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.
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 12 months.†
Definition of uninsured patients
The program requires that your patient (or patient’s designee) provide proof of income
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:
†The ARISTADA Patient Assistance Program does not cover or provide support for supplies, procedures, or any physician-related services associated with ARISTADA therapy.