OTSUKA AMERICA PHARMACEUTICAL, INC.
Otsuka Patient Assistance Foundation
Information last checked September 24, 2026
Contact info
- Phone
- 1-855-727-6274
- Fax
- 1-844-727-6274
- Mailing address
- PO Box 4530Chesterfield, MO 63006
Eligibility
- Contact program for details or use the eligibility tool on program website.
- Eligibility is based on federal poverty guidelines.
- Healthcare providers can complete application online.
- Income limit, single
- Not published
- Income limit, couple
- Not published
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- Yes
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Proof of income
- Prescriber license number
- NPI number
- State license number
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Provider
Getting the medication
- Patient receives
- Not published
- Shipped to
- Provider or patient
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- New application every 12 months
Medications covered
- Abilify Maintena injection (aripiprazole)
- Jynarque (tolvaptan)
- Nuedexta (dextromethorpan hydrobromide/quinidine sulfate)
- Rexulti tablet (brexpiprazole tablet)