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Web support patients with otezla® patient support programs and resources from amgen® supportplus Web learn how to get your patients started on otezla® (apremilast) and other patient resources such as the specialty pharmacy form and more. Find out how to start your patients on otezla® (apremilast). Please completeall fields on this form (to prevent delays in processing). Fax this form.
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Fax this form and copies of both sides of insurance and pharmacy benefit cards to the specialty pharmacy (sp) of your choice or to otezla supportplustm. Amgen safety net foundation must review the complete application including this prescription or an original script to determine the patient’s eligibility. Find out how to start your patients on otezla® (apremilast). Web enroll in amgen ® supportplus for supplemental support from getting your prescription, to navigating insurance, to treatment questions.
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Web support patients with otezla® patient support programs and resources from amgen® supportplus *eligibility criteria and program maximums apply. Web otezla specialty pharmacy start form created date: Web access to helpful tools, resources, and more that you’ll need to get started with otezla—plus more information on the approved uses and what the experts say about otezla.