Making a REAL difference in people’s lives
The Otsuka Patient Assistance Foundation, Inc. (OPAF) is a 501c(3) nonprofit organization that provides eligible uninsured or underinsured patients with prescribed Otsuka medication free of cost.
The OPAF mission is to improve the health & wellness for eligible patients by reducing barriers to healthy living and enabling patients along their health journeys.
Call 1-855-727-6274 or fax 1-844-727-6274
For assistance, please contact a dedicated Patient Access Advocate at 1-855-727-6274 (Monday-Friday 8am to 8pm ET, excluding National Holidays).
U.S.Based Healthcare Professionals (HCPS)
You can complete applications on behalf of patients with access barriers or those who are uninsured or underinsured. Apply online through the OPAF Care Connect Portal.
When you sign up for the OPAF Care Connect Portal, you can:
- Submit OPAF applications online. You’ll receive eligibility determination within 48 hours of completing and submitting all supporting documentation.
- Prescription order submission and tracking for:
- ABILIFY MAINTENA® (aripiprazole) extended release injectable suspension
- JYNARQUE® (tolvaptan) tablets
- REXULTI® (brexpiprazole) tablets
- SAMSCA® (tolvaptan) tablets
- Access prescription template for e-prescribing.
- Submit prescriptions to our contracted pharmacy: Eversana Life Science Services
For states that require eScribe, please submit a prescription via your EMR system to:
Eversana Life Science Services, 17877 Chesterfield Airport Road, Chesterfield, MO 63005.
Phone: 1-855-727-6274
Fax: 1-844-727-6274
Hours: Monday to Friday, 8am to 8pm ET.
See U.S. FULL PRESCRIBING INFORMATION for NUEDEXTA.
See U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING for
See MEDICATION GUIDES for
- Submit OPAF applications online. You’ll receive eligibility determination within 48 hours of completing and submitting all supporting documentation.
- Prescription order submission and tracking for:
- ABILIFY MAINTENA® (aripiprazole) extended release injectable suspension
- JYNARQUE® (tolvaptan) tablets
- REXULTI® (brexpiprazole) tablets
- SAMSCA® (tolvaptan) tablets
- Access prescription template for e-prescribing.
- Submit prescriptions to our contracted pharmacy: Eversana Life Science Services
For states that require eScribe, please submit a prescription via your EMR system to:
Eversana Life Science Services, 17877 Chesterfield Airport Road, Chesterfield, MO 63005.
Phone: 1-855-727-6274
Fax: 1-844-727-6274
Hours: Monday to Friday, 8am to 8pm ET.
See U.S. FULL PRESCRIBING INFORMATION for NUEDEXTA.
See U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING for ABILIFY MAINTENA, ABILIFY ASIMTUFII, JYNARQUE, REXULTI, and SAMSCA.
See MEDICATION GUIDES for ABILIFY MAINTENA, ABILIFY ASIMTUFII, JYNARQUE, REXULTI, and SAMSCA.
Enrollment Application for
Enrollment Application for
Enrollment Application for REXULTI® (brexpiprazole) tablets
Enrollment Application for NUEDEXTA® (dextromethorphan HBr and quinidine sulfate) capsules
Enrollment Application for SAMSCA® (tolvaptan) tablets
Enrollment Application for JYNARQUE® (tolvaptan) tablets
Patients
We encourage you to apply and let a dedicated Patient Access Advocate do an in-depth eligibility analysis for you. You can contact a dedicated Patient Access Advocate at 1-855-727-6274 (Monday-Friday 8am to 8pm ET, excluding National Holidays) with questions.
Frequently Asked Questions
If the Eligibility tool indicates that I may be eligible, can I submit an application?
Yes, you can begin the application process by applying via the OPAF Care Connect Patient Portal. The OPAF team will work with your healthcare professional [HCP] to finish the application process. When submitting your information into the portal, please be sure to upload all of the required documentation such as income verification, U.S. home address verification, and insurance denial information.
Have questions about OPAF and don’t have time for a phone call?
Send a secure message directly to a dedicated OPAF Patient Access Advocate.
