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copaxone patient assistance forms

by Dean Wunsch Published 2 years ago Updated 1 year ago
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What is the drug copaxone used to treat?

COPAXONE ® is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. Contraindication: COPAXONE® is contraindicated in patients with known hypersensitivity to glatiramer acetate or mannitol.

How do I start my patient on Copaxone ®?

When starting patients on COPAXONE ®, download the Prescription & Service Request Form (PSR), enroll your patient in Teva’s Shared Solutions ®, and indicate DAW on the form. Specific wording may vary by state, such as “Brand Medically Necessary” and “Do Not Substitute.”. Fax the completed form to Teva at 1-800-775-5834.

Is Copaxone contraindicated for relapsing MS?

COPAXONE® (glatiramer acetate injection) is indicated for the treatment of patients with relapsing forms of multiple sclerosis. Important Safety Information. COPAXONE® is contraindicated in patients with known hypersensitivity to glatiramer acetate or mannitol.

Where can I find affordable access to Copaxone?

Teva's Shared Solutions is committed to helping you find affordable access to COPAXONE 20 mg and 40 mg. Call 1-800-887-8100 or visit MySharedSolutions.com now for answers to financial questions about COPAXONE: With COPAXONE Co-Pay Solutions, commercially insured patients taking COPAXONE may pay as little as $0. Terms and conditions apply.

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Who shared solutions?

Teva's Shared Solutions® Benefits Specialists work with patients to research their insurance coverage and benefits, seeking access solutions that accommodate their personal financial and therapy needs. Benefits Specialists also help with navigating Medicare Part D.

How do people afford MS medication?

There are some national foundations that provide help for people with MS. They include NeedyMeds, The Patient Access Network Foundation and Chronic Disease Fund. Social Security Disability Insurance is available for people who are unable to work, but are entitled to receive disability benefits.

Does Teva have a patient assistance program?

The TEVA CARES FOUNDATION Patient Assistance Program provides prescription medicines at no cost to patients who qualify. If you have no prescription drug coverage and meet the income guidelines below, you may qualify for this program.

How much does glatiramer acetate cost?

The average retail price of Glatiramer Acetate is about $5,820.57 for 12, 1ML of 40MG/ML Solution Prefilled Syringe. Pay just $989.04 for 12, 1ml of 40mg/ml Syringe by using a SingleCare Glatiramer Acetate coupon at participating pharmacies.

How much does Copaxone cost per year?

Tecfidera, the newest pill treatment to enter the market, is also priced in the range of $62,000 per year....Current Cash Prices for a One-Month Supply of MS Medication.Drug Name (Manufacturer)Copaxone (Teva)Dose20MG 1PK=30 INJWalmart$5,507.32Walgreen's$6,000.0910 more columns•Jan 16, 2019

Is MS medication covered by insurance?

As a part of the ACA, insurers can no longer deny coverage to those with pre-existing medical conditions, such as multiple sclerosis (MS), or enact lifetime or annual benefit caps to those enrolled in their plans.

What is UCB patient Assistance Program?

Through the UCB Patient Assistance Program, we provide some medications at no cost to eligible and qualified patients who are uninsured or underinsured who otherwise have no access to the UCB medicines prescribed by their physician.

Does Viatris have a patient assistance program?

The Viatris Patient Assistance Program provides certain medicines for free to patients with demonstrated financial need. Viatris is committed to helping patients get the treatments they need, when and where they need them.

Is there a patient assistance program for Adderall?

Government Programs for ADHD Prescription Assistance Call 1-800-333-4114 to find out if you qualify.

What tier drug is Copaxone?

Medicare prescription drug plans typically list glatiramer on Tier 5 of their formulary.

What is the generic version of Copaxone?

Glatopa is an FDA-approved generic substitute for COPAXONE® (glatiramer acetate injection).

Is Copaxone expensive?

Today, the list price for a once-daily injection of Copaxone is more than $7,000 for 30 syringes, compared with $1,500 or $1,950 for the same quantity of the generic version, according to GoodRx, a website that helps patients find prescription drug costs and coupons.

How expensive is MS medication?

On average, the medicines cost $70,000 per year, according to a 2017 study. Some prices have increased fivefold from when the drugs were first approved by the Food and Drug Administration. Even with insurance, says Ewing-Wilson, patients can be left on the hook for anywhere from $3,000 to more than $50,000 a year.

Does MS qualify for Medicare?

People with multiple sclerosis can qualify for Medicare coverage before age 65 if Social Security determines that they are permanently disabled and they have received Social Security disability benefits for 24 months.

