Access Services by BayerTM read more...
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Access Services by BayerTM Access Services by Bayer is a program to help patients start and stay on therapy by providing help with reimbursement information and affordability support.
Reimbursement support includes:
- eBVand/or Benefit investigation
- ePAand appeals support
- Electronic signature for HCPs and patients
- Identification & coordination with network Specialty Pharmacies
- Specific payer policy information
- Provider portal for real time access and patient case status
Affordability support includes:
- $0 Co-pay Program for eligible, commercially insured patients to help with their out-of pocket costs
- Free Trial offer for new patients prescribed NUBEQA
- Alternate funding options, including independent 501(c)(3) charitable assistance
- foundations and the Bayer US Patient Assistance Foundation
Contact: Access Services by Bayer
Phone: 800-288-8374
Acrotech Specialty Therapy Access Resources (STAR®) read more...
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Acrotech Specialty Therapy Access Resources (STAR®) is a reimbursement support, co-pay assistance, and patient assistance program designed to help patients and healthcare professionals in the United States gain appropriate access to Acrotech Biopharma products.
Reimbursement Support Services
The STAR program provides the following reimbursement support services to assist US patients in understanding their health insurance benefits for certain Acrotech Biopharma products.
- Verification of patient-specific insurance benefits
- Pre-submission claims review and support
- Prior authorization assistance
- Coding and billing guidance for Acrotech Biopharma products
- Payer research
- Denied and underpaid claims assistance
- Alternate funding research
Co-pay Program
The STAR co-pay program is designed to assist patients who meet the eligibility criteria with certain co-pay, co-insurance, or deductible expenses (cost share) related to an Acrotech Biopharma product.
Patient Assistance Program
The STAR program includes a patient assistance program that provides Acrotech products free of charge to enrolled patients who meet the income, insurance, and citizenship/residency eligibility criteria.
Contact STAR
To request reimbursement, co-pay assistance, or PAP assistance fill out the STAR enrollment form and fax it to 1-866-930-1562.
STAR Reimbursement counselors may be reached Monday – Friday from 9 AM to 5 PM ET (excluding holidays). Phone: 1-888-53-STAR7 (1-888-537-8277)
ACRO-0159
ADVANCING Patient Support | Personalized assistance from ADC Therapeutics read more...
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Personalized assistance. Comprehensive support. One single point of contact.
At ADC Therapeutics, it’s critically important to us that patients who are prescribed our products receive the assistance and support they need--all with the convenience and continuity of a dedicated case manager. This single point of contact ensures that patients receive the personalized assistance and support services that are available to them. Specifically, case managers help with:
- Coverage Support
- Benefits Investigation: Provides a summary of benefits for a better understanding of patient insurance coverage and out-of-pocket costs.
- Prior Authorization/Precertification: Helps determine if a prior authorization or precertification is needed, and can provide guidance and support throughout the process.
- Appeals and Claims: Provides guidance on coding and billing, the appeals process, and can help answer any questions that arise.
- Financial Support
- Commercial Copay Program*: Eligible patients who are commercially insured can be enrolled in the copay program.
- Patient Assistance Program (PAP): Patients who are uninsured or underinsured and meet the criteria for the PAP could receive therapy at no cost.
- Nursing Support
- Dedicated Nurses: Answer questions about the medication, help patients plan conversations with healthcare providers, and connect patients to other available services and support.
*For commercially insured patients only. Eligibility and other restrictions apply. For full terms and conditions, visit ADVANCINGPatientSupport.com/copay-terms-conditions.
ADVANCINGPatientSupport.com
Phone 1-855-690-0340 | Fax 1-855-915-3005 | Email support@ADVANCINGPatientSupport.com
Boehringer Ingelheim Solutions Plus™ read more...
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Making patient support our priority by providing a broad range of access, reimbursement and clinical support solutions for patients who are prescribed GILOTRIF® (afatinib) tablets
- Our goal is to help patients quickly and affordably access GILOTRIF
- Additionally, we provide patient education, adverse event and dose management support to complement care
- Improving the overall patient support experience
- Single, dedicated specialty pharmacy, Accredo
- Single point of contact
- Efficient, reliable service
- Consistent patient support
- Innovative programs to support treatment
Call Solutions Plus at 1-877-814-3915 from 8AM to 8PM EST or online at www.bisolutionsplus.com
CareASSIST by Sanofi read more...
