Autoinjector is now available in Triple Pack

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Patient Profiles


Maura
Anna

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Support Services

  1. Download the Prescription and Service Request Form (PSRF)
  2. 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.

Frequently Asked Questions

Prescription and service request

Shared Solutions® can conduct a benefits verification, troubleshoot Prior Authorization issues, assist you through the appeals process, and/or explore financial assistance options.

To request services from Shared Solutions®, follow the steps below:

  1. Download the Prescription and Service Request Form (PSRF)
  2. Fax the completed form to Shared Solutions® at 1-844-257-6127

LEARN ABOUT COVERAGE AND HOW TO GET STARTED ON AJOVY

Need help answering a question?

Support Services

  1. Download the Prescription and Service Request Form (PSRF)
  2. 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.