Afrezza(insulin, regular, human)
afrezza 4 UNT Inhalation Powder

Dosage & Administration

Get Your Patient on Afrezza

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Insurance Carrier
Or select your Insurance from the list below:

Afrezza Prescribing Information

Request Afrezza Samples

Online Sample Form
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Afrezza Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Coverage Authorization Appeals
Coverage Authorization Request
Letter of Medical Necessity - General
Letter of Medical Necessity - Type 2 Diabetes
PA & Appeals Checklist
Start Prior Authorization

Benefits investigation

Afrezza Assist Patient Service Request Form

Afrezza Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program
Learn More

Afrezza PubMed™ News

Afrezza Patient Education

Getting started on Afrezza

Instructions For Use: Diabetes
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

Medication Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Afrezza For Uninsured
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Afrezza
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Inhaling Your Insulin
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Afrezza FAQs