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At CareASSIST by Sanofi, our mission is to deliver support services to eligible patients through reliable financial assistance and reimbursement programs. Our dedicated team of CareASSIST Patient Access Specialists is the cornerstone of the CareASSIST program. They may be able to assess insurance coverage and identify options for eligible patients. CareASSIST provides:
- Financial Assistance
- CareASSIST Copay Program: Eligible patients with commercial insurance may pay as little as $0 for their prescribed medication, including any product-specific copays, coinsurance, or insurance deductibles. Restrictions apply*
- The CareASSIST Patient Assistance Program: Patients who meet program eligibility requirements can receive their medication at no cost
- Alternate sources of coverage: For patients who do not qualify for the CareASSIST Copay or CareASSIST Patient Assistance programs, CareASSIST may be able to identify alternate sources of coverage
- Access and Reimbursement
- Patient Access Specialists may be able to assist with the following:
- Insurance verification
- Prior authorization
- Coding and billing
- Denials
- Forms & Resources
- The CareASSIST website features a comprehensive library of relevant forms for enrollment, sample letters, and educational resources
- For help ordering a product or for information on the CareASSIST refund policy, contact a specialist
For more information about CareASSIST or to enroll a patient in our program, visit SanofiCareASSIST.com/hcp, or call 1-833-WE+CARE (1-833-930-2273), Mon-Fri, 9 am – 8 pm ET.
*Subject to the annual copay assistance amount of $25,000. This program is not valid for prescriptions covered by or submitted for reimbursement under Medicare, Medicaid, including any state pharmaceutical assistance programs, Veterans Affairs/Department of Defense, TRICARE, or similar federal or state programs. Not a debit card program. The program does not cover or provide support for supplies, procedures, or any physician-related service associated with their medication. General non–product-specific copays, coinsurance, or insurance deductibles are not covered. This program only applies to patients who are residents of the United States or its territories or possessions, are prescribed an eligible medication for an FDA-approved indication, and are insured by a commercial health plan that requires a copayment, coinsurance, and/or deductible amount for their medication. It is not an insurance benefit. The CareASSIST Copay Program reserves the right to rescind, terminate, or amend this offer, eligibility, and terms and conditions without notice. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. This offer is not conditional on any past, present, or future purchase, including refills. This offer is nontransferable, limited to one per person, and cannot be combined with any other offer or discount. The program is not valid where prohibited by law, taxed, or otherwise restricted. Offer has no cash value. Program is not valid for cash-paying customers. Any savings provided by the program may vary depending on patients' out-of-pocket costs. Upon registration, patients will receive all program details. Additional program conditions may apply.
MAT-US-2200561-v1.0-02/2022
CoverOne® (EMD Serono and Pfizer) read more...
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(EMD Serono and Pfizer)
Helping Patients One at a Time
CoverOne® provides patient access and reimbursement support services to help patients gain appropriate access to BAVENCIO® (avelumab) in the United States.
We recognize that each patient's situation is different and are dedicated to helping BAVENCIO patients one at a time.
Phone: 844-8COVER1 (844-826-8371)
Fax: 1-800-214-7295
Monday-Friday, 8:00am-8:00pm ET
CoverOne.com
Dendreon on Call read more...
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Dendreon on Call provides comprehensive support to your practice and patients from Enrollment to Reimbursement. Find assistance here for:
- Insurance verification
- Determine payer coverage
- Patient Assistance Programs (PAPs)
- Uninsured Patient Program
- Commercial Co-pay Program
- Co-pay Assistance
- Apheresis Travel Assistance Program
- Claims assistance including denials/appeals
For more information, visit our website or call 1-877-336-3736.
Eisai Assistance Program read more...
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Eisai’s commitment to innovative solutions in disease prevention, treatment and care for the health and well-being of people worldwide is embodied in our human health care (hhc) mission: we give first thoughts to patients and their families by helping to ensure access to necessary medicines.
