{"id":45,"date":"2025-05-30T00:34:21","date_gmt":"2025-05-30T00:34:21","guid":{"rendered":"https:\/\/purduepitrust.com\/?page_id=45"},"modified":"2026-02-23T16:25:12","modified_gmt":"2026-02-23T16:25:12","slug":"non-nas-pi-claims","status":"publish","type":"page","link":"https:\/\/purduepitrust.com\/?page_id=45","title":{"rendered":"Non-NAS PI Claims"},"content":{"rendered":"\n

*STOP* *STOP* *STOP* *STOP* *STOP*<\/strong><\/h2>\n\n\n\n

If you are represented by a lawyer in connection with your Purdue opioid-related personal injury, before you submit a Claim Form<\/u>, contact the lawyer you hired to represent you in connection with your Purdue opioid-related personal injury and check that your lawyer has not already submitted a Claim Form on your behalf.<\/strong><\/p>\n\n\n\n

WHO SHOULD CONSIDER SUBMITTING<\/u><\/strong><\/h2>\n\n\n\n

 A NON-NAS PI CLAIM FORM?<\/u><\/strong><\/h2>\n\n\n\n

Non-NAS PI Claim Forms should be submitted by individuals who first filed a Proof of Claim against one of the Debtors in the Purdue Chapter 11 Bankruptcy case on or before September 21, 2021, and whose claim for personal injury arose from the their own use of a Purdue prescribed Qualifying Opioid, or, if the injured party is deceased, the Non-NAS Claim Form should be submitted by the legal heir or legal representative authorized to file a claim on behalf of the deceased for the deceased\u2019s own use of a Purdue prescribed Qualifying Opioid. <\/p>\n\n\n\n

ELIGIBILITY AND CLAIM REQUIREMENTS<\/u><\/strong><\/h2>\n\n\n\n

In order to be eligible for a Distribution from the PI Trust<\/strong> for a Non-NAS PI Channeled Claim, a claimant will, among other things, be required to:<\/p>\n\n\n\n

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  1. Hold such Non-NAS PI Channeled Claim against one or more Debtors;<\/li>\n\n\n\n
  2. Provide proof demonstrating usage prior to the September 15, 2019 Petition Date of a prescribed Qualifying Opioid listed in Exhibit C to the TDP and also listed on Pages 9 and 10 of the Form; and<\/li>\n\n\n\n
  3. Have timely filed an individual personal injury Proof of Claim for such Non-NAS PI Channeled Claim against one or more Debtors in the Chapter 11 Cases.<\/li>\n<\/ol>\n\n\n\n

    ADDITIONALLY<\/strong>, each Holder of a Non-NAS PI Claim<\/strong> seeking an Award from the PI Trust<\/strong> must complete, sign, and submit the following documents so that they were received<\/u> on or before July 28, 2025, at 11:59 p.m. (Eastern Time)<\/strong> (the \u201cPI Claims Deadline<\/strong>\u201d):<\/p>\n\n\n\n

      \n
    1. The Non-NAS PI Claim<\/strong> Form;<\/li>\n\n\n\n
    2. The applicable HIPAA consent form on Pages 11 and 12 of the Non-NAS PI Claim Form; and<\/li>\n\n\n\n
    3. To the extent the Non-NAS PI Channeled Claim concerns the injuries of a decedent of the Holder of such Claim, the Heirship Declaration, or valid estate documents authorizing the Holder of the Claim to act on behalf of the decedent\u2019s estate.<\/li>\n<\/ol>\n\n\n\n

      FAILURE TO SUBMIT THIS NON-NAS PI CLAIM FORM ALONG WITH THE REQUIRED INFORMATION OUTLINED UNDER THE ELIGIBILITY SECTION ABOVE SO THEY WERE RECEIVED BY JULY 28, 2025, AT 11:59 P.M. (EASTERN TIME)<\/u> IN ACCORDANCE WITH THE NON-NAS PI TDP MAY RESULT IN THE NON-NAS PI CLAIM POTENTIALLY BEING THE SUBJECT OF AN OBJECTION, DISALLOWANCE, OR DENIAL AND NOT RECEIVING ANY DISTRIBUTION.<\/strong><\/p>\n\n\n\n

      Submitting this Non-NAS PI Claim Form does not guarantee that your Non-NAS PI Claim will be Allowed or that you will receive payment from the PI Trust.<\/strong><\/p>\n\n\n\n

      IMPORTANT DOCUMENTS TO REVIEW<\/u><\/strong><\/h2>\n\n\n\n

      BEFORE FILING A NON-NAS PI CLAIM FORM<\/u><\/strong><\/h2>\n\n\n\n
      Non-NAS PI Trust Distribution Procedures<\/strong><\/a>Download<\/a><\/div>\n\n\n\n

      The Non-NAS PI TDP<\/strong> that is currently on this Website is substantially complete but may have minor revisions.  The PI Trust,<\/strong> Non-NAS PI TDP<\/strong> and NAS PI TDP<\/strong> will be filed with the Bankruptcy Court before the hearing on the Plan and will be considered by the Bankruptcy Court for approval at the hearing to consider confirmation of the Plan<\/strong>. The Hearing is scheduled to occur on November 10, 2025 at 10:00 a.m. Eastern Time.<\/p>\n\n\n\n

      Non-NAS PI Claim FAQs<\/strong><\/a>Download<\/a><\/div>\n\n\n\n
      Non-NAS PI Claim Form and Instructions, Including HIPAA<\/strong><\/strong><\/a>Download<\/a><\/div>\n\n\n\n
      Heirship Declaration<\/strong><\/a>Download<\/a><\/div>\n\n\n\n
      Non-NAS Proxy Form<\/strong><\/a>Download<\/a><\/div>\n\n\n\n

