OPAF Care Connect

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.

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Enrollment Application for ABILIFY MAINTENA® (aripiprazole) extended-release injectable suspension

/content/dam/otsukapatientassistance/live-assets/opaf-care-connect/PAUS25EBP0013-OPAF-ABILIFY-MAINTENA-Enrollment-Form-2025.pdf

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Enrollment Application for ABILIFY ASIMTUFII® (aripiprazole) extended-release injectable suspension

/content/dam/otsukapatientassistance/live-assets/opaf-care-connect/PAUS25EBP0016-OPAF-ABILIFY-ASIMTUFII-Enrollment-Form-2025.pdf

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Enrollment Application for REXULTI® (brexpiprazole) tablets

/content/dam/otsukapatientassistance/live-assets/opaf-care-connect/PAUS25EBP0014-OPAF-REXULTI-Enrollment-Form-2025.pdf

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Enrollment Application for NUEDEXTA® (dextromethorphan HBr and quinidine sulfate) capsules

/content/dam/otsukapatientassistance/live-assets/opaf-care-connect/PAUS25EBP0015-OPAF-NUEDEXTA-Enrollment-Form-2025-APPROVED.pdf

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Enrollment Application for JYNARQUE® (tolvaptan) tablets

/content/dam/otsukapatientassistance/live-assets/opaf-care-connect/JYNARQUE%20Enrollment%20Form.pdf

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