With this in mind, the Eisai Assistance Program (EAP) provides dedicated reimbursement and access support for patients and health care professionals to reduce barriers to patient access to medicines.
Specifically, EAP offers the following services:
• insurance verification
• prior authorization information
• appeal information
• alternate coverage/funding information
• Patient Assistance Program (PAP) enrollment
• expediting product access and minimizing barriers to access
To learn more about the Eisai Assistance Program, please visit our website or call our toll-free number.
Phone: 1.866.61.EISAI (1.866.613.4724)
(Monday through Friday, 8:00 am to 8:00 pm ET)
Eisaireimbursement.com
Exelixis Access Services® (EASE) --- Exelixis, Inc. read more...
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Access. Assistance. Along the journey.
EASE was established by Exelixis, Inc. to provide a variety of support to help patients get started on CABOMETYX® (cabozantinib) as soon as possible.
EASE offers regionally dedicated Case Managers as a single point of contact.
- Offers prompt support with payer coverage, financial assistance, and treatment coordination
- Can provide the status of a patients’ access journey
- Provides proactive follow-up
EASE Programs and Services
- 30-Day Free Trial Program: Provides a free trial to help new CABOMETYX patients start treatment quickly, regardless of insurance type, with a 30-day additional supply available for patients with a payer decision delay of 5 days or more.*†
Click
here to download the EASE Enrollment Form.
- EASE Co-pay Program: Eligible, commercially insured patients may pay as little as $0 per month. Annual and transaction limits apply.‡
Click
here to help enroll patients.
- EASE Dose Exchange Program: Provides a free 15-tablet supply in the lower dose to help patients who require a dose reduction.*§
Click
here to download the Dose Exchange Form.
- EASE Patient Assistance Program (PAP): Eligible patients who cannot afford their drug costs may receive CABOMETYX free of charge.*
Click
here for more information about the Patient Assistance Program Enrollment.
† Limited to on-label indications.
†Additional restrictions and eligibility rules apply.
‡ The Co-Pay Program is not available to patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs or where prohibited by law. Additional terms and conditions apply.
§ Patients are required to return any unused product.
Contact EASE for More Information and to Enroll
CALL: 1-844-900-EASE (1-844-900-3273) Monday to Friday, 8:00 am to 8:00 pm (ET)
FAX: 1-844-901-EASE (1-844-901-3273)
VISIT: www.EASE.US
Please see the full Prescribing Information for CABOMETYX.
FundFinder read more...
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Developed by the PAN Foundation to more easily connect patients with available financial assistance, FundFinder is a free web app that alerts patients, healthcare professionals, and advocates about the availability of funding for patient assistance programs.
FundFinder tracks the status of more than 200 patient assistance funds across nine foundations in one place and provides real-time alerts to patients and their healthcare team by email or text message when financial assistance is available for their disease. It’s free to use, and anyone can create an account.
To learn how it works, view an informational video here.
Just share your email address and what disease areas you are interested in. It's that easy! Sign up for FundFinder
GE HealthCare Cerianna Support Center read more...
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The Cerianna Support Center is dedicated to providing comprehensive coverage and access support for recurrent and metastatic breast cancer patients through the entire reimbursement journey, including: benefit investigations, billing and coding assistance, claims assistance, pre-service and post-service appeals, prior authorizations support and status monitoring, medical necessity assistance, peer-to-peer preparation, and support finding in-network Cerianna imaging centers. Dedicated Field Reimbursement Managers are available to referring offices to provide onboarding when preparing to prescribe Cerianna, provide billing staff with Cerianna-specific in-service reimbursement training, provide payor-specific answers on Cerianna coding and billing questions, and engage the GE HealthCare Managed Market Payor Executives for payor-specific challenges.
Live support is available by calling 833-946-6392 Monday through Friday, 8 am to 6 pm ET or email the Cerianna Support Center at gehealthcare@pharmacord.com
https://www.gehealthcare.com/products/molecular-imaging-agents/cerianna/support#:~:text=Market%20Access/Reimbursement
Helsinn Cares read more...