How much does Tecfidera cost per month?

Tecfidera launched in 2013 with a list price (i.e., Wholesale Acquisition Cost, or “WAC”) for a one-month supply of ~$4,500. That's 60 capsules per month at around $75 per dose.

Is there copay assistance for dimethyl fumarate?

Dimethyl Fumarate (dimethyl fumarate - generic equivalent of Tecfidera) No patient assistance program available at this time.

How long does chest pain last after a copraxone injection?from copaxone.com

You can have chest pain as part of an immediate post-injection reaction or by itself. This type of chest pain usually lasts a few minutes and can begin around 1 month after you start using COPAXONE. ®. . Call your doctor right away if you have chest pain while using COPAXONE. ®.

Where to report side effects of prescription drugs?from copaxone.com

You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

What is a relapsing MS?from copaxone.com

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

Does copacine cause chest pain?from copaxone.com

The most common side effects of COPAXONE. ®. include redness, pain, swelling, itching, or a lump at the injection site; rash; shortness of breath; flushing; and chest pain. Tell your doctor if you have any side effect that bothers you or that does not go away.

Is 20 mg/ml a substitute for copacaline?from copaxone.com

20 mg/mL. No substitutions permitted. This card is valid only for patients with commercial insurance coverage for COPAXONE

What to do if you suspect an overdose?

If overdose is suspected, contact your local poison control center or emergency room immediately.

How many Americans can't afford medication?

There are over 100 million Americans that either can‚t afford their medication or are struggling to afford their medication. We aim to help each and every American in that situation.

How to administer glatiramer?

This drug is administered by injection under the skin. Follow all instructions exactly and review the glatiramer patient information booklet with your doctor or pharmacist to learn how to prepare and inject the drug, as well as proper disposal of used needles and syringes. The recommended dose for treatment of MS is 20 mg daily, given at the same time each day when you feel strongest. Areas for self-injection include arms, abdomen (lower belly), hips and thighs. Rotate injection sites as directed. Be sure to use the proper injection device for the type of syringe (e.g., glass or plastic) the medication is in. Ask your doctor or pharmacist if you have any questions about the device. Discard any unused portion of a vial after a single use. If the solution contains particles, do not inject. Instead, discard or return the drug to your pharmacist.

How long does chest pain last after a copraxone injection?

You can have chest pain as part of an immediate post-injection reaction or by itself. This type of chest pain usually lasts a few minutes and can begin around 1 month after you start using COPAXONE. ®. . Call your doctor right away if you have chest pain while using COPAXONE. ®.

Where to report side effects of prescription drugs?

You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

What is a relapsing MS?

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

Does copacine cause chest pain?

The most common side effects of COPAXONE. ®. include redness, pain, swelling, itching, or a lump at the injection site; rash; shortness of breath; flushing; and chest pain. Tell your doctor if you have any side effect that bothers you or that does not go away.

Is 20 mg/ml a substitute for copacaline?

20 mg/mL. No substitutions permitted. This card is valid only for patients with commercial insurance coverage for COPAXONE

How long does chest pain last after a copraxone injection?

You can have chest pain as part of an immediate post-injection reaction or by itself. This type of chest pain usually lasts a few minutes and can begin around 1 month after you start using COPAXONE. ®. . Call your doctor right away if you have chest pain while using COPAXONE. ®.

Where to report side effects of prescription drugs?

You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

What is a relapsing MS?

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

Does Teva provide free support?

Training as convenient as it is customized, including Teva-trained nurses who will provide free support that’s built around your schedule and routine.

Does copacine cause chest pain?

The most common side effects of COPAXONE. ®. include redness, pain, swelling, itching, or a lump at the injection site; rash; shortness of breath; flushing; and chest pain. Tell your doctor if you have any side effect that bothers you or that does not go away.

Is 20 mg/ml a substitute for copacaline?

20 mg/mL. No substitutions permitted. This card is valid only for patients with commercial insurance coverage for COPAXONE

What is the med number for copacaxone?

services, have your patients call 1-800-887-8100 or visit COPAXONE.com. Indication. COPAXONE ® is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

How to fax Teva prescription?

as prescribed, rather than a generic option, from the pharmacy. Submit completed forms via fax to 1-800-775-5834. Call Teva's Shared Solutions. ®. at 1-800-887-8100 to request Prescription and Service Request Form tear pads and other patient resources. SEE AVAILABLE RESOURCES.

