Axona^® questions? Call us at 1-877-649-0004.

Axona Cares enrollment form

Please complete the information below to experience all the benefits that come from being part of the Axona Cares support program.

First name*

Last name*

Email address*

Street address*

City*

State*

ZIP code*

Phone

How did you hear about Axona?*

Please send me a free Axona shaker cup and daily planner. Limit one cup and daily planner per customer, while supplies last

Please send me refill reminders

When does your loved one begin his or her next prescription? (MM/DD/YYYY)

The timing of your refill reminder depends on where the Axona prescription was filled. Please select one of the following: I filled the Axona prescription with a retail pharmacy (reminder at 30 days) I filled the Axona prescription with Brand Direct Health (reminder at 90 days)

*Required information.

Overview

Diminished cerebral glucose metabolism in Alzheimer’s disease

Watch this video animation to learn more

Get started with Axona

Axona is only available with a prescription from a doctor. Find a doctor near you and ask how you can get your loved one started with Axona.

Find a doctor near you

Overview

Ketone bodies in Alzheimer’s disease

Find out how ketone bodies could help the Alzheimer’s brain

Request a free Axona shaker cup and daily planner*

Stay on track with Axona. The shaker cup makes it easy to mix Axona with your liquid of choice, while the daily planner can help you manage your busy schedule.

Send me a free shaker cup and daily planner

*Free shaker cup and daily planner are only available to current Axona users.

Overview

How to prepare Axona

See how fast and easy it is to prepare Axona

Request a free Axona shaker cup and daily planner*

Stay on track with Axona. The shaker cup makes it easy to mix Axona with your liquid of choice, while the daily planner can help you manage your busy schedule.

Send me a free shaker cup and daily planner

*Free shaker cup and daily planner are only available to current Axona users.