Aristada Co-pay Savings Program
Funded
About
The Aristada Co-pay Savings Program offers significant financial relief for patients using Aristada and Aristada Initio. With the program, eligible individuals may reduce their co-pay to as low as $10 per prescription and enjoy maximum savings up to $7,600 annually. The Aristada Co-pay Savings Program benefits are designed for patients with schizophrenia who meet specific insurance and residency criteria, providing substantial savings at the point of purchase without being dependent on income criteria.
Insurance requirements: Commercially insured
As low as: $10 per fill
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Must be 18 years of age or older
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: No
•Activation Required: No
Program Details
•Copay may be as low as $10 per prescription
•Maximum savings per fill is $800 for ARISTADA 441mg, 662 mg, and 882 mg up to 12 fills per calendar year, with maximum savings up to $7600 per calendar year; maximum savings per fill is $1600.00 for ARISTADA 1064 mg up to 6 fills per calendar year, with maximum savings up to $7600 per calendar year. Minimum outofpocket cost per fill, after copay savings applied, is $10
•For ARISTADA INITIO, maximum savings is up to $2000 total and copay card may be used up to 4 times per calendar year
•Patient can download card for immediate use following online enrollment
•Savings will occur at the point of purchase and are not dependent on any income criteria
•For questions regarding setup, claim transmission, patient eligibility, or other issues, call the LoyaltyScript program for the ARISTADA Copay Savings Program at 18006577613 (8:00 AM8:00 PM EST, MondayFriday)
•For questions about eligibility or benefits, call the ARISTADA Copay Savings Program at 1866ARISTADA or 18662747823 (9:00 AM8:00 AM EST, MondayFriday)
•The Copay Card expires after 5 years but may be renewed if all eligibility criteria are met
Enrollment Forms
Enrollment Form