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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.
Covered by insurance
We are committed to helping your patients fill their prescription for AJOVY. Each insurer determines its own policies, and coverage for AJOVY continues to improve. AJOVY now covers 70% of commercial lives.1
You or your office staff should work with your patients to determine plan coverage.
For additional support, Shared Solutions® is available. Shared Solutions® can conduct a benefits verification, troubleshoot prior authorization issues, assist you through the appeals process, and/or financial assistance options.
Download the Prescription and Service Request Form to start the process.
Learn more about getting your patients startedCommercially insured eligible patients can use the Savings Offer for AJOVY, which may cost as little as $5 for each prescription.*
*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