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Savings & Support

Lee H.
Actual Nurtec ODT patient.

*Per IQVIA as oral brand in class (oral CGRP receptor antagonists): number one prescribed and number one in new prescriptions, since 8/6/21. Data current as of 8/21/23.

Nurtec® OneSource: one stop for resources and
personalized patient support

Help give your patients access to the only migraine medication that treats and helps prevent all in one with our dedicated savings and support program.1,2 Call 1-833-4NURTEC for support with any of the following:

ACCESS FOR YOUR COMMERCIALLY INSURED PATIENTS

Eligible, commercially insured patients may pay as little as $0 per month with the Nurtec ODT 

copay card

Eligible commercially insured patients can, for one time only, access Nurtec ODT at no cost while benefits are being verified for one prescription fill, with a maximum of 16 tablets total. Insurance coverage must be approved by the payor for patients to continue receiving Nurtec ODT with no out-of-pocket cost. No membership fees. Only available for commercially insured patients. This is not health insurance. Maximum annual benefit of $7,000. The full terms and conditions can be accessed at nurtec.com/savings#terms-and-conditions.

SUPPORT FOR ALL PATIENTS

Assistance with the prior authorization process

SMS-based refill reminders

Hassle-free home delivery to patients

How to prescribe
Nurtec® ODT (rimegepant) 75 mg

Nurtec ODT 75 mg is available in blister packs of 8 tablets each. For preventive treatment, prescribe two 8-packs (16 tablets) per month. For acute treatment, you can prescribe one 8-pack, or depending on the insurance plan you may be able to prescribe two 8-packs (16 tablets) in one monthly prescription.1*

1

In your EMR, simply select:

ASPN Pharmacies, LLC

290 West Mount Pleasant Ave, Livingston, NJ 07039 NPI: 1538590690Prescriptions can also be faxed to ASPN Pharmacies at 1-877-371-2213.

A

or

Your local pharmacy

(for prescriptions not serviced through Nurtec ® OneSource)

B

Don’t see ASPN Pharmacies in your ePrescribe platform? 

Select ASPN Pharmacy in your EMR mail order pharmacy option or check with your IT support for the last system update. If additional assistance is needed, please contact your EMR provider.

2

Select ICD-10-CM code:

The codes listed below may be appropriate to include with your request for your patient with migraine. Please refer to an ICD-10-CM resource for additional codes that may be applicable to your patient.

ICD-10-CM code and description

  • G43, Migraine 
  • G43.0, Migraine without aura 
  • G43.1, Migraine with aura
  • G43.9, Migraine, unspecified

3

Select quantity:

1 blister pack (8 tablets)
NDC: 72618-3000-02

A

or

2 blister packs (16 tablets)
NDC: 72618-3000-02

B

Include directions for use as appropriate

ACUTE: Take one tablet by mouth daily as needed for migraine. No more than one dose in 24 hours.
PREVENTIVE: Take one tablet by mouth every other day. No more than one dose in 24 hours.

Have questions for a Support Specialist?

Call 1-833-4NURTEC (1-833-468-7832) Monday through Friday from 8:30 am to 8:00 pm EST.

*The maximum dose of Nurtec ODT in a 24-hour period is 75 mg. The safety of using more than 18 doses of Nurtec ODT in a 30-day period has not been established. 1
Codes are provided for informational purposes only. List may not be comprehensive. The healthcare provider is responsible for determining appropriate coding for treatment of their patients. Codes are not intended to encourage or suggest a use that is inconsistent with FDA-approved uses.

Nurtec ODT access support and copay card

If patients are not utilizing Nurtec® OneSource, other options are available to help with prior authorization and affordability. 

PRIOR AUTHORIZATION

Prior authorization assistance available through


1-866-452-5017

NURTEC ODT COPAY CARD

Eligible patients with commercial insurance may pay as little as $0 per month*

Let your eligible patients know they can download and activate a card today by visiting nurtec.com/savings

*Eligible commercially insured patients can, for one time only, access Nurtec ODT at no cost while benefits are being verified for one prescription fill, with a maximum of 16 tablets total. Insurance coverage must be approved by the payor for patients to continue receiving Nurtec ODT with no out-of-pocket cost. No membership fees. Only available for commercially insured patients. This is not health insurance. Maximum annual benefit of $7,000. The full terms and conditions can be accessed at nurtec.com/savings#terms-and-conditions.

Most insured adults in the US can get Nurtec ODT 

through their health insurance*

Most insured adults in the US can get Nurtec ODT through their health insurance*

With coverage for ~95% of commercially insured lives*

Find specific formulary coverage in your area:

Auto-locate

Error: Please provide a valid ZIP code.

OR

Error: Please provide a valid NPI number.

Error: Please provide either a valid ZIP code or an NPI number.

*Per Managed Markets Insights & Technology LLC as of 6/3/24. Formulary data throughout this resource are current as of September 2024. The information provided is not a guarantee of coverage or payment (partial or full), and is subject to change without notice. Actual benefits are determined by each plan administrator in accordance with its respective policy and procedures. Please confirm coverage with each patient's plan. Nothing herein may be construed as an endorsement, approval, recommendation, representation, or warranty of any kind by any plan or insurer referenced herein.

References: 1. Nurtec ODT. Package insert. Pfizer Inc. 2. Croop R, Lipton RB, Kudrow D, et al. Oral rimegepant for preventive treatment of migraine: a phase 2/3, randomised, double-blind, placebo-controlled trial. Lancet. 2020;397(10268): 51-60. doi:10.1016/S0140-6736(20)32544-7.

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