Accessing Taltz Enrollment Forms
Accessing Taltz Enrollment Forms is a straightforward process that requires some basic steps. To ensure a smooth experience, it is important to follow these steps:
- Start by downloading the Taltz enrollment forms from a reputable source. These forms are available in PDF format and can be accessed from various websites, including the official Taltz website.
- Choose the appropriate form based on the patient's medical condition, which may be Adult Dermatology, Pediatric Dermatology, or Adult Rheumatology.
- Healthcare providers may contact a Taltz representative directly to obtain the Taltz enrollment forms.
- After obtaining the enrollment forms, take the time to carefully fill them out with accurate and complete information. The forms require details about the patient's medical history, insurance coverage, and the reason for prescribing Taltz.
- Once completed, submit the enrollment forms to the appropriate parties, which may include insurance providers or healthcare professionals. The submission process may take several days to a few weeks, so it is important to plan accordingly.
In addition to the Taltz enrollment forms, patients may also benefit from the Taltz Together™ program, which provides support and resources to help manage their condition. More information on this program is available below. By following these steps, patients can access Taltz enrollment forms and take the first step towards receiving the treatment they need.
Accessing Taltz Enrollment Forms
To obtain Taltz enrollment forms, you can download the pdf available here: Adult Dermatology, Pediatric Dermatology, Adult Rheumatology - Providers can also visit the Taltz website or contact a Taltz representative directly. Additional information on the Taltz Together™ program can be found on the official Taltz website.
Once you have obtained and completed the Taltz enrollment forms, they can be submitted to the appropriate parties. Taltz enrollment forms require information about the patient’s medical history, insurance coverage, and the reason for prescribing Taltz. Following submission, the process of obtaining approval for Taltz can take several days to a few weeks.
Taltz Together™ Program
The Taltz Together™ program offers resources and support to help healthcare providers and patients access Taltz. To enroll in the Taltz Together™ program, simply fax your completed enrollment form to 1-844-344-8108. This program includes a variety of tools and resources designed to streamline the enrollment process and help ensure that your patients receive the medication they need. Some of the resources available through the Taltz Together™ program include:
- Enrollment support: Taltz representatives are available to help healthcare providers and patients navigate the enrollment process and answer any questions they may have.
- Benefits verification: The Taltz Together™ program offers a benefits verification service that can help healthcare providers quickly determine whether a patient’s insurance plan covers Taltz and what out-of-pocket costs the patient may incur.
- Prior authorization support: The Taltz Together™ program provides assistance with the prior authorization process, including help with completing and submitting the necessary forms.
- Co-pay assistance: Patients who meet certain eligibility requirements may be able to receive co-pay assistance through the Taltz Together™ program to help cover the cost of Taltz.
By utilizing the resources available through the Taltz Together™ program, you can help ensure that your patients have access to the medication they need to manage their autoimmune disorders.

Conclusion
As a healthcare provider, it can be challenging and time-consuming to navigate access to Taltz enrollment forms. With the aid of the Taltz Together™, you can gain access to resources and support to help streamline the process of prescribing and ensure that your patients receive the medications they need, when they need them. By utilizing the resources available through the program, you can help ensure that your patients receive the best possible care for their autoimmune disorders.