Allergan Support

ALLIANCE SUPPORT

Providing funding to support a variety of non-profit organization initiatives that strive to enhance disease awareness and patient treatment.

DESCRIPTION

Qualifying organizations may use the system to submit funding requests to Allergan. Please remember that our normal processing time for new funding requests is a minimum of 8-10 weeks, so should apply at least 12 weeks before the start date of the program or event.

Prior to submitting your funding request, please be sure to review our "HOW TO APPLY" and "FAQ" tabs.

For technical assistance with the Alliance Support and Medical Education Systems (ASMES), please call us toll-free at (866)257-0272, or email us at vtsupport@envisionpharma.com.

For any questions related to the funding request process, please email Allergan’s Alliance Advocacy Department at AllianceAdvocacy@allergan.com.

ALERT: We are currently updating our website to accommodate applications for regenerative medicine. In the interim, when filling out an application for Alliance Support, select the Aesthetic therapeutic area.

FUNDING REQUEST APPLICATION HELP

How To Apply

Alliance Support submissions must be submitted at least Sixty (60) days prior to the activity start date (if applicable).

  • Organization and requestor's contact information
  • Title of Program/Event
  • Date of Event
  • Amount of Funding Request
  • Total Program/Event Budget
  • Total number of attendees anticipated
  • Will any portion of this funding be used to fund a meal or travel for a US-licensed physician?
  • Letter, Agenda Details, Prospectus on Organization Letterhead (signed and printed on organization letterhead)
  • Activity description
  • W-9 form
  • IRS Letter of Exemption Determination

Who May Apply

The following types of organizations are eligible to submit requests for Allergan Alliance Support funding:

  • Healthcare Provider Professional Associations/Societies
  • Patient Organizations
  • Policy & Advocacy Coalitions/Networks
  • Hospital & Academic Institutions
  • Nonprofit Healthcare Organizations

Allergan is unable to accept Alliance Support submissions from individual physicians or groups of physicians in private practice.

Submission Types

Allergan considers Alliance Support funding for the following:

  • Awareness & Advocacy
  • Charitable Donations
  • Corporate Memberships
  • Fund-raisers
  • Non-Medical Education Meeting Support

How To Register As A New User

In order to be able to submit an Alliance Support application to the Alliance Support and Medical Education Systems (ASMES), you must register as a user.

1.Open the Alliance Support and Medical Education Systems (ASMES) Homepage and locate: "Need a User ID?"

2.Complete all fields on the Registration pop-up window

3.Click "OK" after completing the form

After submitting your request, a registration confirmation will be sent to the e-mail address provided.

Unable To Register

If you encounter difficulty with user registration, it may be due to:

1. Information entered as part of your registration was invalid. Please see the error message and reenter correct information.

2. An email address or username was entered during registration that has already been registered with the Alliance Support and Medical Education Systems (ASMES). Please choose a different username or email address.

If you are still unable to register, please click on the Customer Support link located at the top left of the login screen for assistance.

Unable To Login

If you are unable to log into the Alliance Support and Medical Education Systems (ASMES). Your account may have been disabled due to inactivity. Please re-register. If problems persist, please click on the Customer Support link located at the top left of the login screen for assistance.

Forgotten Username Or Password

You may request a new password by clicking on "Forgot Password?" on the top left side of the Alliance Support and Medical Education Systems (ASMES) login screen.

If you have forgotten your username or cannot log in, please click on the Customer Support link located at the top left of the login screen for assistance.

Username/Password Update

You may change your username and password at any time by locating the "Change Password" link on the left side of the homepage. Please keep in mind the following parameters:

  • Username Minimum Characters: 8
  • Password Configuration Minimum Characters: 8
  • Current password cannot be reused as the new password
  • Last ten (10) passwords cannot be reused as the new password

At least one (1) character from three (3) of the following categories must be used in a password:

  • Uppercase letter
  • Lowercase letter
  • Number
  • Special character (e.g., !@#$%^&*?/, etc.)

Profile Update

Click on "Update Profile" located on the top right-hand side of the homepage. After you have logged in, your profile will appear in a pop-up window, which will allow for changes and or updates.

Click "Save" to update the information entered, or "Cancel" to revert back to the homepage.

Time Allotted For Application Entry

Your application session will time out after sixty (60) minutes, and you will be prompted to re-enter your username and password information.

