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Information about the program and FAQs: Otsuka Canada Pharmaceutical Inc and Lundbeck Canada Inc. Are pleased to offer a financial benefit for patients prescribed Abilify Maintena (aripiprazole for prolonged release injectable suspension). This offer may not be redeemed for cash. The drugs applicable for this patient assistance program include Abilify (aripiprazole), Abilify (aripiprazole) DISCMELT, and Abilify Maintena (aripiprazole) Injection; Extended-Release and Abilify Mycite (aripiprazole) Tablet. Patients interested in this program should have their doctor's office contact our Medical Information Department how to buy cheap aromasin at 1-800-668-6000 and ask for a Drug Request Form For patients: In order to redeem this offer you must have a valid prescription for ABILIFY MAINTENA ® (aripiprazole). Below is a clearer breakdown of the procedure of Abilify’s. ABILIFY is not approved for use in pediatric patients with depression (see BOXED WARNING). With innoviCares, receive brand-name ABILIFY® as prescribed by your physician. Allergic reactions have ranged from rash, hives, and itching to anaphylaxis, which may include difficulty breathing, tightness in the chest, and swelling of the mouth, face, lips, or tongue Yes, the Abilify has a patient assistance program. Program may change or expire at any time without notice. For Patients: In order to redeem this offer you must have a valid prescription for ABILIFY MAINTENA® (aripiprazole). Le programme à usages multiples couvrira automatiquement une partie du coût de l’ordonnance*, jusqu’à un maximum de 3. By using this offer, you are certifying that you meet the eligibility criteria (not a member of a federal, state, or government insurance program) and will comply with the terms and conditions described in the Restrictions section below Download and print the application. Please note: Faxed applications are processed within 5 business days. If this is a time-sensitive request, please submit an application online.. Collect all required documentation from your patient. This benefit is available in the following provinces and territories: BC, AB, SK, MB, ON, NB, NS, PE, NL, NT, NU, YT. Do not take ABILIFY if you are allergic to aripiprazole or any of the ingredients in ABILIFY. Fax the application and the documentation to OPAF at 1-844-727-6274. Patient billing information and processing the ABILIFY MAINTENA program information. Your innoviCares card covers a portion of the cost of your brand ABILIFY® prescription. Sont heureux d’offrir un support financier aux patients à qui l’on a prescrit ABILIFY MAINTENA (aripiprazole pour suspension injectable à libération prolongée). Please call the ClaimSecure HelpDesk at 1-800-461-6579. The payment for the claims should be processed through ClaimSecure in the following manner: Enter the Certificate number (10 digits) as it appears above, then enter Group number 37384 Otsuka Canada Pharmaceutique et Lundbeck Canada Inc. In Canada, our AstraZeneca Patient Assistance Program is available to patients in financial need who meet the eligibility requirements for select medications. By using this offer, you are certifying that you meet the eligibility criteria (not a member of a federal, state, or government insurance program) and will comply with the terms and conditions described in the Restrictions section below Patient Assistance Program.

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