Order COPAXONE® product samples and patient resources.

Online COPAXONE® sample program

Healthcare providers may access secure online ordering of COPAXONE® 40 mg/mL samples.

Click below to create or connect to your account.


COPAXONE® patient resources

Order patient starter kits, brochures, and other patient literature by calling Teva's Shared Solutions® at 1-800-887-8100. Available resources currently include:

COPAXONE® Prescription and Service Request (PSR) Form

COPAXONE® Prescription and Service Request Form.

Get your patients started on COPAXONE®.

COPAXONE® Patient Starter Kit

COPAXONE® Patient Starter Kit.

For patients starting on COPAXONE®, this kit includes materials focused on training and education about injections.

MS Handbook

COPAXONE® Multiple Sclerosis Handbook.

An educational brochure to help patients improve their understanding of MS, treatment, and available resources.

COPAXONE® Travel Planning Kit

COPAXONE® Travel Planning Kit.

Helps patients prepare for their trip and provides guidance on traveling with COPAXONE®.

COPAXONE® Consumer Brochure

COPAXONE® Consumer Brochure.

Provides an overview of COPAXONE®, Teva's Shared Solutions®, and COPAXONE Co-pay Solutions®.

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