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- Helsinn Cares is committed to providing information to support patients and providers with access and reimbursement. We offer Reimbursement resources for physicians, nurses, and office staff to support their patients as well as a Patient savings programs and services to assist patients and their caregivers with co-pay and medication cost.
- Forging Bridges
IMBRUVICA® (ibrutinib) By Your Side, Pharmacyclics LLC and Janssen Biotech, Inc. read more...
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Access Offering
IMBRUVICA® (ibrutinib) By Your Side* is a patient program designed specifically to support IMBRUVICA® prescribed patients.
Learn more at ByYourSideHCP.com 1-888-YourSide (1-888-968-7743)
Prescribing Information: https://www.rxabbvie.com/pdf/imbruvica_pi.pdf
*IMBRUVICA® By Your Side patient support program is not intended to provide medical advice, replace prescribed treatment plans, or provide treatment or case management services. Patients are advised to talk to their healthcare provider and treatment team about any medical decisions and concerns they may have.
Reimbursement Assistance
To learn about our patient support programs, please visit ByYourSideHCP.com
1-888-YourSide (888-968-7743)
If there are cost or coverage questions about fulfilling this prescription, Pharmacyclics may be able to help.
IncyteCARES (Incyte Corporation) read more...
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At IncyteCARES, our mission is to help your patients start and stay on therapy by assisting with access and support. We assist eligible patients prescribed Jakafi® (ruxolitinib) and PEMAZYRE® (pemigatinib).
Once a patient is enrolled, a team member will call them directly. For eligible patients, we can provide:
- Insurance benefits verification and as-needed prior authorization or coverage appeal support
- Delivery coordination with an appropriate specialty pharmacy
- Savings program for eligible patients with commercial prescription drug insurance*
- Free medication program for eligible patients who do not have insurance or are underinsured*
- Free short-term supply of medication for eligible patients if insurance coverage is delayed*
- Information about independent organizations that may provide financial or transportation assistance
- Contacts for patient advocacy organizations that offer counseling and other support resources
- One-on-one support through our call center, available Monday through Friday, 8 AM–8 PM ET
*Terms and conditions apply. Terms of these programs may change at any time.
For information, call IncyteCARES at 1-855-452-5234 or visit IncyteCARES.com.
Janssen CarePath read more...
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Janssen CarePath
Janssen CarePath is your one source for access, affordability, and treatment support for your
patients. Our dedicated Care Coordinator team supports the Janssen medications you prescribe.
We can help make it easier for you and your patients to get the resources you both may need.
Access support to help navigate payer process.
Janssen CarePath helps verify insurance coverage for your patients taking Janssen medications and provides reimbursement information.*
Our offerings include:
- Benefits investigation support
- Prior authorization support and status monitoring
- Information on the exceptions and appeals process
- Coding and billing information, if needed
- Triage to specialty pharmacy providers, if needed
- Provider Portal at JanssenCarePathPortal.com for online benefits investigation, prior authorization support,and other resources
Affordability support to help your patients start and stay on the Janssen treatment you prescribe Janssen CarePath can help you find out what affordability assistance may be available for your patients taking Janssen medications.
