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Patient Support Services Enrollment Form for ARISTADA INITIO™ (aripiprazole ...Instruction Sheet for Appeals Template The attached appeals' template was developed to help patients request an appeal of a denied insurance claim for AMISTAD (Laurel).Access support ARISTADA Coverage Finder Find an ARISTADA INITIO and/or ARISTADA provider Prior authorization assistance Checklist for requesting prior authorization Checklist for Letter of Medical Necessity & Appeal Letter Online platforms available Claims appeal assistance Checklist for appealing a claim denialENROLLMENT / EXCLUSION FORM To Implement Sections 16-28-40 through 16-28-45, Code of Alabama, 1975 Follow instructions on the back of this form. calling 1 -866 -ARISTADA ( 1- 866-274- 7823 ) or visiting https://www.aristadacaresupport.com. Please see full Prescribing Information, including Boxed Warning for. CALL 1-866-ARistADA (1-866-274-7823), 9AM–8PM (Et). 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