for Healthcare Professionals
A Full Range of Financial and Support Services to Help Your Patients
Dova 1Source is the single point of contact to help your patients gain access to DOPTELET® (avatrombopag). With a network of specialty pharmacies and financial support programs, Dova 1Source provides patients with the resources they need.
After the Patient Enrollment form is completed, Dova 1Source will provide comprehensive support services to your patients.
MANAGES THE LOGISTICS
- One dedicated Care Coordinator assigned to your patients who:
- - Navigates the insurance process
- - Identifies specialty pharmacy
- - Keeps you informed throughout the process
COORDINATES FINANCIAL SUPPORT*
- Copay Assistance for commercially insured patients
- Patient Assistance for uninsured patients
- Copay Foundation Referral Support for Medicare and Medicaid patients†
Delivers DOPTELET on time for procedure*
- Ships directly to patients at home
- Ensures timely delivery
- Personalized adherence support
Dova OnTime Program
Confidence that patients can keep their scheduled procedure
- Submit a completed Patient Enrollment form to Dova 1Source at least 30 days before the procedure
- Your patient will receive DOPTELET on time, even if insurance coverage is denied or delayed‡
*Only for eligible patients who agree to the rules set forth in the terms and conditions for the program. Please visit Dova1Source.com for the full list of terms and conditions.
†Dova does not influence or control the operations or eligibility of any independent foundation and cannot guarantee assistance after a referral from Dova 1Source. The foundations you are referred to are not exhaustive or indicative of Dova's endorsement or financial support. There may be other foundations to support the patient.
‡Dova reserves the right to rescind, revoke, or amend this program without notice.
DOVA 1SOURCE PATIENT ENROLLMENT
You can use the online form to enroll your patients in the Dova 1Source program
FAX OR E-MAIL ENROLLMENT
To get patients started, download the Patient Enrollment form and fax the completed form to 1-855-686-8729 or
e-mail it to info@Dova1Source.com
DOVA 1SOURCE OVERVIEW
Detailed information about all of the program offerings
DOSING & SCHEDULING GUIDE
Detailed guidance and information about how to prescribe and dose DOPTELET