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Enrollment and Copay Resources

INSUPPORT was created to provide information aimed at helping you with the process of obtaining SUBLOCADE® (buprenorphine extended-release) injection, for subcutaneous use (CIII).

INSUPPORT Overview Brochure for Patients

This brochure provides detailed information about INSUPPORT.

PATIENT AUTHORIZATION FORM

Patient Authorization is required for INSUPPORT to accept any enrollment request for a patient. You may complete this form and provide it to your treatment provider or INSUPPORT. You may also complete and submit the authorization form electronically via the INSUPPORT Portal. Your healthcare provider will let you know if this form is required to apply for Copay Assistance.

INSUPPORT Copay Assistance Brochure for Patients

This brochure provides detailed information about the INSUPPORT Copay Assistance Program for SUBLOCADE.

Copay Assistance Program Terms and Conditions

This document provides details about the eligibility requirements for enrollment and to receive benefits under the INSUPPORT Copay Assistance Program. It also outlines the program's benefits and conditions.

TRANSITION OF CARE SUPPORT FOR PATIENTS AND CAREGIVERS

This brochure provides individuals and their caregivers with an overview of information and processes associated with Transition of Care Support for enrolled patients.

SAMHSA'S TREATMENT SERVICES LOCATOR

The Substance Abuse and Mental Health Services Agency (SAMHSA) also provides treatment information. Go to https://findtreatment.samhsa.gov to find a facility near you that can provide treatment based on your specific criteria. Steps for using SAMHSA's Treatment Facility Locator*

Patient Benefit Summary Glossary of Insurance Terms

This is a glossary to help you understand common insurance terms.

SPECIALTY PHARMACY CALL REMINDER CARD

This card is to help patients remember to contact the specialty pharmacy 10 days from the date of prescription, if the specialty pharmacy has not been in touch with the patient.

*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.

Copay Assistance

Learn how INSUPPORT may be able to help with the out-of-pocket cost of SUBLOCADE® (buprenorphine extended-release) injection for subcutaneous use (CIII).

INSUPPORT COPAY ASSISTANCE PROGRAM