patient assistance
Acthar Patient Support — Acthar Gel referral and benefits support
Acthar Patient Support questions.
Fax877-937-2284
Acthar referral/enrollment form submission.
Published emailActhar referral form intake.
Published hoursMonday through Friday 8:00 am to 9:00 pm ET; Saturday 9:00 am to 2:00 pm ET
Confirm the exact product or service
National contact — confirm product and location
Not researched for this route
Acthar Gel (repository corticotropin injection) only. Specialty-specific referral forms (rheumatology, MS, nephrology, ophthalmology, sarcoidosis, infantile spasms) are faxed or emailed to Acthar Patient Support. Formerly called the Acthar hub.
View source ↗ · Source checked 2026-10-24 · MS referral form lists the same phone, fax and email ↗
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