Information to Help Your Patients Access AFSTYLA

Simplified support starts with AFSTYLA ConnectSM

Help your patients access financial support and further their understanding of hemophilia A.

Getting your patients started with AFSTYLA is simple.

  • Start patient on AFSTYLA with a free trial
  • Fill out an AFSTYLA Patient Referral form to enroll your patient in the AFSTYLA Support program and begin a benefits investigation
  • Fax completed forms to AFSTYLA Connect at 1-844-727-2757

An AFSTYLA Connect Case Manager will contact you and your patient to help complete the enrollment process. Contact AFSTYLA Connect with any questions.

For more information, call an
AFSTYLA Connect Case Manager
Monday–Friday, 8 am to 8 pm ET.

Commonly requested administrative materials

Available to view, print, or download.

AFSTYLA Patient Referral Form

Reimbursement Form and Coding Guide

Find out how AFSTYLA
support can help your patients


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