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Sobi is providing this free tool to help you find healthcare providers in your area who may have experience treating chronic ITP. Neither Sobi nor MediFind pay healthcare providers to be listed in this tool and healthcare providers do not pay to be listed in the tool. Just because a healthcare provider is listed in the tool does not mean Sobi endorses their qualifications or recommends their medical care. The search results of healthcare providers are sorted by the distance from the location entered. Choosing a healthcare provider is an important decision requiring careful consideration. Sobi is not responsible for your choice or actions you take because of information provided by the tool.
FINANCIAL ASSISTANCE INFORMATION
Explore all of the Doptelet financial assistance options that may be available. The Doptelet Copay Assistance Program and Free Trial Offer are here to help manage access to Doptelet.
Enroll in the Doptelet Copay Assistance Program
The Doptelet Copay Assistance Program is for eligible people who have commercial prescription insurance. If you qualify, you’ll be able to pay as little as $0 per prescription, and may receive up to a maximum benefit of $15,000 per calendar year. Terms and conditions apply.
Enroll Now
Learn about the Doptelet Free Trial Offer
The Free Trial Offer provides a 15-day supply of Doptelet, at no cost, to patients who are new to Doptelet and have chronic ITP. The Free Trial Offer allows physicians and patients to evaluate a patient’s clinical response to Doptelet to determine whether it is the appropriate treatment. If you are curious if Doptelet will work for you, discuss the Doptelet Free Trial Offer with your healthcare provider. You can find the form to request the Free Trial Offer (to be filled out by your doctor) below. Your provider may also request the Free Trial Offer online at DopteletConnectHCP.com. Terms and conditions apply.
DOWNLOAD FORM
After your doctor prescribes Doptelet, Doptelet Connect can provide patient assistance options that may help you access treatment
There are 3 ways to get support from Doptelet Connect:
Doptelet Connect Secure Online Portal
Go online to complete the Patient Consent Form and provide the necessary information. From there, you can access the portal to check your eligibility for Doptelet copay assistance or upload information requested by Doptelet Connect.
EnrollPrescription and Enrollment Form
To enroll in Doptelet Connect, your doctor will need to complete the form, including all healthcare provider and patient signatures, and fax it to 1-855-686-8729.
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Connect with Case Managers
Here’s how it works:
First, if your doctor’s office chooses, they can send your prescription to Doptelet Connect for review.
Next, dedicated Case Managers will help:
- Research your insurance plan
- Determine a specialty pharmacy that can fill and deliver your Doptelet prescription
- Identify potential financial assistance options that may be available
For more information, call 1-833-368-2663. Case Managers are available Monday–Friday 8:30 AM–7 PM ET.
Finally, a pharmacy will contact you to confirm your delivery details before sending you Doptelet. It is important to answer or return calls from the specialty pharmacy right away.
Doptelet Connect resources
Prescription and Enrollment Form
To enroll in Doptelet Connect, work with your healthcare provider to complete and sign this form.
DOWNLOAD FORMPatient/Caregiver Consent Form
Complete this form if your signature is requested by Doptelet Connect.
DOWNLOAD FORMDescargar en españolPatient Assistance Program Application
To be evaluated for the Patient Assistance Program, work with your healthcare provider to complete and sign this application.