Support for patients using commercial or private insurance:
- The Janssen CarePath Savings Program allows eligible patients to save on out-of-pocket medication costs for their Janssen brand. Depending on the health insurance plan, savings may apply toward co-pay, co-insurance, or deductible
– For DARZALEX®, DARZALEX FASPRO®, TALVEY™, and TECVAYLI®, eligible patients pay $5 per dose with a $26,000maximum program benefit per calendar year
– For RYBREVANT®, eligible patients pay $5 per infusion with a $26,000 maximum program benefit per calendar year
– For YONDELIS®, eligible patients pay $5 per dose with a $20,000 maximum program benefit per calendar year
– For AKEEGA™ and ERLEADA®, eligible patients pay $0 per month. Maximum program benefit per calendar year shall apply
– For BALVERSA®, eligible patients pay $5 per fill. Maximum program benefit per calendar year shall apply
– For ZYTIGA®, eligible patients pay $10 per month with a $12,000 maximum program benefit per calendar year or one-year supply, whichever comes first. Offer not valid for residents of CA or MA or for prescriptions filled in CA or MA
– Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Terms expire at the end of each calendar year and may change. See
JanssenCarePath.com for program requirements
- Janssen CarePath can help identify independent foundations that may be able to assist your patients†
Treatment support to help your patients get informed and stay on prescribed treatment
Janssen CarePath provides additional support to your patients taking Janssen medications, including:*
- Patient education brochures
- Web-based resources
- Assistance with identifying independent organizations which may be able to provide assistance with costs associated with travel to and from treatment
- Information about Advocacy Connector, a Janssen-sponsored resource that connects patients and caregivers to national and state-specific advocacy groups that offer resources relevant to oncology
- Appointment reminders
- Prescription refill reminders for AKEEGA™ and ERLEADA®
Janssen CarePath Provider Portal*
Janssen CarePath understands that navigating payer processes and finding cost support options may seem complicated at times. That’s why we’ve created an enhanced Provider Portal experience. The Janssen CarePath Provider Portal at JanssenCarePathPortal.com gives healthcare providers and pharmacies 24-hour online access to:
- Request benefits investigations
- Review the status of benefits investigations
- Initiate prior authorizations without benefits investigations
- Enroll your eligible, commercially insured patients in the Janssen CarePath Savings Program
- View and help manage Savings Program transactions as requested by enrolled patients
- Receive notifications when new information is available or action is required on the Portal
Janssen CarePath Patient Account*
Patients and caregivers can create a Janssen CarePath Account at MyJanssenCarePath.com where they can:
- Enroll in the Savings Program
- View and manage Savings Program benefits
- Submit rebate requests, if necessary
- Sign up for treatment support
- Receive timely alerts, program updates, and more
Visit JanssenCarePath.com for more information about how to enroll your patients in Janssen CarePath or call your Janssen CarePath Care Coordinator.
Content paid for and written by Johnson & Johnson Health Care Systems Inc.
Contact: Janssen CarePath Care Coordinator
877-CarePath (877-227-3728)
Monday-Friday, 8:00 AM - 8:00 PM ET
Visit JanssenCarePath.com
Information about your patient’s insurance coverage, cost support options, and treatment support is given by service providers for Janssen CarePath. The information you get does not require you or your patient to use any Janssen product. Because the information we give you comes from outside sources, Janssen CarePath cannot promise the information will be complete. Janssen CarePath cost support is not for patients in the Johnson & Johnson Patient
Assistance Foundation.
*Not available for all Janssen medications.
† Independent co-pay assistance foundations have their own rules for eligibility, which are subject to change. We have no control over these independent foundations and can only refer your patients to a foundation that supports their disease state. We do not endorse any particular foundation.
Kite Konnect®, Kite, a Gilead Company read more...
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About Kite Konnect
Kite Konnect is a Kite-sponsored resource committed to supporting healthcare providers (HCPs) and patients throughout each step of treatment with Kite therapy. Support for eligible individuals may include assistance with Kite Konnect referrals, information on Authorized Treatment Centers (ATCs), reimbursement support, and programs to help cover the cost of Kite therapy.
Dedicated support throughout the treatment journey
- Find a Treatment Center - Provide patients and healthcare professionals information on
CAR T Authorized Treatment Centers.
- Logistical Support - Patients can learn about potential resources for transportation and lodging assistance.
- Reimbursement Support - Help with benefits investigations, claims appeals information,
and potential sources of support for eligible uninsured and underinsured patients.
- Patient Enrollment - Register a patient for therapy if you are a healthcare professional.
- Ongoing Commitment - Kite Konnect Case Managers are available to support healthcare professionals and patients throughout the CAR T treatment journey.
Kite Konnect can help with finding an Authorized Treatment Center and provide information
about the support resources that may be available to you. 1-844-454-KITE [5483], Monday–Friday,
5 AM–6 PM PT.
Authorized Treatment Centers are independent facilities certified to dispense Kite CAR T therapies. Choice of an Authorized Treatment Center is within the sole discretion of the physician and patient. Kite does not endorse any individual treatment sites.
