Otezla

Indicated For

psoriasis,PsA,Behçet's Disease

About This Medication

# Amgen SupportPlus Patient Guide: How to Get Otezla (apremilast) at Low or No Cost Otezla (apremilast) is an oral medication used to treat conditions like plaque psoriasis, psoriatic arthritis, and Behçet's disease by reducing inflammation. Amgen SupportPlus offers two main programs: the **Otezla Co-Pay Program** for commercially insured patients (as little as $0 per month, no income requirements) and the **Amgen Safety Net Foundation** for uninsured or underinsured patients (free medication if eligible).[1][6][9] ## About Otezla and Why Assistance Matters **Otezla** is a phosphodiesterase-4 (PDE4) inhibitor taken as two tablets daily, without injections or topicals. It's prescribed for adults with moderate-to-severe plaque psoriasis, active psoriatic arthritis, or oral ulcers from Behçet's disease. Common side effects include diarrhea, nausea, upper respiratory infections, tension headache, and headache—often improving over time. Always consult your doctor for personalized advice.[1][2] Prescription costs can be high without help. **Amgen SupportPlus** simplifies access: ~95% of enrolled commercially insured patients pay $0 for Otezla prescriptions. Enrolled patients are ~2x more likely to fill prescriptions and do so faster.[3][6] Call **1-844-4OTEZLA (1-844-468-3952)** Monday–Friday, 8 AM–8 PM ET for support.[1][2] ## Who Qualifies? Two pathways exist based on insurance: - **Otezla Co-Pay Program**: For **commercially insured** patients (employer, marketplace, or self-purchased—not Medicare, Medicaid, etc.). **No income eligibility**. Covers co-pays, deductibles, co-insurance up to program maximums. ~95% pay $0 monthly.[1][3][6] - **Amgen Safety Net Foundation**: For **uninsured, underinsured**, or Medicare Part D patients without Otezla coverage. Requires meeting income and other criteria (specifics via phone/application). Provides **free Otezla** for 12 months if approved.[1][5][9] **Not eligible**: Federal/state programs like Medicare Part D (with coverage), Medicaid, TRICARE, VA.[4][6] ## Income Eligibility Breakdown The Co-Pay Program has **no income limits**. The Safety Net Foundation uses income thresholds (typically 400-500% FPL, but confirm via call as details vary). Here's a general guide based on U.S. Federal Poverty Levels (FPL, 2026 estimates—verify current): | Household Size | 400% FPL (Approx. Annual Income) | Notes | |---------------|---------------------------------|-------| | Individual | $60,000 | Safety Net example; call for exact. Co-Pay: No limit.[1][5] | | Couple | $81,000 | Applies to Safety Net.[9] | | Family of 3 | $102,000 | Underinsured may qualify.[5] | | Family of 4 | $123,000 | Exact %FPL not specified; phone verification needed. | **Notes**: Income based on household. Safety Net enrollment expires after 12 months; reapply. Report changes promptly.[4][5] ## Insurance Requirements - **Commercial Insurance**: Eligible for Co-Pay Program. Not valid for government programs.[6] - **Medicare Part D**: May qualify for Safety Net **if Otezla not covered** or no prescription coverage. Health Insurance Navigation Specialists can help.[5][9] - **Uninsured/Underinsured**: Direct to Safety Net Foundation.[1] If insurance changes, notify program—eligibility may be reevaluated.[4] ## Step-by-Step Application Process ### For Co-Pay Program (Commercially Insured): 1. **Get Prescribed**: Doctor writes Otezla Rx. Ask them to note co-pay card in pharmacy notes.[3] 2. **Enroll Instantly**: Visit otezla.com or AmgenSupportPlus.com from your phone. Takes minutes. Get digital co-pay card via email/screen.[1][6] 3. **Fill at Pharmacy**: Use card at specialty pharmacy (they apply automatically up to max). ~95% pay $0.[6] 4. **Re-enroll**: Required periodically; program checks eligibility.[4] ### For Safety Net Foundation (Uninsured/Underinsured): 1. **Call SupportPlus**: 1-844-4OTEZLA (M-F, 8AM-8PM ET). They'll guide and connect to Foundation.[1][2] 2. **Complete Application**: Doctor/HCP fills form (e.g., confirms no coverage). Patient provides income proof. Fax to 1-844-269-3053.[5] 3. **Approval**: If eligible, get free Otezla shipped (details post-approval). Caregivers for kids/teens under 18: Call to enroll.[1] ## Timeline and Delivery - **Co-Pay**: Instant enrollment; use card same day at pharmacy. Patients fill faster (within 45 days if early).[3] - **Safety Net**: Processing varies (days to weeks); enrollment good for 12 months. Medication shipped directly.[5] Expect calls from specialty pharmacy—answer to avoid delays.[3] ## Alternatives if Denied or Ineligible - **Appeal**: Contact SupportPlus for review.[2] - **Other Assistance**: Amgen Safety Net if switching insurance. Medicare Extra Help or state programs.[9] - **Patient Access Network (PAN) Foundation** or **HealthWell Foundation**: General copay help (check eligibility separately). - **Discount Cards**: GoodRx/SingleCare for uninsured (not as good as programs). - **Doctor Samples/Free Trial**: Ask prescriber.[1] - **Biosimilars**: None currently for Otezla (small molecule).[ ] ## Refills and Reauthorization Co-Pay: Auto-applies monthly; re-enroll as prompted.[4] Safety Net: Reapply annually; notify changes.[5] ## Disclaimer This guide summarizes Amgen SupportPlus based on available info (as of 2026). **Eligibility, terms, maximums apply**. Programs can change—**always verify at 1-844-4OTEZLA or AmgenSupportPlus.com/copay-terms**. Not insurance advice. Consult doctor/pharmacist. Amgen not liable for misuse. See full T&Cs.[1][4][5]

Program information last verified: March 30, 2026