One Goal: Access for Every Patient Prescribed INGREZZA (valbenazine) capsules or INGREZZA SPRINKLE (valbenazine) capsules

Prescribing INGREZZA is now easier than ever

INGREZZA can be prescribed through the treatment form or ePrescribing.

The treatment form serves as an INGREZZA prescription and automatically enrolls patients into the Neurocrine Access Support program. The treatment form can be downloaded and faxed to the number at the top of the form or can be completed digitally via CoverMyMeds.

Through CoverMyMeds, providers can:

• Electronically complete and submit the prescription through any in-network pharmacy
• Search for all INGREZZA network pharmacies by ZIP code, name, or city
• Electronically collect the prescriber's signature and patient's consent

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Check coverage for INGREZZA in your area

Verify local coverage searching with your zip code or state in the CoverageFinder tool.

Navigating prior authorization

PA requirements may vary by health plan but often need:

• Diagnosis code
• Rationale for selected therapy
• Clinical documentation of relevant medical history

The Neurocrine Access Support program, an in-network specialty pharmacy, or your Regional Patient Access Manager (RPAM) can help you navigate insurance requirements.

For assistance creating a customized letter of medical necessity or appeals, ACEHOUND can help simplify the process with intelligent letter templates and guided workflows. Get started with ACEHOUND today using the button below.

Timely delivery and patient financial support

Prescription Fulfillment
Choosing the right pharmacy matters. INGREZZA is available through a carefully selected network of pharmacies with dedicated teams to help:

• Conduct a benefit investigation, provide information on financial assistance, and assist with PA approvals
• Ensure timely delivery and initiate proactive patient outreach for prescription refills and adherence

Network pharmacies can help patients start and stay on INGREZZA.

Financial Assistance
Financial assistance options may be available to help your patients start and stay on treatment.