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Prescribing Otezla

The following graph will help you get your patients started on Otezla® (apremilast)

Prescribe

Prescribe Otezla 30-mg tablets for an appropriate patient

Prepare

  1. Collect patient information, including prescription benefit information
  2. Select a Speciality Pharmacy (SP) to process the Rx or choose Otezla SupportPlus™ (OSP) to initiate the prescription process
  3. Provide Starter Pack, if appropriate

No Starter Pack?

Request Starter Pack in section 4 of the START Form or from your Otezla Sales Representative

Submit

  1. Complete the Otezla START Form or the SP enrollment form. Send with copies of the medical and prescription benefit card to the SP or OSP
  2. SP or OSP conducts the benefit verification and determines if Prior Authorization (PA) is needed

PA is required

PA is not required

Benefit verification is complete

SP coordinates co‑pay collection and direct mail shipment of medication to the patient

Submit PA form along with other required documentation to the insurer

PA is denied

PA is approved

Benefit verification is complete

SP coordinates co‑pay collection and direct mail shipment of medication to the patient

Appeal

Appeal the denial by submitting the Letter of Medical Necessity and other required documentation to the insurer. Request this document on the Letter of Medical Necessity page, or contact OSP, 1-844-4OTEZLA (1-844-468-3952) 8 am - 8 pm ET, Monday - Friday

Should appeals be denied

Appeal is approved

Benefit verification is complete

SP coordinates co‑pay collection and direct mail shipment of medication to the patient

Benefit verification is complete

SP coordinates co‑pay collection and direct mail shipment of medication to the patient

Refer patient to the OSP to determine eligibility for the Patient Assistant Program

Indications & Important Safety Information

Please click here for Full Prescribing Information.

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on certain prescription benefit plans.

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