Otezla(apremilast)
Otezla 14-Day 10/20/30 Starter Pack
NO BOXED WARNING

Dosage & Administration


Get Your Patient on Otezla

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

Request Otezla Samples

Online Sample Form
Learn More

Otezla 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
Letter of Medical Necessity: English
Letter of Medical Necessity: Spanish
Otezla HCP Request Form
Otezla Specialty Pharmacy Start form (if HCP office wants SP to co-ordinate PA)
Prior Authorization Checklist

Benefits investigation

Otezla HCP Request Form
Otezla Specialty Pharmacy Start form (if HCP office wants SP to co-ordinate PA)

Otezla Preferred Pharmacy

Pharmacy List

Otezla Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program
Learn More

Otezla PubMed™ News

Otezla Patient Education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

Patient Starter Kit/Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Plaque Psoriasis Symptom Tracker
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
PsA Symptom Tracker
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Otezla: PsO
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects: PsO
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: PsO
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Before & After: PsO
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: PsO
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Otezla: PsO
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Otezla Patient Roadmap (Getting Your Otezla Prescription)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Otezla: Oral Ulcers in Bechet's Disease
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Otezla: PsA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: PsA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: PsA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Otezla: PsA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects: PsA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Otezla FAQs