DOWNLOAD FORMDiscover the Doptelet Copay Assistance Program
Eligible commercially insured patients may qualify for the Doptelet Copay Assistance Program
- Eligible patients may pay as little as $0 for each Doptelet prescription
- Eligible patients may receive up to a maximum benefit of $15,000 per calendar year
Eligible patients must:
- Have commercial prescription insurance that covers Doptelet
- The Program is not valid for patients whose prescription claims are reimbursed or paid for, in whole or in part, by any state or federal government program, including, but not limited to Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, Puerto Rico Government Insurance, or any state patient or pharmaceutical assistance program
- Be 1 year of age or older
- Be a resident of the United States or Puerto Rico
- Approved pharmacies, healthcare professionals, and Doptelet Connect can enroll patients
- Patients can enroll themselves or be enrolled by their caregivers
- Please call 1-833-368-2663 Monday–Friday 8:30 AM–7 PM ET for more information
- Patients may pay as little as $0 per prescription. Copay Assistance Program has an annual calendar cap of $15,000
- The Copay Assistance Program is void where prohibited by law, taxes, or restricted
- This offer is non-transferable, no substitutions are permissible, and this offer cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription
- Sobi, Inc. reserves the right to rescind, revoke, or amend this offer at any time without notice
- This offer is not valid for patients paying with cash
- The Copay Assistance Program for Doptelet is not insurance and is not intended to substitute for insurance
- Patients, pharmacists, and healthcare providers must not seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this Copay Assistance Program. Patients must not seek reimbursement from any health savings, flexible spending, or other healthcare reimbursement accounts for the amount of assistance received from the Copay Assistance Program
- Enrollment for the Copay Assistance Program is valid through the calendar year
- Sobi, Inc. reserves the right to change program terms at any time
- The Program is not valid for claims or transactions submitted more than 90 days from the date the prescription is filled
- The Program covers the cost of the drug only and does not cover costs for office visits or any other associated costs
See the Free Trial Offer terms and conditions
- In order to participate in the Doptelet Free Trial Offer, a patient must be new to Doptelet therapy and be aged ≥1 year for pediatric patients and >18 years of age for adults. The patient must be prescribed Doptelet for an approved on-label indication (ITP only) and be under the care of a licensed healthcare provider who is authorized to prescribe medicine in the United States or US Territories, and the patient must reside in the United States or US Territories. Additionally, a patient can only participate in the Doptelet Free Trial Offer once. When prescribed Doptelet Sprinkle under the Free Trial Offer, due to how Doptelet Sprinkle is supplied, eligible patients will receive a bottle with 30 capsules. The offer is void where prohibited by law. Certain rules and restrictions apply. Sobi reserves the right to revoke, rescind, or amend this offer without notice. For ages 1-6, subject to availability for Doptelet Sprinkle
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GET ITP TIPSIndication & Important Safety Information
What are DOPTELET (avatrombopag) and DOPTELET Sprinkle (avatrombopag)?
DOPTELET is a prescription medicine used to treat low blood platelet counts in:
- Adults with long-lasting (chronic) liver disease (CLD) who are scheduled to have a medical or dental procedure
- Adults with chronic immune thrombocytopenia (ITP) when other treatments have not worked well enough.
- Children 1 year and older with persistent or chronic ITP when other treatments have not worked well enough
DOPTELET tablets and DOPTELET Sprinkle are different dosage forms of DOPTELET.
DOPTELET and DOPTELET Sprinkle are not used to make platelet counts normal.
It is not known if DOPTELET or DOPTELET Sprinkle are safe and effective in children younger than 1 year of age.
IMPORTANT SAFETY INFORMATION
Before you take DOPTELET or DOPTELET Sprinkle, tell your doctor about all your medical conditions, including if you:
- Have ever had a blood clot
- Are pregnant or plan to become pregnant. DOPTELET or DOPTELET Sprinkle may harm your unborn baby. Tell your healthcare provider if you become pregnant or think you may be pregnant during treatment with DOPTELET or DOPTELET Sprinkle
- Are breastfeeding or plan to breastfeed. It is not known if DOPTELET or DOPTELET Sprinkle passes into your breast milk. Do not breastfeed during your treatment with DOPTELET and DOPTELET Sprinkle for at least 2 weeks after the last dose. Talk to your healthcare provider about the best way to feed your baby during this time
Tell your healthcare provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. DOPTELET or DOPTELET Sprinkle may affect the way other medicines work, and other medicines may affect the way DOPTELET or DOPTELET Sprinkle works.
What are the side effects of DOPTELET or DOPTELET Sprinkle?
DOPTELET or DOPTELET Sprinkle may cause serious side effects including blood clots. People with CLD or persistent or chronic ITP and people with certain blood clotting conditions may have an increased risk of developing blood clots. Tell your healthcare provider right away if you get signs and symptoms of a blood clot, including:
- Swelling, pain, or tenderness in your legs
- Shortness of breath
- Chest pain
- Fast heartbeat
- Stomach (abdominal) pain or tenderness
The most common side effects of DOPTELET in adults with CLD are fever, stomach (abdominal) pain, nausea, headache, tiredness, and swelling of hands and feet.