Resources may include referrals to independent third-party nonprofit patient assistance programs. These programs are not operated or controlled by Kite. Nonprofit patient assistance program eligibility requirements may vary and are established solely by each independent organization. Kite makes no guarantee with respect to reimbursement or copay assistance for any item or service.
Cell therapy patient programs are for eligible prescribed patients.
KITE and KITE KONNECT are trademarks of Kite Pharma, Inc. GILEAD is a trademark of Gilead Sciences, Inc.
© 2022 Kite Pharma, Inc. All rights reserved. | US-KKP-0048 05/2022
Lantheus PYLARIFY Support Hotline read more...
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Lantheus is committed to serving patients with prostate cancer, which is why we created a dedicated PYLARIFY Support Hotline that offers a suite of services designed to assist providers and patients. The PYLARIFY Support Hotline is staffed with experienced specialists in radiopharmaceutical reimbursement, patient case management and patient advocacy. Our team of reimbursement specialists provide answers regarding insurance coverage, billing, coding, prior authorization questions and ongoing patient support. In addition, our reimbursement service assists with benefit investigations, prior authorizations and pre-determinations. Upon request, the PYLARIFY Support Hotline assists providers and patients with navigating the appeals process while also providing customized template letters. At Lantheus, we continue to find, fight and follow prostate cancer in support of patients.
For questions relating to reimbursement for patients, providers, and payers, please call our Reimbursement Support Hotline at 844-339-8514.
URL: https://www.pylarify.com/ordering-and-reimbursement
PYLARIFY Prescribing Information:
https://www.lantheus.com/assets/PYLARIFY-Prescibing-Information.pdf
PYLARIFY 2022 Coding and Billing Guide:
https://www.pylarify.com/coding-and-billing.pdf
Coverage and Access Best Practices Guide:
https://www.pylarify.com/access-and-reimbursement.pdf
Libtayo Surround® read more...
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LIBTAYO Surround® may help eligible patients access LIBTAYO® (cemiplimab-rwlc) and navigate the health insurance process.
LIBTAYO Surround provides resources, support, and a dedicated team to help patients throughout their treatment journey.
Financial support: LIBTAYO Surround offers patient support that facilitates access to medication when eligible patients need assistance with out-of-pocket costs. LIBTAYO Surround will help investigate your patients’ eligibility for the following programs:
- LIBTAYO Surround Commercial Copay Program
- Commercially insured patients may be eligible to pay as little as $0 out of pocket for LIBTAYO, up to $25,000 in assistance per year, which includes copay, coinsurance, and deductibles for LIBTAYO product and administration charges.* There is no income requirement to qualify for this program
- LIBTAYO Surround Patient Assistance Program (PAP)
- Patients who are uninsured, underinsured, or lack coverage may be eligible to receive LIBTAYO at no cost. Patient eligibility criteria, including household income limits, and program conditions apply. LIBTAYO Surround can help evaluate patients’ eligibility for assistance. Eligible patients will be enrolled for up to 12 months; eligible Medicare patients will be enrolled until the end of the calendar year. Patients must reapply annually
Access and reimbursement support: LIBTAYO Surround provides access and reimbursement support to help your patients get access to their prescribed LIBTAYO as quickly as possible. Upon receipt of a LIBTAYO Surround Enrollment Form, a LIBTAYO Surround Reimbursement Specialist may be able to provide several types of assistance.
