Otsuka Patient Assistance Foundation (OPAF)

Funded

About

The Otsuka Patient Assistance Foundation (OPAF) offers comprehensive support for individuals needing access to medications like Rexulti, Abilify Maintena, Abilify Asimtufii, Jynarque, and Samsca. The program provides these medications free of charge to eligible patients, ensuring vital treatments are accessible even for those uninsured or underinsured. With a streamlined application process and support for renewable assistance, the Otsuka Patient Assistance Foundation (OPAF) is dedicated to breaking barriers to healthcare access.

Insurance requirements: Medicare / Medicaid, Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•HCP can apply online for the patient or download application

•Receipt of incomplete applications can lead to delays in processing

•Completed forms and required documentation can be uploaded to the OPAF Care Connect Portal, mailed to: Otsuka Patient Assistance Foundation, Inc., PO Box 501878, San Diego, CA 921501878; or faxed to: 18447276274

•Health care professionals must refer to the ICD10CM codes when completing the form

•Eligible patients will receive medication free of charge shipped to their doctor's office, unless doctor advises of different shipping address, for up to one year

•Patients receiving government issued insurance (Medicare, Medicare Part D, Medicaid) will need to reapply at the end of every calendar year

•For assistance or additional information, call 8557276274, MondayFriday, 8 AM8 PM (ET)

Enrollment Forms

Enrollment Form