NUEDEXTA® is affordable and accessible

NUEDEXTA HAS EXTENSIVE NATIONWIDE COVERAGE

  • 71% of Commercial patients pay
    less than $30 for NUEDEXTA1
  • 76% of Medicare patients pay less than $15 for their NUEDEXTA prescription1

Getting started

REQUEST A SAMPLE TO START PATIENTS ON NUEDEXTA

Request NUEDEXTA samples
Eligible healthcare providers can request a free 10-day sample of NUEDEXTA for appropriate patients

Get your patients started on NUEDEXTA today

REQUEST A SAMPLE

Co-pay savings

With the NUEDEXTA Savings Card,a most commercially insured patients may qualify to pay as little as $0 for a 90 day prescription of NUEDEXTA or $30 for a 30 day supply.

PRINT A CO-PAY CARD

aRestrictions apply. Those eligible for any state or federally funded prescription programs, including Medicare, Medicaid, Medigap, VA, DOD, or TriCare, are not eligible for this program.
*Available to qualifying privately insured patients. Restrictions apply.
Restrictions apply. Most commercially insured patients pay as little as $0 for a 90-day supply or $30 for a 30-day supply. Benefit cap applies regardless of copay amount.

NUEDEXTA Co-Pay Card may be available to qualified privately insured patients

Avanir Pharmaceuticals is committed to helping patients get the therapy they need through Advanced Patient Services*

The Advanced Patient Services program is designed to help patients and caregivers appropriately navigate the complexities of the managed care landscape to obtain NUEDEXTA. Professionally trained and experienced Reimbursement Specialists are committed to helping with eligibility for coverage, cost, and formulary authorization if necessary.

*Some services are limited to on-label diagnosis.

  • More than 3500 patient cases successfully completed for NUEDEXTA in the last year1
  • 95% Average approval rate1
 

One-Stop Access and Benefits Support

 

VerfiedBenefits Verification

CertificatePrior Authorization and Formulary Exception Support

SavingsSavings Cards*

AssistancePatient Assistance Programs (PAP)

ReferalsReferrals to Independent Foundations

PackageHome Delivery Option

What You Need to Get Patients Started

1

APS Enrollment Form:
Prescriber Section and Patient Section completed and signed

2

Patient Insurance Information

3

Appropriate ICD-10 Diagnosis Code†‡

4

Copy of Prescription:
if requesting Home Delivery

  1. Restrictions apply. Those eligible for any state or federally funded prescription programs, including Medicare, Medicaid, Medigap, VA, DOD, or TriCare, are not eligible for this program.
  2. Some services are limited to on-label diagnosis codes.
  3. ICD-10-CM codes submitted to the payer must be determined by the provider/physician and accurately describe the diagnosis for which the patient receives NUEDEXTA treatment, represent codes at the highest level of specificity, and reflect the contents of any clinical notes and/or chart documentation.

We’ve got your patients covered with comprehensive NUEDEXTA support*2

*Not all patients are eligible for coverage.

If you have questions about NUEDEXTA or need reimbursement support

CALL 1-855-4NUEDEX (468-3339)
or visit
www.AdvancedPatientServices.com