Patient-Helpdesk.com

aubagio patient assistance program form

by Walton Homenick Published 2 years ago Updated 1 year ago
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Full Answer

Who is the manufacturer of Aubagio?

Official answer. Aubagio is made by Sanofi Genzyme which is the specialty care business arm of Sanofi.

What are the benefits of Aubagio?

Aubagio is a disease modifying drug for relapsing remitting MS. You take Aubagio as a pill once a day to reduce the number and severity of relapses. It reduces the number of relapses by about one third (30%). Common side effects include feeling sick, diarrhoea and hair thinning.

Can you just stop taking Aubagio?

If you stop taking AUBAGIO, it stays in your system for an average of 8 months although it may remain for up to 2 years. If you become pregnant, plan to become pregnant, or if your doctor decides to discontinue AUBAGIO for any reason, there's an 11-day accelerated elimination procedure.

Is Aubagio a limited distribution drug?

Teriflunomide has restricted distribution under the REMS program as is limited to registered prescribers and pharmacies.

How common is hair loss with Aubagio?

In the case of Aubagio (teriflunomide, marketed by Sanofi Genzyme), a once-daily oral immunomodulatory treatment, a 10–14% hair loss — compared to 5% with placebo — was reported in an analysis of its clinical trial data, and similar findings have come through case reports.

How long can you stay on Aubagio?

Without using accelerated elimination, AUBAGIO may stay in your blood for up to 2 years after you stop using it. In addition, you can enroll in the AUBAGIO Pregnancy Registry by calling 1-800-745-4447, then press option 2. The purpose of the registry is to collect information about your health and your baby's health.

Are they getting close to a cure for MS?

Answer From Iris Marin Collazo, M.D. There is no cure for multiple sclerosis (MS), but there has been much progress in developing new drugs to treat it. Research is ongoing to develop new and better disease-modifying therapies (DMTs) for this disease of the central nervous system.

Can MS go into remission for 20 years?

An attack is followed by a time of recovery when you have few or no symptoms, called remission. It can last weeks, months, or longer. The disease doesn't get worse during these breaks. After 10 to 20 years, RRMS usually changes to a different type of MS called secondary progressive multiple sclerosis.

Can MS be in remission forever?

A remission can last for weeks, months, or, in some cases, years. But remission doesn't mean you no longer have MS. MS medications can help reduce the chances of developing new symptoms, but you still have MS.

What is the most popular drug for MS?

Interferon Beta (Avonex, Betaseron, Extavia, Plegridy, Rebif) How it works: These are lab-made versions of your body's infection-fighting protein. They've been around the longest and are the most widely prescribed drugs for MS.

Do you gain weight with Aubagio?

Weight loss and weight gain weren't side effects of Aubagio in clinical studies. You won't likely lose or gain weight while taking Aubagio. However, one of the most common symptoms of multiple sclerosis (MS) is fatigue (lack of energy).

Can Aubagio cause neuropathy?

Rarely, Aubagio can cause peripheral neuropathy (numbness or tingling in your feet or hands). People with diabetes may be at higher risk for this serious side effect.

Does Aubagio help with fatigue?

The drug also outdid Aubagio at reducing fatigue as measured by The Fatigue Symptoms and Impacts Questionnaire–Relapsing Multiple Sclerosis, a patient-reported questionnaire designed to assess fatigue-related symptoms and how they affect people with MS.

Does MS medication make you feel better?

Medicines can reduce the severity of attacks of relapsing-remitting MS and how often you have them. They may also reduce or delay disability. But they don't work for everyone. And there is no way to predict if they will work for you.

Does Aubagio reduce inflammation?

Aubagio affects the immune system and reduces swelling and inflammation in the nervous system. Aubagio is used to treat relapsing forms of multiple sclerosis in adults (including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease).

Does Aubagio weaken the immune system?

Yes, Aubagio (teriflunomide) may lower your white blood cell (WBC) count and possibly suppress your immune system. White blood cells are found in your blood and are used to fight infection. You may be more likely to get an infection while taking Aubagio.

What is Aubagio used for?

Aubagio (teriflunomide) is a member of the selective immunosuppressants drug class and is commonly used for Multiple Sclerosis.

How long does it take for Aubagio to start?

Aubagio One Start Program: Eligible commercially insured patients can begin treatment within 5 business days of being prescribed their medication under this program while waiting for their insurance and if needed patients can receive their medication at no cost for up to 1 year while benefits are being verified; for additional information contact the program at 855-676-6326.

Is Aubagio available with insurance?

Prices are for cash paying customers only and are not valid with insurance plans. A generic version of Aubagio has been approved by the FDA. However we either do not have pricing information for it, or it is not commercially available. More info: generic Aubagio availability.

Answers and dedicated support, whenever you need it

Get to know the nurses of MS One to One. In this video, learn all about the 24/7 nursing and financial support available for people living with relapsing MS.

Our team provides you with

Assistance navigating your insurance, including benefits verification and financial assistance for eligible patients. Learn more about our

Contact details

There are two ways to contact us: by phone or through our One to One website.

