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Get your enrollment started

Enrolling in the ASSURE Program is easy. Call your doctor today and ask to be enrolled or follow these steps:

  • Click below to download the ASSURE Program Enrollment Form.
  • Print the form.
  • Bring the form to your next doctor appointment. Only your doctor can complete your enrollment.

Please see U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING, and MEDICATION GUIDE for ABILIFY MAINTENA® (aripiprazole).

To report an adverse event or product quality complaint please call: 1-800-438-9927
For all other medical inquiries, call: 1-800-441-6763

Please see U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING , and Medication Guide for ABILIFY MAINTENA® (aripiprazole).


To report an adverse event or product quality complaint please call: 1-800-438-9927
For all other medical inquiries, call: 1-800-441-6763