Get started with enrollment

Together with OJJAARA offers a range of assistance options at no cost to you. After your doctor has prescribed OJJAARA, you and your doctor need to complete enrollment. Follow the steps below to begin!

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Here is how you can enroll

Follow these steps:

Download and print the enrollment form.
Complete all required fields on the enrollment form, including your contact information, medical and/or prescription insurance details, and your preferences.
Ensure all required fields on the enrollment form are complete.
Please read and sign the form, your signatures are required on the first page.
Provide the form to your healthcare provider to complete the remaining sections. They will submit it on your behalf to Together with OJJAARA Patient Experience Center.

Once you have enrolled, a Patient Navigator from Together with OJJAARA will get in touch with you with next steps.

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By enrolling, you get all the services of a Patient Navigator*

Insurance coverage

Questions about accessing OJJAARA? Your Patient Navigator can help you understand whether OJJAARA may be covered by insurance and your portion of the cost.^†

Cost support

Whether you’re covered by insurance or not, there are options available for which you may be eligible.

Ongoing education

Your Patient Navigator can provide education and resources about OJJAARA, as well as ongoing support throughout your treatment journey.

^*The Patient Navigator does not provide medical advice and is not a part of your doctor’s care team. Please ask your doctor any questions that you might have about your disease and treatment with OJJAARA.

^†The information provided by Together with OJJAARA is not a guarantee of coverage or payment.

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We are here to help!

You can reach your Patient Navigator at 1-844-4GSK-ONC (844-447-5662)

Monday–Friday: 8:00 AM – 8:00 PM ET

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