User accounts lock out after five (5) invalid login attempts. If you are locked out of the system after five (5) failed login attempts, you will need to request a new password.

ALLIANCE SUPPORT: FREQUENTLY ASKED QUESTIONS

Which Guidelines And/Or Regulations Does The Allergan’s Alliance Support Submission Process Adhere To?

Allergan’s Alliance Support approval process is in full accordance with the recommendations and guidance of the Office of Inspector General (OIG), Pharmaceutical Research and Manufacturers of America (PhRMA), "National Physician Payment Transparency Program: OPEN PAYMENTS" (commonly known as the "Sunshine Act") and internal Allergan policies.

What Are The General Criteria For Alliance Support Submissions?

Allergan considers many factors when evaluating a request for program funding. As general guidance, the program must:

  • Promote excellence in healthcare
  • Meet industry standard guidelines for support

For additional information on the types of requests Allergan will review, please click on the links under "WHAT ACTIVITIES ARE CONSIDERED FOR FUNDING?"

All program or event requests are reviewed for merit; audience scope; compliance with legal, regulatory, ethical and professional requirements; as well as fiscal responsibility.

Following the activity end date, Allergan reserves the right to audit the records of the organization. Upon request, the organization should be prepared to provide independent documentation for expenditures.

Please note that submission of an application does not guarantee funding. Once Allergan receives the complete application, it will be reviewed in accordance with Allergan policy. The organization will be notified in writing of the outcome.

What Is Allergan’s Alliance Support Review Process?

All Alliance Support submissions must be requested through the Alliance Support and Medical Education Systems (ASMES). There is no manual process for submissions separate from the online system.

Allergan employees outside of Allergan’s Strategic Alliance Advocacy Department and Allergan’s Review Committee have been removed from the Alliance Support review and approval process to ensure that Allergan only provides independent Alliance Support based on the merit of the proposed activities.

What Are Allergan’s Therapeutic Areas Of Interest For Alliance Support?

These are areas of interest in alphabetical order:

  • Aesthetics
  • Alzheimer’s Disease
  • Cardiovascular
  • Dermatology
  • Eye
  • Gastroenterology
  • Infectious Disease
  • Mental Health
  • Migraine
  • Neurology/Rehab
  • Plastic Surgery
  • Urology
  • Women’s Health

What Activities Are Considered For Funding?

Awareness & Advocacy:

Allergan provides funding to support a variety of nonprofit organization initiatives aligned with therapeutic areas. This includes funding provided to enhance disease awareness and patient treatment and care through support of patient, caregiver, and public education about a disease state and services or activities that are designed to reduce associated stigma. Allergan will consider funding requests in the following contexts:

  • Awareness through public outreach
  • Patient education
  • Caregiver resources
  • Advocacy related to healthcare policy
  • Access to care
  • Disease awareness.

Only fully completed funding requests will be considered. The following items are required in your application:

  • Organization and requestor's contact information
  • Title of Materials, Tools, Resources
  • Location where Materials, Tools, Resources will reside
  • Total quantity needed (if hard copy); consideration for using pdfs on website
  • A written funding request on organization letterhead
  • Total Budget
  • Amount of Funding Request
  • W-9 Form
  • IRS Letter of Exemption Determination.

If your funding request is approved, you will be required to submit the following information within sixty (60) calendar days of program completion:

  • A report summarizing the program outcomes
  • Enduring materials (e.g., newsletter, videotape, monograph, etc.), if applicable
  • A budget reconciliation.

Corporate Membership Support

Defined as commercial support to nonprofit organizations aligned with Allergan therapeutic areas for:

  • Membership to a healthcare provider association, patient advocacy group, or policy coalition that offers an industry advisory council or forum.

Allergan will consider funding requests in the following contexts:

  • Corporate memberships.

Only fully completed funding requests will be considered. The following items are required in your application:

  • Organization and requestor's contact information
  • Title of Membership
  • Amount of Funding Request
  • Will Allergan receive any nominal benefits for providing this type of financial support?
  • A written funding request on organization letterhead
  • W-9 Form
  • IRS Letter of Exemption Determination.

Fundraiser Support

Defined as commercial support to nonprofit organizations aligned with Allergan therapeutic areas to:

  • Support fund-raising activities.

Allergan will consider funding requests in the following contexts:

  • National organizational fund-raisers (e.g., walks, galas, etc.).

