Voucher and NEW Patient Copay Assistance information is now available here

First Prescription

Free trial voucher card.

For questions or additional assistance, please call
1-844-308-5110.

view details

*Certain restrictions apply.

Refill Prescriptions

$0 copay card.

Tell your patients to enroll in
Teva Shared Solutions® today.

Patients must self-enroll at MySharedSolutions.com to receive their AUSTEDO XR/AUSTEDO copay card.

You can also send a link to your patients to enroll for their copay card by entering their email address or mobile number.

and/or

Please read through and check "I agree"

I attest that I have received permission from this patient to provide their email and/or mobile phone number exclusively for the purpose of sending the patient information about enrollment in the AUSTEDO XR/AUSTEDO Copay Assistance Program (potentially via an autodialer) and have informed the patient that the manufacturer and its affiliates will only send the patient one email or text communication with information about copay enrollment, will not use the patient’s email or mobile number to send marketing messages or any further communications without the patient’s consent, and will not save or store the patient’s email or mobile phone number or share this information with any party without the patient’s consent. I have also informed the patient that the manufacturer’s privacy policy is available at https://www.tevausa.com/general-pages/policy3/.

I also attest that I have received a valid HIPAA authorization from the patient permitting me to disclose the patient’s information to the manufacturer for purposes of copay enrollment activities.

Check "I agree"

†Certain restrictions apply.
Please see Terms and Conditions.
This offer is not available for patients eligible for Medicare,
Medicaid, or any other form of government insurance coverage.

 

Thank you for submitting.

Your patient will receive an email or text depending on the contact details you provided. If they do not receive a message, please contact Teva Shared Solutions® at 1-800-887-8100, Monday-Friday, 8AM to 8PM CT, for further assistance.