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Financial Assistance
Let’s explore all the ways you can get started on treatment for low platelet counts in chronic immune thrombocytopenia with Doptelet.
Are you eligible for the Doptelet Copay Assistance Program?
Just started on Doptelet and wondering if you qualify to pay as little as $0 for it? You’re just 7 questions away from finding out! See terms and conditions.
Try the Doptelet Free Trial Offer
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?
What is Doptelet Connect?
Doptelet Connect has dedicated Case Managers that can help:
- Research your individual coverage for Doptelet
- Coordinate with an eligible pharmacy to fill your prescription
- Connect with you to identify financial support options, if needed. You must meet eligibility criteria
For more information, call 1-833-368-2663.
Case Managers are available Monday—Friday 8AM-8PM ET.
Doptelet Connect Patient Resources
Prescription and Enrollment Form
Find out what information you’ll need to get copay support through Doptelet Connect.
Patient/Caregiver Consent Form
Enroll yourself in Doptelet Connect today.
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 8AM–8PM 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. (“Sobi”) 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, 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 reserves the right to change program terms at any time
IMPORTANT SAFETY INFORMATION
What is DOPTELET® (avatrombopag) [dop-TEL-et]?
DOPTELET is a prescription medicine used to treat low blood platelet counts in adults with chronic immune thrombocytopenia (ITP) when other treatments have not worked well enough.
Doptelet is used to help raise platelet counts in adults with chronic ITP, but it is not used to make platelet counts normal in these patients. It is not known if DOPTELET is safe and effective in children.
IMPORTANT SAFETY INFORMATION
Before taking DOPTELET, tell your healthcare provider about all your medical conditions, including if you:
- have ever had a blood clot.
- are pregnant or plan to become pregnant. DOPTELET may harm your unborn baby. Tell your healthcare provider if you become pregnant or think you may be pregnant during treatment with DOPTELET.
- are breastfeeding or plan to breastfeed. It is not known if DOPTELET passes into your breast milk. Do not breastfeed during your treatment with DOPTELET and for at least 2 weeks after the last dose. Talk to your healthcare provider about the best way to feed your baby during this time.
Tell your healthcare provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. DOPTELET may affect the way other medicines work, and other medicines may affect the way DOPTELET works.
What are the possible side effects of DOPTELET?
DOPTELET may cause serious side effects, including blood clots. People with chronic immune thrombocytopenia and people with certain blood clotting conditions may have increased risk of developing blood clots. Tell your healthcare provider right away if you have signs and symptoms of a blood clot, including:
- swelling, pain, or tenderness in your legs
- shortness of breath
- chest pain
- fast heartbeat
- stomach (abdominal) pain or tenderness
The most common side effects of DOPTELET when used to treat low blood platelet counts in adults with chronic immune thrombocytopenia (ITP) are:
- headache
- tiredness
- bruising
- nosebleed
- upper respiratory tract infection
- joint pain
- bleeding gums
- purple or red spots on your skin
- runny nose
These are not all the possible side effects of DOPTELET. Call your doctor for medical advice about side effects. You are encouraged to report side effects to FDA at 1-800-FDA-1088.
For further information, please see full Prescribing Information, including the Patient Information Leaflet.
What is DOPTELET® (avatrombopag) [dop-TEL-et]?
What is DOPTELET® (avatrombopag) [dop-TEL-et]?
DOPTELET is a prescription medicine used to treat low blood platelet counts in adults with chronic immune thrombocytopenia (ITP) when other treatments have not worked well enough.
Doptelet is used to help raise platelet counts in adults with chronic ITP, but it is not used to make platelet counts normal in these patients. It is not known if DOPTELET is safe and effective in children.
IMPORTANT SAFETY INFORMATION
Before taking DOPTELET, tell your healthcare provider about all your medical conditions, including if you:
- have ever had a blood clot.
- are pregnant or plan to become pregnant. DOPTELET may harm your unborn baby. Tell your healthcare provider if you become pregnant or think you may be pregnant during treatment with DOPTELET.
- are breastfeeding or plan to breastfeed. It is not known if DOPTELET passes into your breast milk. Do not breastfeed during your treatment with DOPTELET and for at least 2 weeks after the last dose. Talk to your healthcare provider about the best way to feed your baby during this time.
Tell your healthcare provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. DOPTELET may affect the way other medicines work, and other medicines may affect the way DOPTELET works.
What are the possible side effects of DOPTELET?
DOPTELET may cause serious side effects, including blood clots. People with chronic immune thrombocytopenia and people with certain blood clotting conditions may have increased risk of developing blood clots. Tell your healthcare provider right away if you have signs and symptoms of a blood clot, including:
- swelling, pain, or tenderness in your legs
- shortness of breath
- chest pain
- fast heartbeat
- stomach (abdominal) pain or tenderness
The most common side effects of DOPTELET when used to treat low blood platelet counts in adults with chronic immune thrombocytopenia (ITP) are:
- headache
- tiredness
- bruising
- nosebleed
- upper respiratory tract infection
- joint pain
- bleeding gums
- purple or red spots on your skin
- runny nose
These are not all the possible side effects of DOPTELET. Call your doctor for medical advice about side effects. You are encouraged to report side effects to FDA at 1-800-FDA-1088.
For further information, please see full Prescribing Information, including the Patient Information Leaflet.
