ACCESS SUPPORT
THROUGH AfrezzaAssist®
Submit the Rx to AfrezzaAssist®
UBC Pharmacy LLC, 600 Emerson Road Suite 300 Creve Coeur, MO 63141
NPI: 1962978858
Fax: 866-750-9260 Phone: 855-822-7948
AfrezzaAssist® will determine cost and coverage for your patients and coordinate fulfillment within
the Afrezza Specialty Pharmacy Network or through a local pharmacy (if requested).*
*Prescription must be submitted to AfrezzaAssist (UBC) to access cash pay option.
Pay as little as $35 per month with Commercial Insurance & Medicare†


†Subject to eligibility criteria and maximum benefit limitations. Additional cost savings (reduced copay) may be possible when combined with insurance coverage.
See www.afrezzasavingscard.com for complete program terms and conditions.
‡See www.medicare.gov/coverage/insulin for complete program terms and conditions.
**Applicable for commercially insured patients whose prior authorization has been denied. 3-box maximum, $99 per box.
US-AFR-2250