Help patients get going at no cost with AUSTEDO XR

Patients can start and stay on track with once-daily AUSTEDO XR1,2

Two ways to get patients started for free with the 4-week Titration Kit:

Sample with Titration Kit*
And prescribe 36 mg/day for Week 51

Blister packs for AUSTEDO XR 4-week Titration Kit.

(ask your sales representative for 4-week Titration Kit samples)

Prescribe Titration Kit (NDC: 68546-0490-52)
And use 30-day Free Trial Voucher

AUSTEDO XR 4-week Titration Kit and 30-day Free Trial Voucher for new patients. This Free Trial Voucher is not conditioned on any past, present, or future purchase, including refills. No purchase is required.
Blister packs for AUSTEDO XR 4-week Titration Kit.

(provide a second prescription at 36 mg/day for Week 5 with initial prescription)1

Continue titrating weekly until symptom control is effectively and tolerably achieved (48 mg/day maximum dosage).1

For continuing patients: Write once-daily AUSTEDO XR for their next refill (at same total daily dose as AUSTEDO BID)1


Insurance codes

ICD-10 CM Diagnosis Code: G10 Huntington’s Chorea (HD)

 

Dosage

10-digit NDC

11-digit NDC

AUSTEDO XR

6 mg

12 mg

24 mg

68546-470-56

68546-471-56

68546-472-56

68546-0470-56

68546-0471-56

68546-0472-56

 
 

10-digit NDC

11-digit NDC

4-week
Titration Kit

 

68546-490-52

68546-0490-52


Teva Shared Solutions®

Use the Prescription & Service Request Form (PSRF) to get started with the support of Teva Shared Solutions®

Financial assistance offerings available: some
patients may pay $10 or less per month for AUSTEDO2

Learn about cost and coverage support


Additional resources to help with patient access:

*Notify pharmacy if patient has been sampled.

Request pharmacy apply 30-day Free Trial Voucher against initial 30-day Rx. Certain restrictions apply. Terms and conditions on www.AUSTEDOcardform.com.

REFERENCES: 1. AUSTEDO® XR (deutetrabenazine) extended-release tablets and AUSTEDO® current Prescribing Information. Parsippany, NJ: Teva Neuroscience, Inc. 2. Data on file. Parsippany, NJ: Teva Neuroscience, Inc.