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Financial Assistance Information
Let’s explore all of the Doptelet financial assistance options you can access to help manage the cost of chronic ITP treatment for low platelet counts, like the Doptelet copay card, free trial offer, and more.
Are you eligible for the Doptelet Copay Assistance Program?
You’re just 7 questions away from finding out! If you do qualify, you‘ll be able to pay as little as $0 for Doptelet.
Try the Doptelet Free Trial Offer
Don’t want to financially commit to Doptelet before you know whether it’s a good fit for your ITP treatment or not? This free trial offer through Doptelet Connect will provide eligible new patients with a free 15-day supply of Doptelet. You can find the prescription and enrollment form (to be filled out by your doctor) for it below.
What is Doptelet Connect?
Doptelet Connect helps assist your doctor and their office to get patients their prescription of Doptelet
Doptelet Connect is one of several ways you can access treatment with Doptelet. Its Dedicated Care Coordinators will work with you and your doctor to find a pharmacy that can fill your prescription.
Here‘s how it works:
1
Your doctor‘s office can send your prescription to Doptelet Connect for review.
2
Dedicated Care Coordinators can help:
Dedicated Care Coordinators can help:
- Research your insurance plan
- Coordinate with a pharmacy that can fill your Doptelet prescription
- Connect with you to identify financial assistance options, if needed. You must meet eligibility criteria
For more information, call 1-833-368-2663.
Care Coordinators are available Monday–Friday 8 AM–8 PM ET.
3
A pharmacy will contact you to confirm your delivery details before sending you Doptelet.
Doptelet Connect Patient Resources
Enrollment and Prescription FormFind out what information you’ll need to get copay support through Doptelet Connect.
Discover the Doptelet Copay Assistance Program
Eligible commercially insured patients may qualify for the Doptelet Connect program.
What’s the program?
- Eligible patients may pay as little as $0 for each Doptelet prescription
- Annual maximum benefit up to $15,000
Eligible patients must:
- Have commercial insurance that covers Doptelet
- Not be enrolled in any state or federal healthcare program such as Medicare, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD), or TRICARE
- Be 18 years of age or older
- Be a resident of the United States or a US Territory
How to enroll:
- Approved pharmacies, healthcare professionals, and Doptelet Connect can enroll patients
- Patients can enroll themselves or be enrolled by their caregivers
- Please call 1-833-368-2663 Monday–Friday 8 AM–8 PM ET for more information
Terms and Conditions
- Patients pay as little as $0 per prescription. Maximum benefit of up to $5,000 per Doptelet prescription. Patient is responsible for any remaining out-of-pocket costs that exceed $5,000 per prescription. Copay Assistance Program has an annual calendar cap of $15,000
- The Copay Assistance Program is void where prohibited by law, taxes, or restricted
- This offer is non-transferable, no substitutions are permissible, and this offer cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription
- Sobi, Inc. reserves the right to rescind, revoke, or amend this offer at any time without notice
- The Copay Assistance Program for Doptelet is not insurance and is not intended to substitute for insurance
- Patients, pharmacists, and healthcare providers must not seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this Copay Assistance Program. Patients must not seek reimbursement from any health savings, flexible spending, or other healthcare reimbursement accounts for the amount of assistance received from the Copay Assistance Program
- Certain information pertaining to your use of the Copay Assistance Program will be shared with Sobi, Inc., the sponsor of the Copay Assistance Program. The information disclosed will include the date the prescription is filled, the number of pills or product dispensed by the pharmacists, and the amount of your copay that will be paid for by using this Copay Assistance Program. For more information, please see the Sobi Privacy Policy at https://sobi-northamerica.com/privacy-policy
- Acceptance in this Copay Assistance Program is not conditioned on any past, present, or future purchase, including additional doses
- Enrollment for the Copay Assistance Program is valid through the calendar year
- Sobi, Inc. reserves the right to change program terms at any time
Need more chronic ITP resources?
There are so many resources for you! Check out our helpful handouts and see which speak to you.
CHRONIC ITP RESOURCESINDICATION & IMPORTANT SAFETY INFORMATION
What is DOPTELET (avatrombopag)?
