Stepping through the access process
Step 1: Initiate a benefit investigation
INSUPPORT can provide an overview of the patient's benefit coverage for SUBLOCADE® (buprenorphine extended-release) injection, for subcutaneous use, CIII. Patient benefit coverage information can be provided for the current site of care, or for a new treatment provider if the patient is transitioning to a new healthcare setting. Learn more about Transition of Care Support. It is important to understand that INSUPPORT does not determine coverage and provides benefit information as it is reported by the patient's insurance provider.
Step 2: Identify if a prior authorization (PA) is needed
INSUPPORT can provide information on prior authorization (PA) and/or appeals requirements and processes. If applicable, INSUPPORT can provide payer-specific PA forms which the healthcare provider (HCP) office will need to complete and submit to the patient's insurance provider.
Step 3: Identify the patient's copay
For eligible patients,* the INSUPPORT Copay Assistance Program may be able to help with out-of-pocket costs for SUBLOCADE.
Step 4: Acquire SUBLOCADE
Order SUBLOCADE from a specialty distributor. To acquire SUBLOCADE, you must set up an account with a network specialty distributor. Click for list of network specialty distributors.
Step 5: Submit a claim
Following administration of SUBLOCADE to the patient, submit a claim to the insurance provider. INSUPPORT can provide information on the buy and bill and claim submission processes.
Learn more about buy and billDOWNLOAD PDF
If applicable, please see the INSUPPORT Copay Assistance Program Terms and Conditions.
*The INSUPPORT Copay Assistance Program is valid ONLY for patients with private insurance who are prescribed SUBLOCADE for on-label use. Patients with government insurance are not eligible for the Copay Assistance Program, including, but not limited to, Medicare, Medicaid, Medigap, VA, DoD, TRICARE, CHAMPVA, or any other federally or state-funded government-assisted program. Other restrictions apply.
Is a healthcare provider (HCP) practice required to use INSUPPORT to obtain access to SUBLOCADE for the patient?
No. INSUPPORT is an optional program offered by Indivior to support patient access.
Can an HCP practice conduct a benefit investigation?
Yes. An INSUPPORT benefit investigation contains information on patient coverage for SUBLOCADE, as provided by the patient's insurance provider. However, if preferred, HCP office staff can contact the patient's insurance provider and conduct a benefit investigation independently.