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Patient Resources

At EWMHS, we understand that medications alone are not usually the complete answer to your mental health needs which is why we also offer supportive therapy.  A medication plan that addresses your specific needs can provide a more complete and expedient relief of symptoms and help restore balance to your life. 

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We realize that medications can be expensive and are happy to offer links to prescription assistance programs and prescription co-pay cards.   Prescription assistance programs may offer the medication at a reduced price or free if you meet their guidelines.   Prescription co-pay cards offer manufacturer coupons for the medications.  

Patient Assistance Program

At Encounter Wellness Mental Health Services, we believe that patients should have the medications that are best indicated for their treatment plan.   Unfortunately, some drugs can be cost-prohibitive without financial assistance.   Many pharmaceutical companies provide patient assistance programs to help patients receive the medication if the copay cards do not offer enough financial compensation. 

 

All NEW patient assistance program applications and renewals, send Cassandra an email with the following information: (1) your completed application and all necessary attachments.  Cassandra will review the documents and complete her section; then, the office will fax the completed form to the appropriate medication company.  You will be sent confirmation that the fax has been sent.   

 

For RENEWALS, please make sure you are proactive in downloading and filling out your forms before your program expires.  Some patients did not receive their renewal notices, resulting in their applications not being sent promptly.  Please call your program and set a reminder in your calendar to complete your form at least a month in advance before it expires.

 

Once your initial application or renewal paperwork has been completed, you can submit it to our office by faxing your form attn: Cassandra at (513) 682-3201 or emailing a scanned PDF copy to empower@encounterwellnessmhs.com.

 

Please allow one week for the completion of these forms.  If it has been over a week and you have not received confirmation, call or email the office to verify we have received your form.

 

Eligibility 

Many patients are eligible for patient assistance programs if their family income is 5x the poverty income or less ( https://aspe.hhs.gov/poverty-guidelines ).

For example, a family of one would be eligible if they make $67,950/year or less.  A family of four can earn $138,750/year and receive assistance for their medications. 

Trintellix

Help at Hand Program by Takeda 

Phone Number: 1-800-830-9159

 

Website:  https://www.takeda.com/en-us/corporate-responsibility/patient-assistance/

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Fill out the PDF form online and download the PDF form SAVING YOUR CHANGES to the form below:

Help At Hand PDF Form

Vraylar, Viibryd, Saphris, Fetzima 

Abbvie Program by Allergan

Phone Number: 1-844-424-6727

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Website: https://www.abbvie.com/patients/patient-assistance/allergan-patient-assistance-program.html

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Fill out the PDF form online and download the PDF form SAVING YOUR CHANGES to the form below:

Abbvie Form

 

Calypta

Intracellular Therapies Patient Assistance Program 

Phone Number:  1-888-252-4824

Website: https://www.intracellulartherapies.com/patient-assistance/

 

 Fill out Form Online - click here

 

Caplyta Household Income levels (less than the other programs)

Number of People   l   Annual Household Income 

1  $38,280                 4   $78,600

2 $51,720                   5.    $92, 040

3 $65,160                   6.    $. 105,480

For families/households with more than 6 persons, add $13,440 for each additional person.

*Based on the 2020 Poverty Guidelines for the 48 Contiguous States and The District Of Columbia. Poverty levels for residents of Alaska and Hawaii may be higher

Rexulti or Abilify Maintena

Otsuka Patient Assistance Foundation

Phone Number: 1-855-727-6274

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Website: https://www.otsukapatientassistance.com/

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You may fill out and complete the application on their website entirely online.  Provider must initiate - send a message to Cassandra if you wish for her to start this process

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Fill out the PDF form online and download the PDF form SAVING YOUR CHANGES to the form below:

Patient Consent Form Only

Full Application

Latuda

Sunovion Patient Assistance Program 

Phone Number:  1-877-850-0819

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Website: https://www.sunovionsupport.com/

 

 Fill out Form Online - click here


Or download PDF here:  Latuda

Invega Sustenna

Jansen CarePath

Phone Number:  877-227-3728

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Website:  https://www.janssencarepath.com/patient/invega-sustenna/cost-support

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Their application process is completely online.  You may fill out and complete the application on their website.  

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