Doptelet Connect provides information regarding patient insurance coverage and financial assistance that may be available to help patients with financial needs. Learn more about Doptelet Connect Patient Support Programs below.
For more information, call 1-833-368-2663. Monday-Friday 8 AM-8 PM ET.
Click for information on Doptelet Connect services:
FORMULARY LOOK-UP TOOL Do you know your patients’ coverage?
Accessing Doptelet Resources
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Getting Started With Doptelet
Gives an overview of the Doptelet access process and the pathway options to initiate treatment from prescription through continuing care.
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Letter of Medical Necessity
Shows a sample letter that can be sent on behalf of patients when submitting a prior authorization request for Doptelet.
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Prior Authorization Resource Guide
Explains general steps in the prior authorization process to help HCP offices get patients started on Doptelet.
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Accessing Doptelet Through Specialty Pharmacies and Distributors
Lists contact information for specialty pharmacies and distributors that are authorized to dispense or distribute Doptelet.
Doptelet Copay Assistance Program*
The Doptelet Copay Assistance Program is for eligible patients who have commercial prescription insurance. Patients may pay as little as $0 per prescription, up to a maximum benefit of $15,000 per calendar year.
Learn more about how the Doptelet Copay Assistance Program can help lower out-of-pocket costs for eligible patients receiving Doptelet.
Doptelet Bridge Program†
The Doptelet Bridge Program can provide a limited supply of Doptelet at no cost to eligible patients experiencing a gap in coverage for Doptelet.
Doptelet Patient Assistance Program†
The Doptelet Patient Assistance Program provides Doptelet at no cost to patients who meet the program eligibility requirements.
*In order to participate in the Doptelet Copay Assistance Program (“Program”), a patient must be aged ≥18 years and have commercial prescription insurance for Doptelet. This Program is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any state or federal government program, including (but not limited to) Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, Puerto Rico Government Insurance, or any state patient or pharmaceutical assistance program. This offer is not valid for patients paying with cash. The Program is void where prohibited by law. Certain rules and restrictions apply. Sobi reserves the right to revoke, rescind, or amend this offer without notice. This Program is not insurance.
†Program subject to eligibility requirements and program terms and conditions.
HCP=healthcare professional.
Accessing Additional Doptelet Connect Forms and Resources
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Doptelet Connect Overview
Summary of the different access and reimbursement support options that help patients access Doptelet.
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Doptelet Connect Process Flow for Healthcare Professional Office
Explains relationship between the HCP offices and Doptelet Connect and steps each may take during the access and reimbursement process.
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Prescription and Enrollment Form
Authorization provides patient/caregiver access to the Doptelet Connect Patient Support Program.
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Patient Consent Form
To enroll a patient, complete the form, including all healthcare provider and patient signatures, and fax to 855-686-8729.
Coverage for Doptelet is better than ever
Doptelet is available for 97% of patients with commercial insurance and the majority of Medicare-insured patients nationwide1,2‡
Oral medications like Doptelet may be more accessible to Medicare-insured patients in 2025. Click here to learn more.
See Formulary Status in Your Area
Formulary coverage of Doptelet on selected plans in:
Do you have questions on getting access to therapy for your patients related to COVERAGE, PRIOR AUTHORIZATION, or STEP EDITS?
Consult with your field reimbursement manager at Doptelet.escalation@sobi.com.
Please include the following information with each email inquiry:
1) Practice Name 2) Contact Name 3) Direct Phone Number 4) State and ZIP Code 5) Issue Needing Assistance
For Pharmacies and Distributors
Doptelet prescriptions are filled only through specialty pharmacies in the Doptelet network or by dispensing physician practices. Specialty pharmacies typically mail the patient prescriptions directly to the patient. There are also physician practices that elect to dispense Doptelet through their in-office dispensing pharmacies.
‡Majority is defined as >50% of patients covered.
HCP=healthcare professional.
- Data on file. MMIT commercial summary export. 2024: Sobi, Inc.
- Data on file. MMIT Medicare summary export. 2024: Sobi, Inc.