Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  

Aristada Care Support Patient Assistance Program

This program provides brand name medications at no or low cost

Provided by: Alkermes, Inc.

Alkermes, Inc.
852 Winter Street
Waltham, MA 02451

TEL: 866-274-7823

FAX: 844-464-7171
Languages Spoken:

English Spanish

Program Website


Patient Assistance Applications

Aristada Care Support Patient Assistance Program Enrollment Form


Brand Name Medications Covered

  • Aristada

Generic Name

  • aripiprazole lauroxil

Eligibility Requirements   

Insurance Status Must be uninsured
Those with Part D Eligible? No
Income Varies
Diagnosis/Medical Criteria Schizophrenia
US Residency Required? Must reside in the US and be under the direct care of a US physician


Obtaining Call or download from Programs website
Receiving Faxed or downloaded from website
Returning Fax
Doctor's Action Complete section, sign, attach required documents
Applicant's Action Complete section and sign
Decision Communicated Patient and Doctor are notified
Decision Timeframe Not specified


Amount/Supply 1 monthly treatment
Sent To Licensed Health Care Provider
Delivery Time Varies
Refill Process Good for one year
Limit Varies
Re-application Varies

Additional Information


INDICATION: Aristada is indicated for the treatment of schizophrenia.
Aristada is not approved for the treatment of patients with dementia-related psychosis.

This program also provides copay assistance.

Updated January 29, 2018