FOR HEALTHCARE PROFESSIONALS

Dova 1Source 
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.

Your specialty pharmacy will remind you when you should be taking DOPTELET

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
    Your specialty pharmacy will help identify and coordinate financial assistance to pay for DOPTELET

    COORDINATES FINANCIAL SUPPORT*

    • Copay Assistance for commercially insured patients
    • Patient Assistance for uninsured patients
    • Copay Foundation Referral Support for Medicare and Medicaid patients
    Your specialty pharmacy will confirm delivery details

    Delivers DOPTELET on time for procedure*

    • Ships directly to patients at home
    • Ensures timely delivery
    • Personalized adherence support
    DOVA ONTIME30 ensures your patient receives DOPTELET on time for a procedure

    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

    ENROLL ONLINE

    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

    RESOURCES

    DOVA 1SOURCE OVERVIEW

    DOVA 1Source brochure

    Detailed information about all of the program offerings

    DOSING & SCHEDULING GUIDE

    DOPTELET physician dosing guide

    Detailed guidance and information about how to prescribe and dose DOPTELET

    FIND MY CARE COORDINATOR

    A dedicated Care Coordinator will be the single point of contact and be there for any questions.

    Dedicated Care Coordinator is your single point of contact

    CONTACT THE DEDICATED CARE COORDINATOR

    Neelima Kurup
    neelima.kurup@gmail.com
    Test Phone Number
    Care Coordinator