The path to getting your patient started on Acthar begins when you reach a definitive diagnosis of infantile spasms. You’ll want to start by reviewing the information about physician referrals and reimbursement support.

Although most patients are in the hospital for approximately the first week of treatment with Acthar, the process of confirming coverage for the drug and giving injection training to the parents or caregivers continues during that time.

It’s imperative that your office staff provide complete information on all forms and remain available and responsive by phone until the shipment of Acthar reaches the patient’s parent or caregiver. Any delays in exchanging information can delay the patient’s access to the drug.
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Physician referrals

Expediting the process starts with submitting a completed Physician Referral/Prescription Form to A.S.A.P.

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Helpful Resources

Request a rep visit

Contact your Acthar sales specialist.

Physician Referral/Prescription Form

Download for your practice to complete.

Acthar Starter Kit

The starter kit contains materials to help parents or caregivers maintain their baby's treatment with Acthar.