General FAQs

The Otsuka Patient Assistance Foundation, Inc (OPAF) is a nonprofit 501c(3) organization that provides free treatment to eligible uninsured and underinsured patients that have been prescribed:

• ABILIFY MAINTENA^® (aripiprazole) extended-release injectable suspension
• JYNARQUE^® (tolvaptan) tablets
• REXULTI^® (brexpiprazole) tablets
• SAMSCA^® (tolvaptan) tablets
• NUEDEXTA^® (dextromethorphan HBr and quinidine sulfate) capsules
• ABILIFY ASIMTUFII^® (aripiprazole) extended-release injectable suspension

OPAF is funded by donations. Otsuka America Pharmaceutical, Inc. does not control or influence how Otsuka Patient Assistance Foundation, Inc. distributes funds.

The OPAF Resource and Solutions center provides additional offerings beyond the Otsuka medication. Our Patient Access Advocates seek to understand each patient’s situation and help find external resources that may assist with additional challenges such as nutrition, housing, other financial issues, other medical financial issues, disease education, and transportation. Additionally, the OPAF Resource and Solutions center provides eligible patients access to select Nature Made^® vitamins free of charge. Eligible patients may have access to select generic medication free of cost as well.

Our mission is to improve the health & wellness for eligible patients by providing free Otsuka America Pharmaceutical Inc and affiliate corporations medications and supplements, reducing barriers to healthy living, and finding solutions and local resources which help enable patients along their health journeys.

The OPAF Resource and Solutions Center is a comprehensive center that assists patients with reducing barriers that they may face. OPAF will assist patients with finding external nonaffiliated resources that may help patients with other concerns such as other medication and medical financial assistance, disease state educational material, other financial assistance, transportation assistance, housing assistance, and nutritional assistance.

Through the OPAF Resource and Solutions Center patients may opt in for select Nature Made vitamins at no cost. Eligible patients may have access to select generic medication free of cost as well.

To learn more, you can reach the OPAF Resource and Solutions Center at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET) and speak with one of our Patient Access Advocates.

One of our eligibility requirements is that the patient must have a U.S. home address. We do ask for a social security number on the application, but it is NOT REQUIRED for the approval process. OPAF does not check or verify U.S. citizenship.
 
Please review the required documentation page for further information.

Every patient is unique and has unique barriers that prevent them from accessing their medication. If you received a may NOT be eligible result from the eligibility tool, please call OPAF at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET) and speak with one of our Patient Access Advocates to discuss your situation.

Yes. There are specific programs at OPAF that support patients that have been adversely affected by the COVID-19 pandemic. Please call OPAF at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET) and speak with one of our Patient Access Advocates to discuss your situation.

Yes. There are specific programs at OPAF that support patients that have been adversely impacted by a natural disaster. Please call OPAF at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET) and speak with one of our Patient Access Advocates to discuss your situation.

There are many programs at OPAF that provide medication for different durations of time. A change in income or insurance status can affect the duration of time in our program, as well. However, our standard non-government issued enrollment, with no income or insurance changes, may provide free medication for a rolling 12 months from the date of approval. For patients that have government issued insurance such as Medicaid, Medicare, Medicare Part D their enrollment ends every year on December 31st per federal regulations.

When you submit an application, please include proof of income for all members of the household who file a tax return. Acceptable documentation includes one of the following:

• Federal Income Tax Return (1040, etc.)
• W-2 from previous tax year
• 1099-MISC form
• Two most recent paystubs
• Social Security award letter
• Disability income information
• Unemployment benefits letter
• Letter from employer on company letterhead
• Income attestation letter from healthcare prescriber

Eligibility is not determined by U.S. citizenship. However, a U.S. home address is required. Acceptable documentation includes one of the following:

• Mortgage statement or rental agreement
• Two (2) utility bills
• State driver’s license or State ID with current home address information
• U.S. address attestation letter from healthcare prescriber
• Attestation letter from residential facility (if applicant is transient)

OPAF performs a benefit verification for insured patients. If the benefit verification is insufficient, OPAF may require additional denial documentation such as:

• Explanation of benefits
• Insurance statement
• Prior authorization denial letter

A complete application is an application that is filled out in its entirety and has the required income and U.S. address documentation. Often, applications are submitted with missing information. Applications are denied after 90 days if missing information is not provided.
 
The most common missing pieces of information that we see from the enrollment form are:

• Income or household size documentation
• Where to send the patient’s prescription
• Date on the patient consent form
• Diagnosis code from the provider
• Provider does not sign the prescription
• Provider section is missing full demographic details

Please call OPAF at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET) and speak with one of our Patient Access Advocates with any questions you have about the application process.

Once all the documentation and the application are submitted to OPAF, the application will go through an eligibility approval process. Once the application has completed the eligibility approval process, the OPAF team will notify you, as well as your HCP, what the application approval decision is. 

If approved, the next steps are receiving your medication at no cost. OPAF will review the application to ensure that it is complete. If additional information is required, OPAF will contact your healthcare professional.

