Download the latest Prescription and Service Request (PSR) Form for your practice now.


Financial Assistance for your Patients

Teva’s Shared Solutions® believes no one should have to switch or discontinue RMS therapy due to financial concerns.


$0 co-pay through COPAXONE Co-pay Solutions®*

COPAXONE® may cost as little as $0 per month* through COPAXONE Co-pay Solutions®.  There are no financial qualifications and no paperwork is required.

3-times-a-week COPAXONE® 40 mg/mL has over 70% formulary coverage1,2

Teva’s Shared Solutions® Benefits Specialists work with patients to research their insurance coverage and benefits, seeking access solutions that accommodate their personal financial and therapy needs. Benefits Specialists also help with navigating Medicare Part D.


Have your patients download the COPAXONE® Benefits Discussion Guide and call 1-800-887-8100 to begin their no-cost benefits investigation.



1. Decisions Resources Group Coverage by Tier, January 2019. Data proprietary to Decisions Resources Group.

2. COPAXONE® (glatiramer acetate injection) Current Prescribing Information Parsippany, NJ. Teva Neuroscience, Inc.

*Commercially insured patients with a new or recently changed prescription may be eligible.

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