Sign Up for Nplate® Navigator

Free, personalized support and services from a registered nurse

Nplate® patients can call Nplate® Navigator toll-free to receive:

  • Insurance help and payment assistance: Concerned about the cost of Nplate®? Call an Nplate® Navigator financial support specialist to talk about available financial assistance programs for eligible patients.
  • Live phone assistance: Questions? Call Nplate® Navigator to speak with a registered nurse about Nplate®.
  • Assistance finding an ITP Specialist: Planning to travel or relocate? Call Nplate® Navigator to get help finding an ITP specialist nearest your location.

Patients who register with Nplate® Navigator can receive these additional benefits:

  • Personalized calls from an Nplate® registered nurse
    Talk to a registered nurse about topics such as
    • Adult chronic ITP symptoms and treatments
    • Information about Nplate®
    • Addressing common barriers and difficulties staying on treatment
  • Educational emails
    Want to stay informed? Nplate® Navigator will send you information about Nplate® and treatment-related topics
  • Direct Mail
    Receive informative materials by mail about adult chronic ITP and Nplate®

The information you receive from the Nplate® Navigator is not meant to replace the advice of your healthcare team. Amgen will not provide medical advice regarding your medical condition. The Nplate® Navigator is not intended to diagnose health problems or to take the place of talking with your doctor about your condition, treatment, or medication. Be sure to talk to your doctor at your next visit if you have any questions about adult chronic ITP or Nplate®.


To sign up for Nplate® Navigator, please complete the form below or call Nplate® Navigator toll-free 1-855-7Nplate (1-855-767-5283), Monday–Friday, 9:00 AM–9:00 PM Eastern Time.

Items marked with * are required.


Are you or someone you know currently receiving treatment with Nplate®? *

You are a *

FIRST NAME: *
LAST NAME: *
E-MAIL ADDRESS: *
PHONE NUMBER (for calls or text messages): *
 I give Amgen permission to leave a voice message and/ or send me an SMS/text that refers to the Nplate® Navigator program by name and may include personal health information about my condition or treatment. Standard text message charge may apply.
ADDRESS: *
ADDRESS 2:
CITY: *
STATE: *
ZIP CODE: *

Are you interested in joining the Share Your Journey program? Share Your Journey is a volunteer program for adults with ITP, including adults with chronic ITP using Nplate® who would like to share their real-life experiences. If you select "Yes", you agree to share your personal health information with a Share Your Journey Representative who may contact you regarding your participation in the Share Your Journey program.

Privacy Notice and Authorization

*Please read and accept the Privacy Notice

I am entitled to receive a copy of my authorization.

I choose to be contacted by e-mail, phone, mail, and/or SMS/text for the purposes contained in the Privacy Authorization, including to receive informational and marketing communications from Amgen in the future.

By checking the "I Accept" box, I am electronically signing this form (which has the same legal effect as a handwritten signature) and indicating I am at least 18 years old and authorize Amgen, its contractors, and its business partners to use and disclose my Personal Information for the purposes described above. By clicking “Cancel”, I understand I will discontinue my enrollment into the Nplate® Navigator Program and no further action will be taken.

Please note: If you do not want your Personal Information used for the purposes described above, click the Cancel button to discontinue your registration.

*
I ACCEPT *

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