With MyRYTARY.com, you get free personalized support that helps you:

Pay for RYTARY
Stay on RYTARY
Getting on RYTARY

We will contact your insurance provider to help determine your coverage, and help you navigate the approval process through:

  • Rapid benefits investigation
  • Assistance in understanding and navigating the prior authorization process
  • Assistance with the exception and appeals process
  • MyRYTARY Start Program
    This program may provide you with RYTARY at no cost during the payer approval and dose adjustment processes.
    • Up to three (3) months
    • If delays in the Payer Approval process persist beyond three (3) months, additional free product may be available upon request. Please call for terms and conditions.

Enrolling in the MyRYTARY Patient Support Program is easy!

Work with your healthcare professional to complete all fields using black ink. Your healthcare professional can take care of the rest.

Patient Enrollment Form

New to RYTARY?

To connect to a world of support, you and your healthcare provider need to sign the form.

Print Now

Patient Authorization Form

Already on RYTARY?

Requires your signature only.

Print Now
Getting started is easy.
Click here to enroll
Or call 1.844.IMPAX2U Now.
Phone support is available Monday-Friday
between 8AM and 8PM (EASTERN TIME ZONE).