Gocovri

(amantadine)
24 HR amantadine 137 MG Extended Release Oral Capsule [Gocovri]24 HR amantadine 68.5 MG Extended Release Oral Capsule [Gocovri]
NO BLACK BOX WARNING

Dosage & administration

Most viewed Gocovri resources

Enroll in Patient Savings Program

drug label

Gocovri prescribing information

Need to report a Gocovri issue?

ONLINE FORM
Report adverse event
Learn More

samples

Request Gocovri samples

NOT PROVIDED BY BRAND
View Online Sample Form
Learn More

prior authorization

Gocovri Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request
Coverage Authorization Appeals
Learn More

Benefits investigation

Gocovri Onboard and Prescription Form
Learn More

Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
Learn More

financial assistance

Gocovri Financial assistance options

Co-pay savings program

commercial only
Gocovri Onboard and Prescription Form
Enroll in Patient Savings Program
Learn More

Bridge program

commercial only
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+
Patient Assistance Program
Learn More

patient education

Gocovri Patient education

Getting started on Gocovri

NOT PROVIDED BY BRAND
Not Provided By Brand

Patient toolkit

Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Gocovri
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories
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

NOT PROVIDED BY BRAND
Instructions For Use - Parkinson's Disease
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.