DOPTELET is a prescription medicine used to help treat low blood platelet counts in adults with chronic immune thrombocytopenia (ITP) when other treatments have not worked well enough. It is not known if DOPTELET is safe or works in children.
Who should not receive DOPTELET?
You should not receive DOPTELET if you have ever had a blood clot, are pregnant, plan to become pregnant or plan to breastfeed. It is not known if DOPTELET passes into breast milk or if DOPTELET may have unintended side effects for your unborn baby. Do not breastfeed during your treatment with DOPTELET and for at least 2 weeks after the last dose.
- You Should Know:
- Signs and symptoms of a blood clot could include:
- Swelling, pain, or tenderness in your legs
- Shortness of breath
- Chest pain
- Fast heartbeat
- Stomach pain or tenderness
- Signs and symptoms of a blood clot could include:
You should call your healthcare provider or get medical help right away if you have any of the signs or symptoms of a blood clot after getting DOPTELET. They can be life threatening or cause death.
Before taking DOPTELET, you should tell your healthcare provider about all your medical conditions and medicines including vitamins, supplements, and herbal remedies.
What are the possible side effects of DOPTELET?
For patients with chronic ITP, the most common side effects are headache, fatigue, bruising, nosebleeds, upper respiratory tract infection, joint pain, bleeding gums, purple or red spots on your skin (petechiae), and runny nose.
You Should Know: These are not all of the possible side effects for DOPTELET. For more information, ask your healthcare provider or review the Prescribing Information at https://www.doptelet.com/doptelet.pdf.
If you suspect that you have experienced a side effect, call your healthcare provider. You may also report them to the US Food and Drug Administration (FDA) at 1-800-FDA-1088.
For further information, please see full Prescribing Information, including the Patient Information Leaflet.
What is DOPTELET® (avatrombopag)?
DOPTELET is a prescription medicine used to help treat low blood platelet counts in adults with chronic immune thrombocytopenia (ITP) when other treatments have not worked well enough. It is not known if DOPTELET is safe or works in children.
Who should not receive DOPTELET?
You should not receive DOPTELET if you have ever had a blood clot, are pregnant, plan to become pregnant or plan to breastfeed. It is not known if DOPTELET
What is DOPTELET (avatrombopag)?
DOPTELET is a prescription medicine used to help treat low blood platelet counts in adults with chronic immune thrombocytopenia (ITP) when other treatments have not worked well enough. It is not known if DOPTELET is safe or works in children.
Who should not receive DOPTELET?
You should not receive DOPTELET if you have ever had a blood clot, are pregnant, plan to become pregnant or plan to breastfeed. It is not known if DOPTELET passes into breast milk or if DOPTELET may have unintended side effects for your unborn baby. Do not breastfeed during your treatment with DOPTELET and for at least 2 weeks after the last dose.
- You Should Know:
- Signs and symptoms of a blood clot could include:
- Swelling, pain, or tenderness in your legs
- Shortness of breath
- Chest pain
- Fast heartbeat
- Stomach pain or tenderness
- Signs and symptoms of a blood clot could include:
You should call your healthcare provider or get medical help right away if you have any of the signs or symptoms of a blood clot after getting DOPTELET. They can be life threatening or cause death.
Before taking DOPTELET, you should tell your healthcare provider about all your medical conditions and medicines including vitamins, supplements, and herbal remedies.
What are the possible side effects of DOPTELET?
For patients with chronic ITP, the most common side effects are headache, fatigue, bruising, nosebleeds, upper respiratory tract infection, joint pain, bleeding gums, purple or red spots on your skin (petechiae), and runny nose.
You Should Know: These are not all of the possible side effects for DOPTELET. For more information, ask your healthcare provider or review the Prescribing Information at https://www.doptelet.com/doptelet.pdf.
If you suspect that you have experienced a side effect, call your healthcare provider. You may also report them to the US Food and Drug Administration (FDA) at 1-800-FDA-1088.
For further information, please see full Prescribing Information, including the Patient Information Leaflet.