Only fully completed funding requests will be considered. The following items are required in your application:

  • Organization and requestor's contact information
  • Title of Fundraiser
  • Date of Event, if applicable
  • Total Program/Event Budget
  • Amount of Funding Request
  • Will Allergan receive any nominal benefits for providing this type of financial support?
  • Total number of attendees anticipated
  • Will any portion of this funding be used to fund a meal or travel for a US licensed physician?
  • A written funding request on organization letterhead
  • W-9 Form
  • IRS Letter of Exemption Determination.

Non-Medical Education Meeting/Program/Event Support

Defined as commercial support to nonprofit organizations aligned with Allergan therapeutic areas to:

  • Sponsor a program, meeting, or event geared toward the healthcare or policy community that does not provide professional education.

Allergan will consider funding requests in the following contexts:

  • Non-medical education meeting support for public health events, meetings and/or programs
  • Community screenings, Health fairs
  • Advocacy related to Heathcare policy.

Only fully completed funding requests will be considered. The following items are required in your application:

  • Organization and requestor's contact information
  • Title of Program/Event
  • Date of Event, if applicable
  • Total Budget
  • Amount of Funding Request
  • Will Allergan receive any nominal benefits for providing this type of financial support?
  • Total number of attendees anticipated
  • Will any portion of this funding be used to fund a meal or travel for a US licensed physician?
  • A written funding request on organization letterhead
  • W-9 Form
  • IRS Letter of Exemption Determination
  • Does the program include an exhibit/display opportunity? (Yes/No).

Please note that requests in this category may not include social media.

Charitable Donations

Allergan defines Charitable Donations as purely charitable support to a nonprofit organization's broad charitable purpose or mission, does not entail any direct or indirect benefit to Allergan, other than "incidental" benefits such as community goodwill, and that do not qualify for The Allergan Foundation funding and are NOT aligned with current Allergan therapeutic areas of interest.

Only fully completed funding requests will be considered. The following items are required in your application:

  • Organization and requestor's contact information
  • Title of Program/Event, if applicable
  • Date of Event, if applicable
  • Amount of Funding Request
  • Will Allergan receive any nominal benefits for providing this type of financial support?
  • A written funding request on organization letterhead
  • W-9 Form
  • IRS Letter of Exemption Determination.

Futhermore, please note that each request type -- Awareness & Advocacy, Corporate Donation, Corporate Membership, Fund-raiser, Non-Medical Education Meeting Support -- is distinct. The system will not allow, and Allergan cannot review, funding requests that seek to combine multiple request types within a single submission (for example, Awareness & Advocacy with Corporate Membership). Please submit for each request type individually.

What Types Of Alliance Support Are Generally Not Considered For Funding?

Allergan will NOT provide Alliance Support for the following:

  • Funding to individuals or private practices
  • Requests tied to prescribing, purchasing, formulary status, reimbursement, or any quid pro quo arrangement
  • Travel and/or lodging expenses for event/program attendees
  • Operating expenses and overhead costs not associated with a specific event or program (e.g., salaries, benefits, etc.)
  • Infrastructure development
  • Events that have already taken place at the time of submission
  • Requests that include entertainment and/or recreation
  • Requests that are deemed lavish or include non-modest venues
  • Requests that are deemed in excess of fair market value
  • Requests that include inappropriate attendees (such as spouses or guests)
  • Requests that are not primarily focused on or conducive to the educational exchange of information
  • Initiatives that are not aligned with Allergan's public health goals and educational objectives
  • Requests for scholarships or fellowships
  • Activities conducted by organizations located outside of the United States
  • Research grants, including Investigator Initiated Trials and Research Fellowships
  • Service contracts
  • Requests that seek funding only for promotional exhibits or display space
  • Journal clubs
  • Textbooks

When Are Alliance Support Submissions Accepted?

Requests must be submitted greater than Sixty (60) days prior to the start date of the program or event (if applicable). The system will not allow for the submission of Awareness & Advocacy, Non-Medical Education Meeting Support, or Fund-raiser requests within the 60-day time frame.

Allergan will not support events that have already taken place at the time of submission.

Can I Submit A Paper Proposal For A Request?

No. Paper proposals will not be accepted. Only online applications will be reviewed.