The most common side effects of DOPTELET in adults with chronic ITP are headache, tiredness, bruising, nosebleed, upper respiratory infection, joint pain, bleeding gums, purple or red spots on your skin, and runny nose.
The most common side effects of DOPTELET or DOPTELET Sprinkle in children with persistent or chronic ITP are viral infection, runny nose, cough, fever, and pain in the mouth or throat.
These are not all of the possible side effects of DOPTELET or DOPTELET Sprinkle. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Please see the DOPTELET and DOPTELET Sprinkle full Prescribing Information.
What are DOPTELET (avatrombopag) and DOPTELET Sprinkle (avatrombopag)?
DOPTELET is a prescription medicine used to treat low blood platelet counts in:
- Adults with long-lasting (chronic) liver disease (CLD) who are scheduled to have a medical or dental procedure
- Adults with chronic immune thrombocytopenia (ITP) when other treatments have not worked well enough.
- Children 1 year and older with persistent or chronic ITP when other treatments have not worked well enough
What are DOPTELET (avatrombopag) and DOPTELET Sprinkle (avatrombopag)?
DOPTELET is a prescription medicine used to treat low blood platelet counts in:
- Adults with long-lasting (chronic) liver disease (CLD) who are scheduled to have a medical or dental procedure
- Adults with chronic immune thrombocytopenia (ITP) when other treatments have not worked well enough.
- Children 1 year and older with persistent or chronic ITP when other treatments have not worked well enough
DOPTELET tablets and DOPTELET Sprinkle are different dosage forms of DOPTELET.
DOPTELET and DOPTELET Sprinkle are not used to make platelet counts normal.
It is not known if DOPTELET or DOPTELET Sprinkle are safe and effective in children younger than 1 year of age.
IMPORTANT SAFETY INFORMATION
Before you take DOPTELET or DOPTELET Sprinkle, tell your doctor about all your medical conditions, including if you:
- Have ever had a blood clot
- Are pregnant or plan to become pregnant. DOPTELET or DOPTELET Sprinkle may harm your unborn baby. Tell your healthcare provider if you become pregnant or think you may be pregnant during treatment with DOPTELET or DOPTELET Sprinkle
- Are breastfeeding or plan to breastfeed. It is not known if DOPTELET or DOPTELET Sprinkle passes into your breast milk. Do not breastfeed during your treatment with DOPTELET and DOPTELET Sprinkle for at least 2 weeks after the last dose. Talk to your healthcare provider about the best way to feed your baby during this time
Tell your healthcare provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. DOPTELET or DOPTELET Sprinkle may affect the way other medicines work, and other medicines may affect the way DOPTELET or DOPTELET Sprinkle works.
What are the side effects of DOPTELET or DOPTELET Sprinkle?
DOPTELET or DOPTELET Sprinkle may cause serious side effects including blood clots. People with CLD or persistent or chronic ITP and people with certain blood clotting conditions may have an increased risk of developing blood clots. Tell your healthcare provider right away if you get signs and symptoms of a blood clot, including:
- Swelling, pain, or tenderness in your legs
- Shortness of breath
- Chest pain
- Fast heartbeat
- Stomach (abdominal) pain or tenderness
The most common side effects of DOPTELET in adults with CLD are fever, stomach (abdominal) pain, nausea, headache, tiredness, and swelling of hands and feet.
The most common side effects of DOPTELET in adults with chronic ITP are headache, tiredness, bruising, nosebleed, upper respiratory infection, joint pain, bleeding gums, purple or red spots on your skin, and runny nose.
The most common side effects of DOPTELET or DOPTELET Sprinkle in children with persistent or chronic ITP are viral infection, runny nose, cough, fever, and pain in the mouth or throat.
These are not all of the possible side effects of DOPTELET or DOPTELET Sprinkle. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Please see the DOPTELET and DOPTELET Sprinkle full Prescribing Information.