      INSTRUCTIONS ON HOW TO COMPLETE<\/u><\/strong><\/h2>\n\n\n\n

       A NON-NAS PI CLAIM FORM<\/u><\/strong><\/h2>\n\n\n\n

      The below provides instructions on how to complete the Non-NAS PI Claim Form.<\/strong><\/p>\n\n\n\n

      Step 1: Personal Information of PI Claimant \u2013 Part 1 of the Claim Form<\/strong><\/p>\n\n\n\n

      Fill in the Claimant\u2019s personal identification information.<\/p>\n\n\n\n

      Section 1.A is to be completed if the injury arises from your own use of a Qualifying Opioid or if you are the representative of another living person who used a Qualifying Opioid.<\/p>\n\n\n\n

      Section 1.B is to be filled out if the injury arises from the use of a Qualifying Opioid by a deceased individual.<\/p>\n\n\n\n

      Step 2: Prescribed Medications \u2013 Part 2 of the Claim Form<\/strong><\/p>\n\n\n\n

      Check the box or fill in the name of any of the brand name or generic Qualifying Opioids that were prescribed and used by you or the opioid user on whose behalf you are submitting this claim.<\/p>\n\n\n\n

      Indicate the first use of the qualifying opioids identified in the section.<\/p>\n\n\n\n

      This section also details the types of Evidence you will be required to submit in order to show use of a Qualifying Opioid.<\/p>\n\n\n\n

      Step 3: Tier Designation \u2013 Part 3 of the Claim Form<\/strong><\/p>\n\n\n\n

      Check the tier that applies to the claim you are filing. ONLY SELECT ONE TIER.<\/p>\n\n\n\n

      Tier 1 is to be selected if the evidence demonstrates use of a Qualifying Opioid for six or more months (180 days or more) for a period prior to September 15, 2019.<\/p>\n\n\n\n

      Tier 2 is to be selected if the evidence demonstrates use of a Qualifying Opioid for less than six months (less than 180 days) for a period prior to September 15, 2019.<\/p>\n\n\n\n

      Step 4: Medical Liens \u2013 Part 4 of the Claim Form<\/strong><\/p>\n\n\n\n

      Mark \u201cYES\u201d or \u201cNO\u201d for each section (Medicare, Medicaid, Tricare, Veterans Administration Medical Benefits, and Private Insurance Provider(s)) to indicate whether you had Medicare, Medicaid, Tricare, Veterans Administration Medical Benefits, and\/or Private Insurance over the last twenty (20) years.<\/p>\n\n\n\n

      If \u201cYES\u201d is marked for any section, fill in the remaining blanks in that section.<\/p>\n\n\n\n

      Step 5: Signature \u2013 Part 5 of the Claim Form<\/strong><\/p>\n\n\n\n

      Fill in the name, email address, and phone number of the person signing this form.<\/p>\n\n\n\n

      If you are signing this form as the claimant or as the representative of the claimant, sign in the appropriate signature block.<\/p>\n\n\n\n

      If you are signing this form as counsel of record (the attorney) for the claimant or representative, sign in the appropriate signature block.<\/p>\n\n\n\n

      Step 6: Confirmation of Submission of Required Proof of Usage of a Qualifying Prescribed Opioid \u2013 Part 5 of the Claim Form<\/strong><\/p>\n\n\n\n

                  Check the box that indicates the status of your required evidence.<\/p>\n\n\n\n

      If you are including the required evidence of a Qualifying Opioid prescription with the current claim submission, please check the box indicating so.<\/p>\n\n\n\n

      If your evidence of a Qualifying Opioid prescription was previously submitted with your Proof of Claim filed in the Debtor\u2019s Chapter 11 Cases, please check the box indicating so.<\/p>\n\n\n\n

      Step 7: HIPAA Release Form<\/strong><\/p>\n\n\n\n

      Complete and sign this entire form using information for the Injured Party.<\/p>\n\n\n\n

      Please note that the social security number of the Injured Party is required.<\/p>\n\n\n\n

      HOW TO SUBMIT A NON-NAS PI CLAIM FORM<\/u><\/strong><\/h2>\n\n\n\n

      * * * The PI Claims Deadline Under the Purdue PI Trust Has Passed * * *<\/strong><\/p>\n\n\n\n

      As outlined in the Purdue Personal Injury Trust Distribution Procedures for Non-NAS PI Channeled Claims, the PI Claims Deadline for submittal of claims to the Purdue PI Trust was July 28, 2025, at 11:59 PM Eastern Time.  This deadline has passed.<\/p>\n\n\n\n

      Under the terms of the Plan, Notice, and Court-approved TDP, Supplemental Claim Forms (\u201cClaim Forms\u201d) were due to be filed by July 28, 2025, and, under the TDPs, there was a 15-day grace period through August 12, 2025.<\/p>\n\n\n\n

      Any claim form submitted after August 12, 2025, will be denied under the terms of the Non-NAS PI and NAS PI TDPs. A claimant who has not been disallowed by a Final Order of the Bankruptcy Court and has timely filed a Proof of Claim may have an appeal right under the TDPs. A denied claimant wishing to appeal their denial may submit an appeal to the Special Master and pay the mandatory $500 appeal fee. <\/p>\n\n\n\n

      Information regarding potential appeal rights will be included in the denial letters.<\/p>\n\n\n\n

      QUESTIONS?<\/u><\/strong><\/h2>\n\n\n\n

      Please check the FAQs posted above or on this Website under the \u201cFAQs\u201d tab for answers to frequently asked questions.<\/strong><\/p>\n\n\n\n

      If you have additional questions not answered in the FAQs, Non-NAS PI Claims Tab, or the Pleadings and Important Documents tab, contact the Claims Administrator:<\/strong><\/p>\n\n\n\n