When Will I Be Notified That My Complete Application Has Been Received By Allergan’s Strategic Alliance Advocacy Team?

An email will be sent immediately after the request form is filled out in its entirety and is submitted.

What Is Allergan’s Standard Review/Processing Time?

Review times vary from submission to submission; however, our normal review/processing time is a minimum of eight to ten (8-10) weeks.

How Can I Find The Status Of My Application Request?

Log into the Alliance Support and Medical Education Systems (ASMES) for the current status of each request you have submitted.

Does Previous Support Of My Activity By Allergan Guarantee Future Support?

No. Each submission is evaluated on its individual merit at that point in time. Funding is not guaranteed until you receive formal written documentation from Allergan's Strategic Alliance Advocacy Office approving your request. A verbal commitment from any company employee does not guarantee funding.

Can I Resubmit A Request That Has Been Rejected?

No. All requests received by the Strategic Alliance Advocacy Department are reviewed for individual merit and in accordance with Allergan policy. Only requests which fit specific criteria will be accepted.

What Is The Typical Amount Of Funding That Allergan Provides For Requests?

Allergan provides amounts across a wide range depending on the type and scope of the activity. Please note that Allergan may decide to fund your program for less than your request.

Can I Request Funding For An Activity That Has Already Occurred?

No. Allergan does not fund activities that have occurred in the past. Requests for support must be submitted to Allergan at least Sixty (60) calendar days in advance of the program start date, if applicable.

What Should I Do If My Application Has Already Been Submitted And I Need To Add Additional Information?

Please email AllianceAdvocacy@allergan.com with any additional information.

Will My Allergan Representative Be Able To Assist Me With The Application Process Or Keep Me Apprised Of My Application Status?

No. Only the Allergan Strategic Alliance Advocacy Department may assist you with your request. No other Allergan personnel may assist you with your request. Submission of your application by any Allergan personnel will lead to automatic declination of your request.

When Can We Expect Payment Once The Application Has Been Approved?

You can expect a check approximately four (4) weeks after receipt of the Allergan email notification that your Alliance Support has been approved.

What Is A "Request For Additional Information" And How Much Time Do I Have To Respond?

A Request for Additional Information is made when additional information is needed to consider your Alliance Support submission. The request will be sent via email to the contact listed in the application. If the Allergan Strategic Alliance Advocacy Department has not received the requested information within ten (10) business days of the follow-up request, the Alliance Support submission may be declined.

What Is Reconciliation?

At the conclusion of your Allergan-funded activity, the contribution recipient is required to submit information detailing the audience reach, use of funds, and other pertinent information to verify the funding was used in the manner in which it was intended.

Reconciliation is required for the following contribution types:

  • Awareness & Advocacy
  • Fund-raisers
  • Non-Medical Education Meeting Support

Reconciliation is not applicable to the following contribution types:

  • Charitable Donations
  • Corporate Memberships

For Alliance Support types that require reconciliation, you will receive an email notification that the activity reconciliation is due upon activity conclusion. If we do not receive reconciliation within ninety (90) calendar days of the activity end date, you will be prevented from submitting Alliance Support submissions until the reconciliation is received. Allergan reserves the right to request receipts to support the activity expenses specified in the reconciliation.

NATIONAL PAYMENT TRANSPARENCY ACT

On February 8, 2013, the Centers for Medicare and Medicaid Services (CMS) published the final rule to implement section 6002 of the Affordable Care Act. CMS is now calling this the "National Physicians Payment Transparency Program: OPEN PAYMENTS." This is also commonly known as the "Sunshine Act." This final rule requires pharmaceutical and medical device manufacturers to report to CMS payments and transfers of value made to:

  • Any physician licensed in the United States and/or
  • A specific list of Teaching Institutions (TI) as designated by CMS

Beginning August 1, 2013, in order to comply with this new regulation, Allergan began capturing all payments and other Transfers of Value made to physicians and TIs. In addition, these payments and other Transfers of Value will be submitted to CMS annually. CMS intends to make this information publically available annually.

CMS has established a public website called "National Physician Payment Transparency Program: OPEN PAYMENTS" and can be viewed at: http://go.cms.gov/openpayments.

