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THIS SECTION IS FOR HEALTHCARE PROFESSIONALS (HCPs) ONLY

Healthcare Professionals can download a paper application here

To help you get started, please view our short video that will walk you through how to apply and what to expect from the process.

Prefer to fax in an application for your patient?
Just follow these 3 simple steps:

1

Download and print the application

2

Collect all required documentation from your patient

3

Fax the application and the documentation to OPAF at 1-844-727-6274

Please note: Faxed applications are processed within 5 business days. If this is a time-sensitive request, please submit an application online.

See GLOBAL FULL PRESCRIBING INFORMATION for NUEDEXTA and VOYXACT.  
See U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING for ABILIFY MAINTENA, ABILIFY ASIMTUFII, JYNARQUE, and REXULTI.  
See MEDICATION GUIDES for ABILIFY MAINTENA, ABILIFY ASIMTUFII, JYNARQUE, and REXULTI.

Want to apply online? Use the OPAF Care Connect Prescriber Portal

To help expedite your patient’s application, be sure to include the proper documentation with your application submission, including:

  1. Proof of income
  2. Proof of residency

Have any questions?

OPAF Care Connect Benefits

Prefer to apply online on behalf of your patients? Utilize the
OPAF Care Connect Prescriber Portal.

Receive eligbility determination within 2 business days

Use your work space to find your application and more

Email patient eConsent and HCP eSignature for a seamless application process

View your application online

Get up-to-date and timely notifications

Stay informed with email notifications for patient applications and product requests:

  • Get updates regarding your application status and determination results
  • Receive notifications when it’s time for annual re-enrollment
  • Track status of product shipments

Supported Medications

OPAF provides eligible patients no-cost support for the following prescribed medications:

Abilify Maintena logo
Abilify Asimtufii logo
nuedexta logo
jynarque logo
rexulti logo

Otsuka America Pharmaceutical, Inc. does not control or influence how Otsuka Patient Assistance Foundation, Inc. distributes funds.

Secure messaging ensures patient privacy because it is a HIPAA-compliant, password-protected electronic messaging platform. You can communicate directly with an OPAF Patient Access Advocate without having to pick up the phone. Through the platform you can securely send electronic messages with any questions, communications, and documents at your convenience.

Because it is HIPAA-compliant, there is a one-time account activation process. The activation process takes less than 3 minutes. Once your account is active, you can send messages to OPAF immediately.

To setup your OPAF secure message account follow the steps below:

  • Click on the (button or envelope) below to start the process
  • The system will prompt you to enter your email address as a "New to SecureContact"
  • A verification email will be sent to the email address that you entered
  • In your email inbox, you will find a message from "[email protected]"
  • Open this message and click on the link to activate your account
  • Complete the account activation by creating a password
  • Your account is active, and you can securely send a message to OPAF

If you have any questions, please contact OPAF at 1-855-727-6274 (Monday-Friday 8am - 6pm ET, excluding National Holidays)

MESSAGE US

Welcome to the Otsuka Patient Assistance Foundation, Inc.