Who must read, sign, and date the Patient Authorization section?

Your patient (or authorized representative) must read, sign, and date the Patient Authorization section.

What can a nurse do with a teva?

A Teva-trained nurse will be able to offer tips and answer questions specific to Teva's COPAXONE. . To help ensure you're rotating your injection sites properly: nurses can show you rotation pattern techniques that may help prevent injection site reactions. To help keep your skin as healthy as possible:

How to prevent injection site reactions?

nurses can show you rotation pattern techniques that may help prevent injection site reactions. To help keep your skin as healthy as possible: 2 for glass syringe may help manage injection site reactions and help keep your skin healthy, especially if you’ve gained or lost enough weight to affect your clothing size.

How long does chest pain last after a copraxone injection?from copaxone.com

You can have chest pain as part of an immediate post-injection reaction or by itself. This type of chest pain usually lasts a few minutes and can begin around 1 month after you start using COPAXONE. ®. . Call your doctor right away if you have chest pain while using COPAXONE. ®.

How to report side effects of a prescription drug?from copaxone.com

Call your doctor for medical advice about side effects. You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Please read the Patient Information in the full Prescribing Information.

What is a relapsing MS?from copaxone.com

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

Does copacine cause chest pain?from copaxone.com

The most common side effects of COPAXONE. ®. include redness, pain, swelling, itching, or a lump at the injection site; rash; shortness of breath; flushing; and chest pain. Tell your doctor if you have any side effect that bothers you or that does not go away.

Is 20 mg/ml a substitute for copacaline?from copaxone.com

20 mg/mL. No substitutions permitted. This card is valid only for patients with commercial insurance coverage for COPAXONE

How to get rid of discomfort from copraxone injection?from copaxone.com

®. is at room temperature can help avoid discomfort. 2. Apply a warm compress to the injection site (with a cloth barrier between the warm compress and bare skin) for 5 minutes to help relax the tissue before cleaning the site and injecting. 3.

How long does chest pain last after a copraxone injection?from copaxone.com

You can have chest pain as part of an immediate post-injection reaction or by itself. This type of chest pain usually lasts a few minutes and can begin around 1 month after you start using COPAXONE. ®. . Call your doctor right away if you have chest pain while using COPAXONE. ®.

What is a relapsing MS?from copaxone.com

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

Where to report side effects of prescription drugs?from copaxone.com

You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Does copacine cause chest pain?from copaxone.com

The most common side effects of COPAXONE. ®. include redness, pain, swelling, itching, or a lump at the injection site; rash; shortness of breath; flushing; and chest pain. Tell your doctor if you have any side effect that bothers you or that does not go away.

Is 20 mg/ml a substitute for copacaline?from copaxone.com

20 mg/mL. No substitutions permitted. This card is valid only for patients with commercial insurance coverage for COPAXONE

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Important Note

  • The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. GLATIRAMER - INJECTION (glah-TEE-ruh-mer) C…
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Uses

  • This medication is used to treat multiple sclerosis (MS) and decrease the number of flare-ups of the disease. This drug is not a cure for MS.
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How to Use

  • This drug is administered by injection under the skin. Follow all instructions exactly and review the glatiramer patient information booklet with your doctor or pharmacist to learn how to prepare and inject the drug, as well as proper disposal of used needles and syringes. The recommended dose for treatment of MS is 20 mg daily, given at the same time each day when you feel strongest. Ar…
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Side Effects

  • Immediately after injection, you may experience flushing, chest pain, fast heartbeat, anxiety, shortness of breath or itching. These symptoms disappear fairly quickly and do not require treatment. They usually start after you use the drug for a few months. Unusual weakness, pain, nausea, joint aches or headache may occur. If any side effects persis...
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Precautions

  • Tell your doctor your medical history, especially of: allergies (especially drug allergies). Tell your doctor if you are pregnant before using this medication. It is not known if this drug is excreted into breast milk. Consult your doctor before breast-feeding.
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Drug Interactions

  • Tell your doctor of all nonprescription and prescription medication you may use. Do not start or stop any medicine without doctor or pharmacist approval.
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Missed Dose

  • If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
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Storage

  • Refrigerate the powder between 36 to 46 degrees F (2 to 8 degrees C). If refrigeration is not possible, the powder may be stored at room temperature at 59 to 86 degrees F (15-30C) for up to one week. Do not expose powder to strong light or high temperatures. The mixing liquid (diluent) can be stored at room temperature. Once the solution is prepared, use it immediately. Do not sa…
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