Acthar is only available through a specialty pharmacy, so it is common for the prescription process to involve multiple steps, starting with your completion of the Physician Referral/Prescription Form and submission to A.S.A.P.
Your prompt attention to these items can help expedite the process:
A.S.A.P. will help facilitate the appeals process if a referral is denied. If you receive a denial letter or any correspondence directly from the payer, fax it to A.S.A.P. immediately.
If the appeals process is unsuccessful, qualified patients will be referred to the Mallinckrodt Patient Assistance Program (which is administered by a third-party organization) to receive Acthar at no cost.
If you have any questions about the Acthar referral process or the status of an existing referral, please call A.S.A.P. at 1-888-435-2284. Support specialists are available Monday through Friday, from 8 AM to 8 PM ET and 9 AM to 2 PM ET on Saturday.
Contact your Acthar sales specialist.
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The starter kit contains materials to help parents or caregivers maintain their baby's treatment with Acthar.
H.P. Acthar® Gel (repository corticotropin injection) is indicated as monotherapy for the treatment of infantile spasms in infants and children under 2 years of age.Contraindications