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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

Prior Authorization (PA) assistance is available through CoverMyMeds®, which automates the PA process, to help providers review, complete, and track 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.

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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
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.*

*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.

download savings offer

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Continue to AJOVY clinical trial results page

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Continue to AJOVY Dosing page

Only 4 injection days per year with quarterly dosing1

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Continue to AJOVY side effects page

Side effects in clinical trials for AJOVY1

side effects for ajovy