Benefits investigation, which addresses:
- How LIBTAYO will be covered under your patient’s health plan
- Additional coverage information to facilitate your patient’s access to LIBTAYO
- Acquisition options (buy-and-bill or specialty pharmacy)
- A patient’s eligibility for financial assistance
Additional service offerings, including:
- Prior authorization (PA) support to review and explain payer requirements
- Appeal assistance if PA is denied
- Claims assistance to address questions as you prepare claims and to review the status of claims with your patient’s health insurer
- Product support in connection with product ordering
Additional LIBTAYO Surround support: Once patients are prescribed LIBTAYO, they have access to our dedicated Patient Navigators. Patient Navigators are available to complement the support provided by patients’ healthcare providers. They can:
- Help identify financial assistance that may be available to eligible patients to facilitate access to LIBTAYO
- Answer questions about available resources and support
- Medical advice will not be provided by the Patient Navigators. A patient’s healthcare provider is the single best source of information regarding their health
- Remind patients about upcoming appointments
- Provide information about local support groups within the community; independent, third-party transportation services; and local places to stay during treatment, if needed
- Offer additional support for caregivers while they care for their loved ones
- Send patients a Patient Starter Kit with helpful materials for starting treatment with LIBTAYO as well as emails and direct mail to help support both patients and caregivers and educate them with information about their condition and treatment
After a patient has been prescribed LIBTAYO, enrolling in LIBTAYO Surround may provide access to support services. There are several ways to help patients enroll:
- The LIBTAYO Surround digital enrollment feature is an online, electronic Enrollment Form designed to provide another option for enrolling eligible patients in LIBTAYO Surround
- The LIBTAYO Surround Provider Portal enables practices to enroll, track, and manage patients in one place
- Download, complete, and sign the LIBTAYO Surround Enrollment Form with your patients and submit it by faxing to 1.833.853.8362 or uploading through DocuSend at patientsupportnow.org (code 8338538362)
Once Enrollment Forms have been submitted, patients’ enrollment status can be tracked via the Enrollment Tracking website.†
*Subject to annual maximum copay assistance amount of $25,000 toward out-of-pocket treatment costs for LIBTAYO, including deductibles, copays and coinsurance for LIBTAYO drug and administration charges. This program is not valid for prescriptions covered by or submitted for reimbursement under Medicare, Medicaid, Veterans Affairs/Department of Defense, TRICARE, or similar federal or state programs. Not a debit card program. The program does not cover or provide support for supplies for LIBTAYO. Patients who are residents of Massachusetts or Rhode Island are not eligible for LIBTAYO administration assistance. This program only applies to patients who are at least 18 years of age, residents of the United States or its territories or possessions, are prescribed LIBTAYO (cemiplimab-rwlc) for an FDA-approved indication, and are insured by a commercial health plan that requires a copayment, coinsurance, and/or deductible amount for LIBTAYO. It is not an insurance benefit. LIBTAYO Surround reserves the right to rescind, terminate, or amend this offer, eligibility, and terms and conditions at any time without notice. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. This offer is not conditioned on any past, present, or future purchase, including refills. This offer is nontransferable, limited to one per person, and cannot be combined with any other offer or discount. This program is not valid where prohibited by law, taxed, or restricted. Offer has no cash value. Patients are responsible for any out-of-pocket costs for LIBTAYO that exceed the program assistance limit of $25,000 per year. Program is not valid for cash-paying customers. Additional program conditions may apply. See LIBTAYOSurround.com for more information.
†Within this website, patient health information will not be visible, and the patient’s Patient ID or Enrollment ID is required to access the enrollment information.
US.LIB.24.12.0002 12/24
myBeiGene® Patient Support Program read more...
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Assisting you in providing complete support for patients after BRUKINSA® (zanubrutinib) has been prescribed
The myBeiGene patient support program provides comprehensive services through personalized assistance from a dedicated Oncology Nurse Advocate.
What makes the myBeiGene program unique?
The myBeiGene program is staffed by Oncology Nurse Advocates who have extensive prior experience working with and supporting cancer patients and their caregivers throughout treatment with BRUKINSA.
The myBeiGene Oncology Nurse Advocates cover specific regions of the country, providing dedicated support and expertise to the practices and patients within those regions. Personalized assistance from a dedicated myBeiGene Oncology Nurse Advocate include simplifying access through financial assistance, educating patients and caregivers about their treatment and disease, and connecting patients to services that deliver day-to-day living support.
The myBeiGene Oncology Nurse Advocates are highly rated by practices, patients, and caregivers, with very positive feedback reported from interactions. Whatever your patients’ needs—myBeiGene works to provide solutions or connect them to the right resources.