Once the application and all required documentation has been received ,you and your HCP will receive an answer within 5 business days. OPAF cannot process an application without all documentation. If there is missing information or documentation, the application may take longer to process and possibly denied after 90 days.

If you have any questions, please call our dedicated Patient Access Advocates. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

OPAF’s primary offering includes providing free medication to eligible patients that are uninsured and underinsured that have been prescribed an Otsuka medication. Through the OPAF Resource and Solutions Center, OPAF enrollees can opt in to receive information about external resources for assistance with food, housing, other financial assistance, disease education, and transportation. Eligible OPAF enrollees may have access to select Nature Made^® vitamins and/or access to select generic medication at no cost. 

To learn more please contact the OPAF Resource and Solutions Center at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

If you have any questions, please call our dedicated Patient Access Advocates. They can be reached at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).

When you submit an application on behalf of a patient, please include proof of income for all members of the household who file a tax return. Acceptable documentation includes one of the following:

• Federal Income Tax Return (1040, etc.)
• W-2 from previous tax year
• 1099-MISC form
• Two most recent paystubs
• Social Security award letter
• Disability income information
• Unemployment benefits letter
• Letter from employer on company letterhead
• Income attestation letter from healthcare prescriber

Eligibility is not determined by U.S. citizenship. However, a U.S. home address is required. Acceptable documentation includes one of the following:

• Mortgage statement or rental agreement
• Two (2) utility bills
• State driver’s license or State ID with current home address information
• U.S. address attestation letter from healthcare prescriber
• Attestation letter from residential facility (if applicant is transient)

The application must also include insurance denial documentation. Acceptable documentation includes one of the following:

• Explanation of benefits
• Insurance statement
• Prior authorization denial letter

Patients that are enrolled with OPAF and have government-issued insurance such as Medicare, Medicare Part D, Medicaid are eligible for assistance up to December 31st of each calendar year. Patients that have non-government issued insurance or are uninsured are eligible to receive assistance for a rolling 12-month period. One month prior to their enrollment ending, a new application can be submitted for the following enrollment period.

If a patient is enrolled in OPAF’s temporary patient assistance program, natural disaster relief, or COVID-19 relief, they will receive free medication for 90 days with an option to reapply if needed.

Eversana Life Sciences Services is the distribution pharmacy for OPAF and is located at 17877 Chesterfield Airport Road, Chesterfield, MO 63005. Prescriptions may be faxed, mailed, e-prescribed or provided verbally to the pharmacy. If you have any questions, please contact Eversana Life Science Services by phone at 1-855-727-6274 or by fax at 1-844-727-6274 during business hours: Monday to Friday, 8am to 8pm ET.

The medication shipment location is determined by the medication selected in the application and/or at the HCP’s discretion. Patients prescribed ABILIFY MAINTENA^® (aripiprazole) extended-release injectable suspension or ABILIFY ASIMTUFII^® (aripiprazole) extended-release injectable suspension must have the medication shipped to an HCP’s office or a local care center for administration. NUEDEXTA^® (dextromethorphan HBr and quinidine sulfate) capsules, JYNARQUE^® (tolvaptan) tablets, REXULTI^® (brexpiprazole) tablets, or SAMSCA^® (tolvaptan) tablets may be shipped to either the provider’s office or to the patient’s home.

Yes, patients must have a diagnosis that is within the drug's approved indication(s) to qualify for no-cost medications from OPAF. This means patients who are being treated with Otsuka medications for conditions not indicated in the medication's approved Prescribing Information will not qualify for free treatment. Please contact a dedicated Patient Access Advocate by dialing 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET) if further clarification is needed.

Patients that have been prescribed ABILIFY MAINTENA^® (aripiprazole) extended-release injectable suspension, JYNARQUE^® (tolvaptan) tablets, REXULTI^® (brexpiprazole) tablets, and SAMSCA^® (tolvaptan) tablets, may access the portal via OPAF Care Connect Patient Portal | Otsuka Patient Assistance Foundation.

Providers that have prescribed ABILIFY MAINTENA^® (aripiprazole) extended-release injectable suspension, JYNARQUE^® (tolvaptan) tablets, REXULTI^® (brexpiprazole) tablets, and SAMSCA^® (tolvaptan) tablets, may access the portal via Apply for your patients | Otsuka Patient Assistance Foundation.

Yes, a patient that has been prescribed ABILIFY MAINTENA^® (aripiprazole), REXULTI^® (brexpiprazole), SAMSCA^® (tolvaptan), or JYNARQUE^® (tolvaptan) can create an account and start the application process to see if they qualify for assistance with OPAF. The patient must have been prescribed an Otsuka branded medication.

Once the patient submits the application via the OPAF Care Connect Patient Portal, the OPAF team will work with the indicated healthcare professionals (HCP) to fulfill the additional prescriber requirements.

Please remember to upload the required documentation for processing which includes income documentation, US home address documentation, and insurance denial information, if available.

If you need any additional help, please call OPAF at 1-855-727-6274, Monday-Friday, 8 AM-8 PM (ET).