for any portion of medication costs, you will no longer be eligible for this program. Program may be subject to plan benefit design requirements. This offer is not conditioned on any past, present, or future purchase, including refills. Alkermes reserves the right to rescind, revoke, or amend this offer, program eligibility, and requirements at any time without notice. This offer is limited to one per patient, may not be used with any other offer, is not transferable and may not be sold, purchased or traded, or offered for sale, purchase or trade. Void where prohibited by law. Program Administrator or its designee will have the right upon reasonable prior written notice, during normal business hours, and subject to applicable law, to audit compliance with this program.
The ARISTADA Patient Assistance Program provides your uninsured or “functionally” uninsured patients, who meet program eligibility criteria, access to treatment at no charge, for up to 6 months.† Please download and review the enrollment form for complete program information.
Definition of uninsured patients
†The ARISTADA Patient Assistance Program does not cover or provide support for supplies, procedures, or any physician-related services associated with ARISTADA therapy.