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Patient Profiles


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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.

AJOVY support resources that you can view, download, and share with your patients

Visit CoverMyMeds for AJOVY support

CoverMyMeds® automates the Prior Authorization (PA) process making it a faster and easier way to track and review PA requests

  • Electronically submit a PA request for all plans
  • Reach out to CoverMyMed's team of experts for live support during the PA process

CALL 1-866-452-5017

Letter of Medical Necessity

Health plan formularies vary. These sample documents may be used to explain the prescriber’s rationale and clinical decision-making in choosing AJOVY for your patient.

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Letter of Appeal

Letter of Appeal

Health plan formularies vary. These sample documents may be used to explain the prescriber’s rationale and clinical decision- making in choosing AJOVY for your patient.

DOWNLOAD NOW

Shared Solutions® is available to provide additional support to you and your patients by:

  • Conducting benefits verification, provide reimbursement support, troubleshooting PA issues and appeals, and assisting you through the appeals process
  • Patients can also call if they have any questions or need administrative support for AJOVY

Call 1-800-887-8100

Patient Brochure
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Continue to AJOVY Savings Offer page
Savings Offer for AJOVY

Simply download the Savings Offer for AJOVY. Your commercially insured patients can use this offer and save on their prescription of AJOVY.*

*Please note, this offer is not available for patients eligible for Medicare, Medicaid, or any other public payer coverage.

download savings offer

Suggestions to explore next

Continue to AJOVY Efficacy page

AJOVY helped significantly reduce monthly migraine days vs placebo1

 See the clinical trial data for AJOVY
Continue to AJOVY Dosing Flexibility page

Flexibility to help you meet your patients' needs1

 dosing options for ajovy
Continue to AJOVY Safety page

Safety profile in clinical trials for AJOVY1

 safety profile for ajovy