Acthar

(corticotropin)
corticotropin 80 UNT/ML Injectable Solution [Acthar]
NO BLACK BOX WARNING

Dosage & administration

Most viewed Acthar resources

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drug label

Acthar prescribing information

Need to report an Acthar issue?

ONLINE FORM
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prior authorization

Acthar Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

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Complete Coverage Authorization request
Coverage Authorization Appeals
Coverage Authorization Request - Guide
Coverage Authorization Request - Rheumatology
Coverage Authorization Request - Pulmonology
Coverage Authorization Request - Ophthalmology
Coverage Authorization Request - Nephrology
Coverage Authorization Request - Neurology - Multiple Sclerosis
Coverage Authorization Request - Neurology - Infantile Spasms
Coverage Authorization Appeals - Patient Bill of Rights
Coverage Authorization Appeals - Patient Appeals Letter Template
Coverage Authorization Appeals - Discussing Your Appeal Guide
Coverage Authorization Appeals - Verbal Appeals Template
Content Authorization Appeals - Patient Bill of Rights - Spanish
Coverage Authorization Appeals - Discussing your Appeal Guide - Spanish
Coverage Authorization Appeals - Patient Appeals Letter Template - Spanish
Coverage Authorization Appeals - Verbal Appeals Template - Spanish
Coverage Authorization Appeals - Appeals Kit
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Benefits investigation

NOT PROVIDED BY BRAND
Benefits investigation resources
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Acthar Financial assistance options

Co-pay savings program

commercial only
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
Patient Assistance Program
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patient education

Acthar Patient education

Getting started on Acthar

Instructions for Use - Injection Guide
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Instructions for Use - Injection Guide - Spanish
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Instructions for Use - Injection Training Video
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Patient toolkit

Patient Stories
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Treatment Journal Calendar
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Treatment Journal Calendar - Spanish
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Get the Facts on RA
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Get the Facts on SLE
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Get the Facts on DM/PM
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Get the Facts on Sarcoidosis
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Get the Facts on Inflammatory Eye Conditions
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Get the Facts on Nephrotic Syndrome
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Get the facts on MS Relapse
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Support for Caregivers
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Patient Stories - Meet John - Proteinuria due to Nephrotic Syndrome
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Patient Stories - Meet Julia - Systemic Lupus Erythematosus
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Patient Stories - Meet Matt - Sarcoidosis
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Patient Stories - Meet Gerolyn - Polymyositis
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Get the Facts on RA - Spanish
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Get the Facts on SLE - Spanish
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Get the Facts on DM/PM - Spanish
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Support for Caregivers - Spanish
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Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.