PLEASE CONSIDER THE FOLLOWING CRITERIA WHEN APPLYING FOR A ALLIANCE SUPPORT:

If you have indicated that you will serve non-buffet meals to attendees, please be advised that according to the Sunshine Act, you will be required, upon activity reconciliation, to report to Allergan the value of each meal served to each healthcare professional, along with identifying information about the HCP to whom the meal was provided, including his/her name, business address, specialty, NPI and/or license number, the value of the meal, and any explanatory details. If Allergan funds will not be allocated to this expense, please note this in the "Comments" box correlating with the appropriate line item.

What Will I Be Responsible For Reporting On The Reconciliation As A Result Of The "National Physician Payment Transparency Program: Open Payments" (Commonly Known As The "Sunshine Act")?

According to the Sunshine Act, you will be required, upon activity reconciliation, to report to Allergan the value of each meal served to each healthcare professional, along with identifying information about the HCP to whom the meal was provided, including his/her name, business address, specialty, NPI and/or license number, the value of the meal, and any explanatory details. If Allergan funds will not be allocated to this expense, please note this in the "Comments" box correlating with the appropriate line item.

For questions regarding the "National Physician Payment Transparency Program: OPEN PAYMENTS" (commonly known as the "Sunshine Act"), please visit:http://go.cms.gov/openpayments.

This website provides helpful information including an overview of the program, a description of how the program works, fact sheets for physicians and teaching institutions, and a Frequently Asked Questions link available at: https://questions.cms.gov/faq.php?id=5005&rtopic=2017

How Do I Save An Application?

A successful save will display a message on the screen stating the application has been saved, and the system will provide you with a temporary tracking number. Once in the system, you will see a list of selections below your login name on the left side of the webpage.

  • You can locate a saved application by either clicking on "Task List" or "All My Applications" Note: If you have applications pending, they will be listed as tasks waiting for you. You will be able to view those applications under the "Task List" tab.
  • Within the "Actions" column, there are links called "Complete Application" or "View Application
  • Click on the link to view your application
  • You may click on "Application ID" to open the entire application

How Do I Print Or Refresh My Application?

You may generate a PDF of your entire application at any time. The "Print" icon is located in the "Application Toolbar" next to the "Save" and "Submit" buttons.

How Do I Attach A Document?

1.Click on the "Attachments" tab at the top of the webpage

2.Click the paperclip icon to attach a required document of click the "Post New" to attach an additional attachment

3.A pop-up window will display, click "Browse" to locate your attachment

4.Click "OK" to save your attachment or "Cancel" to go back to the previous screen

5.Required attachments are identified by an asterisk (*)

What If Any Of My Documents Do Not Fit Into The Alloted Space?

Documentation may be uploaded at the end of the Alliance Support Application Form prior to submission.

What File Format Must I Use For My Attachments?

Allergan prefers all documentation to be provided in PDF files.

LOCKOUT CONFIGURATIONS

  • User accounts will lock out after five (5) invalid login attempts
  • You may contact Alliance Support and Medical Education Systems (ASMES) Support by clicking on the "Contact Us" link on the left side of the homepage screen
  • Select "Technical Support" in the "Address to" field
  • Select your subject and provide a message

LOCKOUT AFTER FAILED ATTEMPTS

If you are locked out of the system after five (5) failed login attempts, you will need to request a new password. After receiving a new password, close all open browser windows, reopen, and try again. You may also need to clear any cached pages from your browser. Please follow the instructions below if you continue to receive a "Failed Login" message.

1.On the browser menu, click on "Tools"

2.Click on "Internet Options"

3.On the "General" tab under "Browsing History" click on the "Delete" button

4.Mark the box for "Temporary Internet Files" and click the "Delete" button once again

5.Click "OK"

IT IS IMPORTANT THAT YOU USE THIS "PRINT" BUTTON AND NOT THE PRINTING FUNCTION OF YOUR WEB BROWSER

  • You may refresh the page at any time after you have clicked on "Save"
  • "Save" and "Submit," as well as the "Print" icons, are located on the right-hand side of the Application Toolbar
  • The "Refresh" icon is located on the right-hand side of the Application Toolbar

Whom Should I Contact If I Have Any Questions?

You may contact the Allergan Strategic Alliance Advocacy Department via email at AllianceAdvocacy@allergan.com. For technical assistance, you may also email VTsupport@envisionpharma.com.

REQUEST FOR PROPOSALS (RFPs)

Therapeutic Area RFP ID # Application Title Submission Timeline
No applications available at this time