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If you are requesting a referral to the Organon Patient Assistance Program, be sure to include all information, including a prescription from your health care provider. Please be sure all signatures are included prior to submitting forms to The Organon Access Program.
Getting Started Is Simple
1
Work with your health care provider to download and complete the enrollment form for your medication.
2
A program representative will contact you and your health care provider’s office.
Click on the Medication Below for Information or to Enroll:
BILDYOS®
(denosumab-nxxp) injection 60 mg/mL
Please read the Medication Guide for BILDYOS and discuss it with your doctor. The Physician Prescribing Information, including the Boxed Warning, also is available.
BILPREVDA®
(denosumab-nxxp) injection 120 mg/1.7 mL
Please read the Physician Prescribing Information for BILPREVDA and discuss it with your doctor.
HADLIMA®
(adalimumab-bwwd) injection, 40 mg/0.4 mL & 40 mg/0.8 mL
Please read the Medication Guide for HADLIMA and discuss it with your doctor. The Instructions for Use and Physician Prescribing Information, including the Boxed Warning, also are available.
NEXPLANON®
(etonogestrel implant) 68 mg Radiopaque
Please read the Patient Information for NEXPLANON and discuss it with your doctor. The Physician Prescribing Information, including the Boxed Warning, also is available.
ONTRUZANT®
(trastuzumab-dttb) for injection, for intravenous use 21 mg/mL
Please read the Physician Prescribing Information for ONTRUZANT, including the Boxed Warning, and discuss it with your doctor.
RENFLEXIS®
(infliximab-abda) for injection, for intravenous use 100 mg
Please read the Medication Guide for RENFLEXIS and discuss it with your doctor. The Physician Prescribing Information, including the Boxed Warning, also is available.
TOFIDENCE®
(tocilizumab-bavi) injection, for intravenous use
Please read the Medication Guide for TOFIDENCE and discuss it with your doctor. The Physician Prescribing Information, including the Boxed Warning, also is available.