Start the conversation

Sign up to get or activate your Savings Card. You’ll get helpful information including the free Treatment Guide as you continue your treatment with NUEDEXTA, the only treatment approved by the FDA to treat PBA (PseudoBulbar Affect).

Sign up to get the PBA Conversation Kit to help you learn to talk about PBA and treatment with NUEDEXTA. You’ll also get other helpful information about NUEDEXTA, the only treatment approved by the FDA to treat PBA.

Prefer to sign up by phone?
Call 1-855-468-3339
Monday – Friday, 8 AM – 7 PM ET

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Please fill out the form below. All fields below are required.

Are you a patient or a caregiver?
Are you or your loved one currently taking NUEDEXTA?
Please provide the following so we can send your requested information:
Would you be interested in our Co-Pay Savings Card program?
*Please see more information about the eligibility for this program on our Savings & Support page.
Please enter your Savings Card number.

I understand that by checking the box below, I am giving Avanir permission to use/disclose the personal information I provided to provide me with promotional and/or educational information related to Avanir’s services, products (such as NUEDEXTA), and neurologic disorders such as PseudoBulbar Affect. I understand I may be contacted by Avanir and/or its trusted third parties who may use automatic dialing machines or artificial or prerecorded messages to contact me and may leave a voicemail or SMS/text message (standard text messaging rates may apply). I understand that I am not required to provide this consent as a condition of purchasing any goods or services and that I may opt out at any time by contacting Avanir at privacy@avanir.com.

By checking the “I Agree” box, I am electronically signing this form and indicating that I am at least 18 years of age and authorize Avanir and its trusted third parties to use and disclose my personal information for the purposes described above.