1-800-887-8100
COPAXONE® (glatiramer acetate injection) 40 mg/mL Logo
DOWNLOAD PRESCRIPTION & SERVICE REQUEST FORM (PSR)
MENU
Shared Solutions®
DOWNLOAD PRESCRIPTION & SERVICE REQUEST FORM (PSR)
Copaxone® is the #1 prescribed brand for relapsing MS in the US 1*

Stay informed about RMS and COPAXONE® with updates from Teva

At Teva, we’re committed to providing support today, but we also have our eyes on tomorrow. Complete the following form to stay in the know, as we’re continually working to enhance the experience and support services for you and your patients.

*Indicates a required field.


Your privacy is important to us and the information you provide will be handled in accordance with our Privacy Notice.

I authorize Teva Pharmaceuticals USA, Inc. (“Teva”), its affiliates and companies working with Teva to contact me by direct mail, email, telephone, and electronic message (including autodialed and prerecorded calls and messages) for marketing purposes, such as to provide me with information, offers and promotions regarding topics that may be of interest, Teva products, and programs, to conduct market research or surveys, and to use my information to develop future products, services and programs.

I understand that I may choose to no longer receive further communications from Teva by following the unsubscribe instructions on the communication or by contacting USPrivacy@tevapharm.com

Submit
20 years: COPAXONE® (glatiramer acetate injection) approved in 1996

Injections for 3-times-a-week COPAXONE® 40 mg must be at least 48 hours apart.

IMPORTANT SAFETY INFORMATION

COPAXONE® is contraindicated in patients with known hypersensitivity to glatiramer acetate or mannitol.
Approximately 16% of patients exposed to COPAXONE® 20 mg per mL compared to 4% of those on placebo, and approximately 2% of

You are now leaving this website

The website you are about to visit does not belong to Teva Neuroscience, Inc. or follow the same terms of service. Some of these websites may also require a third-party account, subscription, or payment to view.

While we carefully choose which websites we link to, we cannot control any changes or actions made by them. As a result, Teva makes no warranties or representations of any kind as to the accuracy, currency, or completeness of the following site, nor any liability on their behalf.

Continue to site
×