INSUPPORT® for Patients
The following forms, tools, and resources are designed to help you better understand your access options, how INSUPPORT® may be able to help, and more.
patient enrollment form
Fill out this form, together with your healthcare provider, to enroll in INSUPPORT®.
DOWNLOADCOPAY ASSISTANCE BROCHURE
This brochure provides patients with detailed information about the INSUPPORT® Copay Assistance Program for PERSERIS.
DOWNLOADTransition of Care Support
This brochure provides an overview of the information and processes associated with Transition of Care Support for enrolled patients.
DOWNLOADAdditional Tools & Resources
This document provides details about the eligibility requirements for patients to enroll in and receive benefits under the INSUPPORT® Copay Assistance Program for PERSERIS. It also outlines the program's benefits and conditions.
The Substance Abuse and Mental Health Services Administration (SAMHSA) also provides treatment information. Go to findtreatment.samhsa.gov to find a facility that can provide mental health and/or substance use treatment based on patient-specific criteria. Steps for using SAMHSA's Treatment Facility Locator.*
*The Behavioral Health Treatment Services Locator is a third party website that is managed and owned by Substance Abuse and Mental Health Services Administration (SAMHSA). Any information provided by Indivior Inc. and INSUPPORT® regarding this resource is for your convenience and general informational purposes only. Indivior Inc. does not own, manage, operate, endorse, or have any responsibility for or control over any third party websites or the contents contained within, or in any way review, verify, or confirm the contents contained in any such third party websites. Indivior Inc. makes no representation or warranty of any kind whatsoever, including but not limited to, whether third party websites or their contents may in any way be accurate, correct, complete or up-to-date, or that their data protection or data security standards are adequate. You are solely responsible for any and all interactions with any third party websites and the content they provide.
If you have any questions, you may contact INSUPPORT® by:
Fax
Your help in reporting product concerns or adverse events plays a crucial role in our mission to ensure all patients have access to quality treatments. We take every opportunity to monitor patient safety with appropriate tools.
For any safety related information, product complaints, requests for medical information, product queries, or to report an adverse event, please contact:
E-mail address: PatientSafetyNA@indivior.com
Toll free phone number 1-877-782-6966