INSUPPORT® for Healthcare Providers
The following forms and resources are designed to help you and your staff better understand the features and process for INSUPPORT®, including how to enroll your patients, how to get benefit coverage and reimbursement support, and more.
Insupport Patient Assistance Program
This program provides PERSERIS medicine for eligible patients at no cost.DOWNLOAD FORM
Patient Assistance Program Brochure
This brochure provides an overview of the program.DOWNLOAD
COPAY ASSISTANCE BROCHURE
This brochure provides healthcare providers and their patients with detailed information about the INSUPPORT® Copay Assistance Program for PERSERIS.DOWNLOAD
Additional Tools & Resources
For patients who are transitioning to a new healthcare setting for the treatment of PERSERIS, this card can be given to the patient to provide important information on next steps such as the patient's next injection due date, the new provider's contact information, and appointment information.
This form will provide additional information on completing a Patient Enrollment Form for PERSERIS.
This guide provides information on PERSERIS billing and coding for claim submissions to the patient's insurance provider.
This document provides details about patient eligibility and enrollment requirements as well as the benefits and conditions for the INSUPPORT® Copay Assistance Program for PERSERIS.
This document provides step-by-step instructions on how to submit a copay claim on behalf of a patient.
INSUPPORT® offers a list of specialty distributors that distribute PERSERIS.
The Substance Abuse and Mental Health Services Administration (SAMHSA) also provides treatment information. Go to findtreatment.samhsa.gov to find a facility near your patient that can provide mental health and/or substance use treatment based on patient-specific criteria. Steps for using SAMHSA's Treatment Services Locator.*
This brochure provides an overview of the information and processes associated with Transition of Care Support for enrolled patients.
*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:
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