Application Process
If you have an uninsured patient that has been
administered an Astellas medication in the last 180 days, and he or she
meets the AAP eligibility requirements, follow these simple steps to
request stock replacement to your office or institution.
| 1. | Log-on to Astellas eService. - If you do not have an account, it is easy to set up. If you
need technical assistance to set up an account or for help with your
existing eService account, please call ARS at 1-800-477-6472.
|
| 2. | Select "Initiate Access Application" and provide the required information. - Requests must be submitted by the prescribing physician or by an authorized facility employee.
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| 3. |
If the patient meets the eligibility
criteria, the application will be approved. The healthcare provider will
receive notification of approval.
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| 4. |
Astellas will replace the number of product
units administered to the patient at no cost to the healthcare provider
or institution.
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