Getting Patients Started on Acthar

Acthar Support & Access Program
Created and sponsored by Questcor at no cost to patients, Acthar Support & Access Program (A.S.A.P.) is a resource staffed with reimbursement experts who provide:
- The best possible way to get Acthar
- Help with getting reimbursement coverage
- No cost for uninsured and underinsured patients
- 100% copay coverage for all patients who qualify
- Real-time tracking and reliable delivery of Acthar
- Home Injection Training Services by licensed nurses at no cost
Patient copays are typically no more than $50 per month.[8]
Getting started is easy
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Physician’s office completes and faxes the prescription form to A.S.A.P. at
1-877-937-2284Forms are available from your Acthar Specialist, by calling A.S.A.P., or here
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A.S.A.P. will fax a confirmation and contact physician’s office within 2 hours
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Physician’s office responds to any inquiries that A.S.A.P. has as soon as possible to expedite the process
A.S.A.P. will keep you and your patient informed regarding delivery of Acthar
