Getting Started With IPSEN CARES®
Please review the information below to learn more about the two ways to enroll your patients into IPSEN CARES.
Download the Form
If you prefer to download the Enrollment Form instead of online enrollment, please click below.
Online Enrollment
Online enrollment is currently under maintenance for enhancements and will be available in early 2027. We apologize for any inconvenience. To enroll your patient into IPSEN CARES, please download the enrollment form, fill it out, and fax it to (855) 465-3820. The form can also be emailed to support@ipsencares.com, or directly to your IPSEN CARES Patient Access Manager (PAM).
Please be sure your patients review and sign the Patient Authorization.
Once the completed forms are received, we will conduct a benefits verification to determine:
- Patient’s insurance coverage and out-of-pocket costs associated with Bylvay® (odevixibat)
- Support offerings for which the patient may be eligible*
- If additional documentation is required by the payer, please refer to the IPSEN CARES Prior Authorization Checklist and the Letter of Medical Necessity Guide and Template for further information.
We are collecting personal information in order to fulfill your request. Please see Ipsen’s privacy policy at https://www.ipsen.com/us/privacy-policy/. Residents of certain states have additional rights regarding the collection, use, and disclosure of their personal information. For more information, please see Ipsen’s Supplemental State Privacy Notice at https://www.ipsen.com/us/Supplement-Website-Privacy-Notice/ and Ipsen Consumer Health Data Privacy Policy at https://www.ipsen.com/us/consumer-health-data-privacy/.
