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This interactive tool helps patients, caregivers, and healthcare professionals determine no-cost medication eligibility from the Otsuka Patient Assistance Foundation, Inc. (OPAF).

Your information will not be stored.

Please answer all of the following questions:

We've detected that you're currently located outside of the United States/Puerto Rico.

Assistance from the Otsuka Patient Assistance Foundation, Inc. (OPAF) is available only to residents of the US/Puerto Rico.

If you're in the US/Puerto Rico, or are checking on behalf of a resident of the US/Puerto Rico, you can start the eligibility verification process.

Medication

Select the medication:

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.

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Insurance

Select the type of insurance coverage

Will insurance cover this medication?

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Household

Please, enter the number in a range 1 - 20
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Income

You can’t submit without a number
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You may not be eligible for assistance

We encourage you to call our Dedicated Patient Access Advocates to discuss your eligibility. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

You may not be eligible for assistance

We encourage you to call our Dedicated Patient Access Advocates to discuss your eligibility. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

You may not be eligible for assistance

We encourage you to call our Dedicated Patient Access Advocates to discuss your eligibility. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

You may not be eligible for assistance

We encourage you to call our Dedicated Patient Access Advocates to discuss your eligibility. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

You may be eligible for assistance

Here are the next steps:

If you are a patient that has been prescribed an Otsuka medication you may start an application online via the OPAF Care Connect Patient Portal.

If you are a HealthCare professional (HCP) that has a patient prescribed an Otsuka medication you may start an application online via the OPAF Care Connect Prescriber Portal.

If you’d prefer to use a paper application, you can download the application. 

To help expedite the application process, please be sure to provide your HCP the required documentation.

If you have any questions, please call our Dedicated Patient Access Advocates. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

You may be eligible for assistance

Here are the next steps:

If you are a patient that has been prescribed an Otsuka medication you may start an application online via the OPAF Care Connect Patient Portal.

If you are a HealthCare professional (HCP) that has a patient prescribed an Otsuka medication you may start an application online via the OPAF Care Connect Prescriber Portal.

If you’d prefer to use a paper application, you can download the application. 

To help expedite the application process, please be sure to provide your HCP the required documentation.

You may download an application at OPAF | Patient Forms and together with your healthcare professional (HCP) fill and submit an application for assistance.

To help expedite the application process, please be sure to provide your HCP the required documentation.

If you have any questions, please call our Dedicated Patient Access Advocates. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

You may be eligible for assistance

Here are the next steps:

You may download an application at OPAF | Patient Forms and together with your healthcare professional (HCP) fill and submit an application for assistance.

To help expedite the application process, please be sure to provide your HCP the required documentation.

If you have any questions, please call our Dedicated Patient Access Advocates. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

If you have any questions about OPAF, eligibility, or the documentation that’s required, please visit our FAQ section.

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
samsca logo

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.

To report SUSPECTED ADVERSE REACTIONS, contact Otsuka America Pharmaceutical, Inc. at
1-800-438-9927 or FDA at 1-800-FDA-1088 (www.fda.gov/medwatch).

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

Secure Messaging

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 8:00 AM - 8:00 PM ET.

MESSAGE US

message

When you submit an application, please include proof of income
for all members of the household who file a tax return.

Acceptable documentation includes one of the following:

  • Federal Income Tax Return (1040, etc.)
  • W-2 from previous tax year
  • 1099-MISC form
  • Two most recent paystubs
  • Social Security award letter
  • Disability income information
  • Unemployment benefits letter
  • Letter from employer on company letterhead
  • Income attestation letter from healthcare prescriber

Eligibility is not determined by U.S. citizenship. However, a U.S. home address is required. Acceptable documentation includes one of the following:

  • Mortgage statement or rental agreement
  • Two (2) utility bills
  • State driver’s license or State ID with current home address information
  • U.S. address attestation letter from healthcare prescriber

OPAF performs a benefit verification for insured patients. If the benefit verification is insufficient, OPAF may require additional denial documentation such as:

  • Explanation of benefits
  • Insurance statement
  • Prior authorization denial letter

HAPPY HOLIDAYS!

OTSUKA logo

HAPPY HOLIDAYS! 
FROM 
THE OTSUKA PATIENT ASSISTANCE FOUNDATION, INC.

The OPAF Call Center and Specialty Pharmacy will be observing the following holiday schedule:

Day Before Christmas Eve – 12/23
Half-day (closed at 1pm ET)

Christmas Eve – 12/24
Closed

Christmas Day – 12/25
Closed

New Year’s Eve – 12/31
Half-day (closed at 1pm ET)

New Year’s Day – 1/1/2025
Closed

During these times OPAF will be closed and we will respond to all inquiries upon our return to the office.
For more information or questions, you may contact us at 1-855-727-6274 Monday-Friday 8 AM-8 PM ET, or you may send a SECURE MESSAGE by using the “Message Us” red icon below.

December 2024    PAUS24EUC0163

Welcome to the Otsuka Patient Assistance Foundation, Inc.

OTSUKA logo

IMPORTANT MESSAGE  
FROM  
THE OTSUKA PATIENT ASSISTANCE FOUNDATION, INC.

Per federal regulations, patients with government issued insurance such as Medicaid and Medicare that are, also, enrolled with the Otsuka Patient Assistance Foundation, Inc. (OPAF) for free medications, will have their OPAF enrollment end on December 31st, 2024. On November 15th, 2024, an OPAF 2025 application packet will be mailed to currently enrolled Medicare and Medicaid patients. Once an OPAF application has been submitted, our dedicated Patient Access Advocates will review and provide an enrollment determination on or after January 2nd, 2025. Please ensure to submit a completed application with all supporting documentation.

If you have any questions, you may contact us at 1-855-727-6274 Monday-Friday 8 AM-8 PM EST or You may send a SECURE MESSAGE by using the “Message Us” red icon below. OPAF’s secure message platform is password protected and HIPAA compliant. Your message will be received, and our Patient Access Advocates will respond shortly.

During this time, OPAF may experience higher call volumes, which may result in longer wait times. Please have patience as we help everyone needing OPAF assistance.

November 2024    PAUS24EUC0155