Personalized Support

The Ascendis Signature Access Program (A·S·A·P): For patients and caregivers1

  • Prior authorization and appeals support are available from time of enrollment1
  • Patients are assigned a Nurse Advocate to initiate device training, help track their dosing, monitor injections, and answer questions1
  • The SKYTROFA® Auto-Injector will be supplied through A·S·A·P at no cost to patients
Mom and son discuss the Akytrofa Auto-Injector with a Nurse Advocate

Patient Enrollment

  • Assigned Nurse Advocate
  • Overall case management
  • Review suite of services
  • Insurance verification

Patient Activation

  • Fast Start fulfillment
  • Auto-Injector fulfillment
  • Starter kit fulfillment
  • Hybrid Clinical Educator training completior

Patient Access

  • Benefits verification
  • Prior authorization support
  • Appeals support
  • Out-of-pocket assistance

Patient Adherence

  • Ongoing patient support
  • Ongoing reimbursement support
Patient Enrollment Patient Activation Patient Access Patient Adherence
  • Assigned Nurse Advocate
  • Overall case management
  • Review suite of services
  • Insurance verification
  • Fast Start fulfillment
  • Auto-Injector fulfillment
  • Starter kit fulfillment
  • Hybrid Clinical Educator training completion
  • Benefits verification
  • Prior authorization support
  • Appeals support
  • Out-of-pocket assistance
  • Ongoing patient support
  • Ongoing reimbursement support

The Co-pay Program for SKYTROFA

A·S·A·P gives your patients more help accessing treatment with co-pay assistance.

  • Eligible patients may pay as little as $5 per monthly prescription
  • The Co-pay Program for SKYTROFA provides support up to $6000 per year
  • $6000 maximum will automatically reset 12 months after enrollment date until program expiration

Eligibility and Restrictions:

  • Patient must be enrolled in, and must seek reimbursement from or submit a claim for reimbursement to, a commercial insurance plan. The SKYTROFA prescription being filled must be covered by the patient’s commercial insurance plan.
  • Patient is not eligible if he/she participates in or seeks reimbursement or submits a claim for reimbursement to any federal or state health care program with prescription drug coverage, such as Medicaid, Medicare, Medigap, VA, DOD, TRICARE, or any similar federal or state health care program (each a Government Program), or where prohibited by law.
  • Offer excludes full cash-paying patients and may not be redeemed for cash.
  • By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described herein and will not seek reimbursement for any benefit received through this offer. Eligibility and Restrictions, and Offer Details may change from time to time, and for the most recent version, please visit this webpage. Re-confirmation of information may be requested periodically to ensure accuracy of data and compliance with terms.
  • This offer is valid in the United States, Puerto Rico, Guam, and the Virgin Islands and may be redeemed at participating retail pharmacies. Availability of the Savings Offer in Massachusetts will be dependent upon state law in effect at the time patient presents the Savings Offer when paying for the covered medications.
  • This offer is not transferable and is limited to one offer per person. Not valid if reproduced.
  • Cash Discount Cards and other non-insurance plans are not valid as primary insurance under this offer. If the patient is eligible for drug benefits under any such program, the patient cannot use this offer. This Savings Card cannot be combined with any coupon, certificate, voucher, or similar offer.
  • Patient is responsible for complying with any insurance carrier co-payment disclosure requirements, including disclosing any savings received from this program. It is illegal to (or offer to) sell, purchase, or trade this offer.
  • Ascendis Pharma reserves the right to rescind, revoke or amend this offer without notice at any time.

Enroll your patients in A·S·A·P today!

STATEMENT OF MEDICAL NECESSITY FORM

Questions about A·S·A·P? Call 1-844-442-7236 to speak with a member of our support team or chat live (available from 8 AM to 8 PM ET, Monday through Friday).

A·S·A·P CHAT