Financial assistance with AJOVY for your patients

For your patients with commercial insurance

Your eligible commercially insured patients can save on each Monthly or Quarterly prescription of AJOVY*

Patients can simply take the Savings Offer and pharmacist instructions to their pharmacy and use the offer.

*Out-of-pocket costs may vary based on insurance coverage. Exclusions and limitations apply. Please note, this offer is not available for patients eligible for Medicare, Medicaid, or any other public payer coverage. See full Terms and Conditions for eligibility and restrictions.

Be sure to provide your eligible patients with the Savings Card for AJOVY to help ensure they receive this oﬀer.

The best way to know if your patients’ plan covers the cost of AJOVY is for them to contact their insurance provider or register for the Patient Services Portal. Patients can also call Shared Solutions® at 1-800-887-8100, Monday–Friday, 8:00 _AM–4:30 _PM CT.

For your patients with Medicare Part D

Teva’s Shared Solutions® is committed to helping your patients ﬁnd aﬀordable access to AJOVY. Patients with Medicare Part D may be eligible for the Patient Assistance Program (PAP) through Shared Solutions®, provided they have fulﬁlled the insurance requirements (eg, Prior Authorization, formulary exception request) and meet the income eligibility limits. To begin the process, direct your patients to register for the Patient Services Portal.

Visit Patient Services Portal

For your patients with no insurance

Teva’s Shared Solutions® believes that no one should have to switch
or discontinue preventive treatment of migraine because of financial reasons.

Patients without insurance who cannot aﬀord their out-of-pocket costs may be eligible for a ﬁnancial assistance program through our Patient Assistance Program. To begin the process, direct your patients to register for the Patient Services Portal.

Visit Patient Services Portal

Common questions about the Patient Assistance Program

How does my patient qualify for the Patient Assistance Program?

To qualify, the patient must:

Apply for assistance
Be a legal US resident
Meet the insurance eligibility criteria
Meet the income eligibility limits

If approved, the patient will receive AJOVY at no cost from the AssistRx Patient Solutions Pharmacy.

Visit Patient Services Portal

How does my patient apply for the Patient Assistance Program?

Please direct your patient to the Patient Services Portal. From there, the patient can access a variety of services based on their needs. They can receive authorization for services, apply for financial assistance, enroll in copay assistance programs, and more.

If the patient is unable to access the portal, they can call Shared Solutions® at 1-800-887-8100, Monday–Friday, 8:00 am–4:30 pm CT.

Visit Patient Services Portal

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