Support Patient Transition
With ASSURE

Resources are available to support the transition from hospital to home for patients prescribed SAMSCA® (tolvaptan). These educational tools can be downloaded and offered to office staff, patients, and caregivers.

BridgeRx Program

BridgeRx can assist in preventing gaps in therapy from hospital to home. It provides a limited supply of SAMSCA without charge to the patient or the patient's health insurance if ASSURE anticipates a delay to dispense SAMSCA. The product is shipped overnight and is delivered directly to the patient’s home. BridgeRx is integrated into the benefits verification and prior authorization process.

Please note, product provided under BridgeRx may not be sold, resold, billed, or reimbursed.

Defined Pharmacy Network

Plan ahead to help your patients fill their prescriptions upon discharge.

SAMSCA is now selectively distributed to patients leaving the hospital, through Otsuka’s Defined Pharmacy Network. When you discharge a patient with a prescription for SAMSCA, please select a Network Pharmacy for your patient from the list provided below. This network of specialty pharmacies is designed to help patients continue therapy upon discharge.



This resource is provided for informational purposes only, and does not represent an endorsement by Otsuka America Pharmaceutical, Inc., or its affiliates of any healthcare or insurance providers. We recommend that healthcare providers confirm the availability of products and the patient's eligibility to receive pharmaceuticals at these facilities.

Copay Assistance Program

Copay savings is available to eligible patients with commercial insurance so that they pay only the first $10 of their insurance copay and coinsurance deductibles. Otsuka will pay up to a maximum of $5400. The copay savings is applied directly at the time the prescription is filled at the pharmacy, and the patient will be informed of his or her out-of-pocket cost obligation after the copay savings is applied.

Call the ASSURE Program to check eligibility for your patient.

Copay Eligibility Criteria

  • Proof of residency in the United States, including the District of Columbia, Puerto Rico, and the US Virgin Islands
  • Patients are currently receiving medical care from a US-licensed physician
  • Patients are being discharged from the hospital with a prescription for SAMSCA to treat a diagnosis as indicated in the FDA-approved product labeling
  • Patients covered under a commercial plan
    • Who are not enrolled in any state or federally funded prescription insurance program including, but not limited to, Medicare Part D, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE programs
  • Patients who have Medicare or other government assistance are not eligible for this program. However, they may be eligible for copay or coinsurance assistance through an independent copay assistance foundation. These foundations will determine eligibility for cost-share assistance based on their own criteria
  • Offer is not transferable. Patients are not eligible if they are 65 years of age and older
  • Offer void where prohibited by law, taxed, or restricted. Other restrictions may apply. This program is not health insurance
  • Otsuka America Pharmaceutical, Inc. has the right to rescind, revoke, or amend this program at any time without notice

Medication Checklist

The Medication Checklist is designed to help patients and caregivers develop a complete list of current medications. The list may be used by health care professionals to help identify potential drug interactions.

BridgeRx Program

BridgeRx can assist in preventing gaps in therapy from hospital to home. It provides a limited supply of SAMSCA without charge to the patient or the patient’s health insurance if ASSURE anticipates a delay to dispense SAMSCA. The product is shipped overnight and is delivered directly to the patient’s home. BridgeRx is integrated into the benefits verification and prior authorization process.

Please note, product provided under BridgeRx may not be sold, resold, billed, or reimbursed.

Defined Pharmacy Network

Plan ahead to help your patients fill their prescriptions upon discharge.

SAMSCA is now selectively distributed to patients leaving the hospital, through Otsuka’s Defined Pharmacy Network. When you discharge a patient with a prescription for SAMSCA, please select a Network Pharmacy for your patient from the list provided below. This network of specialty pharmacies is designed to help patients continue therapy upon discharge.



This resource is provided for informational purposes only, and does not represent an endorsement by Otsuka America Pharmaceutical, Inc., or its affiliates of any healthcare or insurance providers. We recommend that healthcare providers confirm the availability of products and the patient's eligibility to receive pharmaceuticals at these facilities.

Copay Assistance Program

Copay savings is available to eligible patients with commercial insurance so that they pay only the first $10 of their insurance copay and coinsurance deductibles. Otsuka will pay up to a maximum of $5400. The copay savings is applied directly at the time the prescription is filled at the pharmacy, and the patient will be informed of his or her out-of-pocket cost obligation after the copay savings is applied.

Call the ASSURE Program to check eligibility for your patient.

Copay Eligibility Criteria

  • Proof of residency in the United States, including the District of Columbia, Puerto Rico, and the US Virgin Islands
  • Patients are currently receiving medical care from a US-licensed physician
  • Patients are being discharged from the hospital with a prescription for SAMSCA to treat a diagnosis as indicated in the FDA-approved product labeling
  • Patients covered under a commercial plan
    • Who are not enrolled in any state or federally funded prescription insurance program including, but not limited to, Medicare Part D, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE programs
  • Patients who have Medicare or other government assistance are not eligible for this program. However, they may be eligible for copay or coinsurance assistance through an independent copay assistance foundation. These foundations will determine eligibility for cost-share assistance based on their own criteria
  • Offer is not transferable. Patients are not eligible if they are 65 years of age and older
  • Offer void where prohibited by law, taxed, or restricted. Other restrictions may apply. This program is not health insurance
  • Otsuka America Pharmaceutical, Inc. has the right to rescind, revoke, or amend this program at any time without notice

Medication Checklist

The Medication Checklist is designed to help patients and caregivers develop a complete list of current medications. The list may be used by health care professionals to help identify potential drug interactions.

Please see U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING, and MEDICATION GUIDE, for
SAMSCA® (tolvaptan).

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

Contact Us

Call 855-24-ASSURE (855-242-7787)
8 AM - 8 PM ET, Monday through Friday

Fax 855-876-2627

Enroll in ASSURE

Please see U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING, and MEDICATION GUIDE, for SAMSCA® (tolvaptan).


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