The Otsuka Patient Assistance Foundation, Inc. is an organization that provides free treatment to eligible uninsured and underinsured patients on ABILIFY® (aripiprazole), ABILIFY MAINTENA® (aripiprazole), JYNARQUE® (tolvaptan), REXULTI® (brexpiprazole), or SAMSCA® (tolvaptan) medications.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to PPA.

Product(s) Covered by Program

  • A

    • Abilify Maintena® (aripiprazole)
    • Abilify® Tablets
  • J

    • JYNARQUE®
  • R

    • Rexulti®
  • S

    • Samsca®