The Astellas eService portal is where you can
submit a request for assistance with benefits verification,
prior authorization, and an application for the
Astellas Patient Assistance Program
and the Astellas Stock Replacement Program.
For help with all other products, please call 1-800-477-6472.
eService
The Astellas eService portal is where you can
submit a request for assistance with
benefits verification, prior authorization,
and an application for the
Astellas Patient Assistance Program and
the Astellas Stock Replacement Program.
Patient Portal
Visit the Patient Portal to help you understand your coverage and reimbursement options when prescribed an Astellas medication.
Updated Astellas forms will be available 01-10-2017. Please check back then. We apologize for any inconvenience.