How myBeiGene offers complete patient support:
SIMPLIFYING PATIENT ACCESS TO TREATMENT
- Insurance verification from coverage assessment, and prior authorization, to appeals process information
- Bridge supply for insurance coverage delays*
- Eligible patients with commercial insurance may pay $0 per prescription for BRUKINSA†
- Free product for eligible uninsured or underinsured patients‡
EDUCATING PATIENTS AND CAREGIVERS ABOUT TREATMENT AND DISEASE
- Information about their disease and treatment with BRUKINSA (zanubrutinib)
- Patient and caregiver follow-up support
CONNECTING PATIENTS TO DAY-TO-DAY LIVING SUPPORT
- Provide information on available resources for patients and caregivers and connect them to independent organizations that may be able to help, with resources including:
- Counseling services
- Support group information
- Transportation and lodging assistance
How to enroll in myBeiGene:
There are 3 easy ways to enroll patients
- Call myBeiGene at 1-833-BEIGENE (1-833-234-4363) and speak to an Oncology Nurse Advocate Monday through Friday, 8 AM-8 PM ET
- Complete and submit the enrollment form online at myBeiGene.com
- Download the enrollment form at myBeiGene.com, complete, and fax to 1-877-828-5593
*30-day supply of medication (for on-label use only) in case of a coverage delay lasting longer than 5 days. Eligibility criteria and restrictions apply.
†No patient income requirement. Annual benefit limit of $25,000. Patients are ineligible if prescriptions are payable by any state or other federally funded programs, including, but not limited to, Medicare, Medicaid, VA, or TRICARE, or where prohibited by law. Eligibility criteria and restrictions apply.
‡Certain financial and eligibility criteria apply.
Oncotype DX Genomic Access Program (GAP) read more...
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Exact Sciences created the Genomic Access Program (GAP) to help patients navigate the insurance and other payment options for Oncotype DX® tests. Through GAP, Exact Sciences takes every possible step to ensure testing is affordable, available, and accessible. To learn more about GAP, contact Customer Service by phone 866-ONCOTYPE (866-662-6897) or by email at customerservice@genomichealth.com.
Together with GSK Oncology read more...
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At GSK, we understand that a cancer diagnosis can be overwhelming for patients and loved ones. Treatment considerations and costs can add undue stress, especially if you’re unsure what coverage options are available or how to access them.
Together with GSK Oncology is here to help, offering patients and healthcare professionals a variety of access and reimbursement services for all GSK oncology products—all in one place.
Range of services includes:
- Reimbursement support:
- Benefits investigation
- Prior authorization support
- Appeals support
- Coding and claims assistance for products and related services
- Co-pay assistance program
- Patient assistance program
- Alternate coverage options
Sign up for Together with GSK Oncology today. Our access and reimbursement services can help your patients get started on their treatment journey for their GSK Oncology Product.
Visit Together with GSK Oncology (www.TogetherwithGSKOncology.com) to learn more or call us at 1-844-4GSK-ONC (1-844-447-5662).
TRODELVY™ Access Support (Gilead™) read more...
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TRODELVY ACCESS SUPPORT is a patient access and reimbursement support program. It will help you and your patient understand specific coverage and reimbursement guidelines for TRODELVY™ (sacituzumab govitecan-hziy) 180-mg single-dose vial. Reimbursement support services includes:
- Coverage verification
- Prior Authorization information
- Claims status information
- Billing and coding information
- Alternate assistance options
Patient access support includes:
- TRODELVY Savings Program
- Gilead Patient Assistance Program (PAP)
- Referrals to independent third-party assistance organizations
All patient access support programs are subject to additional criteria. Learn more by visiting https://www.trodelvyhcp.com or calling 1-844-876-3358 from Monday – Friday, 9 AM – 7 PM ET.
Please click to see full Prescribing Information, including BOXED WARNING.
TRODELVY, TRODELVY ACCESS SUPPORT, the TRODELVY Access Support logo, GILEAD, and the GILEAD logo are registered trademarks of Gilead Sciences, Inc., or its related companies.
©2022 Gilead Sciences, Inc. All rights reserved. US-TROP-0369 06/22