For more information

Please see full Prescribing Information, including boxed WARNING (PDF).

What is aUBAGIO used for?

AUBAGIO ® (teriflunomide) is a prescription medicine used to treat relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

Can you take TB before taking AUBAGIO?

Your healthcare provider will check your blood cell count and TB test before you start AUBAGIO. Talk with your healthcare provider if you take or are planning to take other medicines (especially medicines for treating cancer or controlling your immune system), over-the-counter medicines, vitamins or herbal supplements.

Can you take Aubagio if you are pregnant?

Do not take AUBAGIO if you have severe liver problems, are pregnant or of childbearing potential and not using effective birth control, have had an allergic reaction to AUBAGIO or leflunomide, or are taking a medicine called leflunomide for rheumatoid arthritis. View IMPORTANT SAFETY INFORMATION.

Can you breastfeed with aubigio?

It is not known if AUBAGIO passes into breast milk. Your healthcare provider can help you decide if you should take AUBAGIO or breastfeed — you should not do both at the same time.

Can you take aubigio if you have liver problems?

DO NOT TAKE AUBAGIO IF YOU: Have severe liver problems. AUBAGIO may cause serious liver problems, including liver failure that can be life-threatening and may require a liver transplant. Your risk may be higher if you already have liver problems or take other medicines that affect your liver.

Does Sanofi Genzyme review websites?

Sanofi Genzyme's privacy procedures do not apply to the owners of a non-Sanofi Genzyme website. Continue Cancel Cancel.

Can aubagio harm an unborn baby?

Tell your healthcare provider right away if you develop any of these symptoms of liver problems: nausea, vomiting, stomach pain, loss of appetite, tiredness, yellowing of your skin or whites of your eyes, or dark urine. Are pregnant. AUBAGIO may harm an unborn baby.

How much does AUBAGIO cost?

1 Very few people actually pay the list price, which is a price set by the manufacturer. The list price* of AUBAGIO is $7,668.14 for a 30-day supply, but most people will not pay that price.

What to do if you don't have insurance for Genzyme?

Another solution: an MS One to One Nurse may be able to help you get support from not-for-profit organizations.

Does insurance cover AUBAGIO?

If you do not have insurance that covers your prescription medications, or if your insurance does not cover AUBAGIO, you can typically expect to pay the list price shown above plus any additional pharmacy charges. The price you pay varies from pharmacy to pharmacy.

What is the fax number for AUBAGIO?

One to One Start Form Fax: 1-855-557-2478 AUBAGIO

How to prescribe aubigio?

To prescribe AUBAGIO®(teriflunomide) utilizing One to One Support Services for AUBAGIO, please follow these steps: Have your patient read the description of One to One Support Services for AUBAGIO on Page 2 Have your patient read the Authorizations on pages 2 and 3 and sign in sections I(a) and I(b) on Page 4 Complete the rest of the Start Form and sign the Prescriber Authorization If available, copy both sides of the patient’s insurance card and pharmacy benefit card Fax page 4 of the Start Form with copies of the cards mentioned above to 1-855-557-2478 Your patient will be contacted by a One to OneNurse within 2–3 business days to verify his or her benefit information. Your patient will also be contacted by a pharmacy in the AUBAGIO specialty pharmacy network to confirm delivery details. Please be sure to fill out all sections of the Start Form including Section VI for patients in One Start®. Incomplete areas may delay the start of treatment.

What color are the patient information sections?

Please fill out all Patient Information sections (blue) and Prescriber Information sections (green).

What is one to one support?

One to One Support Services provide support along the way, every day. One to One is optional, and provides personal support that’s truly personal. By signing sections I(a) and I(b) of the Start Form (page 4), you’ll have support to: Help verify your insurance benefits, and you may receive therapy at no cost for up to one year if you are an eligible patient, while your benefits are being verified Set up your prescription with a specialty pharmacy Access educational resources for patients and care partners Receive tailored information and suggestions Access your own One to OneNurse*, who can answer your questions about your disease, discuss your lifestyle concerns, check your benefits status, and more One to One is available 24/7. For more information or if you have questions, please call 1-855-676-6326. Regular One to One call center hours are Mon–Fri, 8:30 am–8:00 pm EST. After hours, you will receive a callback within 30 minutes from an on-call nurse. Contact your healthcare provider with any questions about your individual health.

Where to mail one to one support form?

Please fax this form to 1-855-557-2478or mail to One to One Support Services, PO Box 220790, Charlotte, NC 28222-0790 - For general inquiries call 1-855-676-6326.

Can I get one start for aUBAGIO?

Yes, I authorize one or more One Start®shipments of AUBAGIO®(teriflunomide) Tablets until the patient’s therapy is covered by commercial insurance (up to one year). I authorize the Program to forward this prescription to the

Is AUBAGIO a trademark?

AUBAGIO®, Genzyme®, and One Startare registered trademarks of Genzyme Corporation. Any trademarks not owned by Genzyme Corporation, a Sanofi company, are the property of their respective owners .

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