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

TotalCare Otrexup Support Program

For Healthcare Professionals Only

Provided by: Antares Pharma, Inc.

TEL: 855-820-9605

ALT PHONE: 855-687-3987
FAX: 855-820-9608
Languages Spoken:

English Spanish

Program Website


Patient Assistance Applications

Otrexup TotalCare Support Enrollment Form


Brand Name Medications Covered

  • Otrexup

Generic Name

  • methotrexate

Eligibility Requirements   

Insurance Status Determined case by case
Those with Part D Eligible? No
Income Not disclosed
Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
US Residency Required? Must be a US resident


Obtaining Doctor/Doctor's office must call, download or apply online
Receiving Complete online, download from website or faxed.
Returning Fax or E-Prescribe online
Doctor's Action Complete section, sign, attach required documents
Applicant's Action Call for information or inform doctor that he/she is in need
Decision Communicated Not specified
Decision Timeframe Not specified


Amount/Supply Not specified
Sent To Varies
Delivery Time Not specified
Refill Process Doctor/Doctor's office must contact company
Limit Not specified
Re-application Not specified

Additional Information

Eligibility determined on a case-by-case basis.

This program also provides copay assistance.

Sharps disposal program available.

Updated September 14, 2018