Afrezza

(insulin, regular, human)
insulin, regular, human 12 UNT Inhalation Powder [Afrezza]insulin, regular, human 4 UNT Inhalation Powder [Afrezza]
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Dosage & administration

drug label

Afrezza prescribing information

Need to report an Afrezza issue?

ONLINE FORM
Report adverse event
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samples

Request Afrezza samples

Online Sample Form
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prior authorization

Afrezza Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request
Coverage Authorization Appeals
Letter of Medical Necessity - General
Letter of Medical Necessity - Type 2 Diabetes
Start Prior Authorization
PA Checklist
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Benefits investigation

Afrezza Assist Patient Service Request Form
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Afrezza Financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
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patient education

Afrezza Patient education

Getting started on Afrezza

Instructions For Use: Diabetes
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & 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
Learn More

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.