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Support Services
- Download the Prescription and Service Request Form (PSRF)
- Fax the completed form to Shared Solutions® at 1-844-257-6127
Patients can call 1-800-887-8100, Monday–Friday, 8 am–6 pm CT.
Coupon for AJOVY
Commercially insured eligible patients can use the Savings Offer for AJOVY, which may cost as little as $5 for each prescription*
When you start a patient on AJOVY, please be sure that you provide your patients with a Savings Card to help ensure they receive this offer. Patients can activate the Savings Offer by visiting AJOVY.com/Savings or by calling 1-844-392-4244, and then take the Savings Offer and pharmacist instructions to the pharmacy.
If the patient does not have insurance or does not otherwise qualify for the Savings Offer for AJOVY, there are other financial assistance programs available through Shared Solutions® for which the patient may qualify.
*Out-of-pocket costs may vary based on insurance coverage. Limitations apply. Please note, this offer is not available for patients eligible for Medicare, Medicaid, or any other form of government insurance. See full Terms and Conditions for eligibility and restrictions.
Support Services
- Download the Prescription and Service Request Form (PSRF)
- Fax the completed form to Shared Solutions® at 1-844-257-6127