Nuplazid

(pimavanserin)

NUPLAZID 10 MG Oral TabletNUPLAZID 34 MG Oral Capsule

Dosage & administration

* Recommended dose is 34 mg taken orally once daily, without titration.
* Can be taken with or without food.
* Capsules may be swallowed whole or opened and entire contents sprinkled over a tablespoon of certain types of soft food.

drug label

Nuplazid prescribing information

Contact Medical Science Liaison Report Adverse Event

samples

Request Nuplazid samples

Online Sample Form

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prior authorization

Nuplazid prior authorization resources

Complete Letter of Medical Necessity

Coverage Authorization Request

Coverage Authorization Appeals

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Benefits investigation

Nuplazid Treatment & Service Request Form

Nuplazid Treatment & Service Request Form - Online

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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

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pharmacy

Nuplazid preferred pharmacy

Pharmacy List

financial assistance

Nuplazid financial assistance options

Co-pay savings program

commercial only

Nuplazid Treatment & Service Request Form

Nuplazid Treatment & Service Request Form - Online

Enroll in Patient Savings Program

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Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

Bridge program

commercial only

Nuplazid Treatment & Service Request Form

Nuplazid Treatment & Service Request Form - Online

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Overview

Provide patient immediate access to therapy during an insurance delay (typically new starts; some may cover change in insurance)
Limited time/ fill (typically 7-30 days; some may offer additional fill for continued delay up to certain limit)

Patient benefit

100% free (outside of insurance)

Patient eligibility

HCP must enroll patient
May be limited to commercially insured patients (i.e., no government beneficiaries); some programs may allow government beneficiaries

How to sign up

Typically HCP assisted enrollment (via form)

patient education

Nuplazid patient education

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link