EYLEA4U is a patient support program that offers patient access support, reimbursement support, and product support for your patients who are prescribed EYLEA ® (aflibercept) Injection. Our dedicated team and wide range of resources can help patients access EYLEA and answer any questions you might have. Enrolling in EYLEA4U
Full Answer
What is the eylea4u program?
EYLEA4U is a patient support program that offers patient access support, reimbursement support, and product support for your patients who are prescribed EYLEA ® (aflibercept) Injection. Our dedicated team and wide range of resources can help patients access EYLEA and answer any questions you might have.
How can I get support with Eylea?
Our dedicated team and wide range of resources can help patients access EYLEA and answer any questions you might have. Enrollment in EYLEA4U, the patient support program for EYLEA, is the key to accessing support for you and your patients
How much does Eylea cost with insurance?
Eligible patients with commercial insurance may pay as little as a $0 copay for each EYLEA treatment with the EYLEA Copay Card. Subject to annual assistance limit. † The Patient Assistance Program may help eligible patients obtain EYLEA free of charge if you are uninsured or if your health plan doesn’t cover EYLEA. ‡
What can eylea4u do for your office?
EYLEA4U is available to support your office if you decide to appeal a health plan’s decision to deny coverage for EYLEA. A Reimbursement Specialist can: Provide information about PAs for EYLEA that have been denied If you received an incorrect claim for EYLEA or your claim was denied, EYLEA4U can: * Subject to Regeneron policies.
What is eylea copay card program?
†The EYLEA Copay Card Program covers up to $15,000 in assistance per year toward product-specific copay, coinsurance, and insurance deductibles for EYLEA treatments. You pay as little as a $0 copay of each treatment and any additional copay costs that exceed the program limits.
How much does eylea cost without insurance?
As a guide, Eylea usually costs around $2,000 for 0.05 ml or 40 mg Eylea solution for injection. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
What insurance covers eylea injections?
Medicare pays for an intravitreal injection (which is considered a minor surgery) as part of a global surgical package that includes the preoperative, intraoperative, and postoperative services routinely performed by the physician. Medicare pays for Eylea and Lucentis separately from the intravitreal injection.
Is eylea covered under Medicare Part B?
Does Medicare Cover Eylea Injections? Eylea is the brand name for the drug; also, it's an injection to treat wet age-related macular degeneration. If your doctor determines treatment with Eylea is necessary, Part B will cover it.
How long can you take Eylea?
The recommended treatment doses for wet AMD is one treatment every month for 3 months, then once every 2 months after that – as long as the vision is stable. It is however not uncommon to need a treatment every 4-6 weeks instead.
Is there an alternative to Eylea?
Monthly eye injections of Avastin (bevacizumab) are as effective as the more expensive drug Eylea (aflibercept) for the treatment of central retinal vein occlusion (CRVO), according to a clinical trial funded by the National Eye Institute (NEI), part of the National Institutes of Health.
What is the cost of an injection of EYLEA?
Eylea will run $1,850 per dose, Bloomberg reports, compared with $2,000 for Lucentis, and $16,000 for a full year, compared with $24,000 for the Roche drug.
Does EYLEA cause high blood pressure?
The review was triggered by 3 scientific studies which observed that following injection into the eye, Eylea is removed from the body's bloodstream slower than alternative products, and this could possibly lead to systemic toxicity. 1, 2, 3 The rare side effects of these medications include stroke, heart disease, high ...
Is macular degeneration covered by medical insurance?
Because AMD is an eye disease, treatment for the condition is usually covered by major medical health insurance plans, not vision health insurance plans. Under the Affordable Care Act (ACA, also known as Obamacare), all qualified health plans must cover eye diseases such as AMD.
What is the Medicare deductible for 2022?
Does Medicare have deductibles? Yes—the deductible is the annual amount you pay for covered services before Medicare starts to pay. The Centers for Medicare & Medicaid Services recently released the 2022 Medicare Part A deductible ($1,556) and Part B deductible ($233).
Does Medicare cover glasses for macular degeneration?
With a Medicare Advantage plan, your vision tests and treatment for macular degeneration will be covered the same way that they would be covered by Original Medicare. Plus, many plans will help cover the cost of routine eye exams, eyeglasses and contact lenses as well, which are not covered by Original Medicare.
Does Medicare cover shots in the eye?
Medicare Part B will cover diagnostic tests and treatment for AMD, which may include drops or eye injections.
What is the average cost of EYLEA per injection?
The cost for Eylea intravitreal solution (40 mg/mL) is around $1,958 for a supply of 0.05 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans....Intravitreal Solution.QuantityPer unitPrice0.05 milliliters$39,151.00$1,957.55
How often can EYLEA be injected?
The recommended dose for EYLEA is 2 mg (0.05 mL or 50 microliters) administered by intravitreal injection every 4 weeks (approximately every 28 days, monthly) for the first 12 weeks (3 months), followed by 2 mg (0.05 mL) via intravitreal injection once every 8 weeks (2 months).
Does EYLEA cause high blood pressure?
The review was triggered by 3 scientific studies which observed that following injection into the eye, Eylea is removed from the body's bloodstream slower than alternative products, and this could possibly lead to systemic toxicity. 1, 2, 3 The rare side effects of these medications include stroke, heart disease, high ...
What are the side effects of EYLEA shots?
The most common side effects reported in patients receiving EYLEA were increased redness in the eye, eye pain, cataract, vitreous (gel-like substance) detachment, vitreous floaters, moving spots in the field of vision, and increased pressure in the eye.
What are the adverse reactions to eylea?
Serious adverse reactions related to the injection procedure have occurred in <0.1% of intravitreal injections with EYLEA including endophthalmitis and retinal detachment.
Can you inject eylea with endophthalmitis?
Intravitreal injections, including those with EYLEA, have been associated with endophthalmitis and retinal detachments. Proper aseptic injection technique must always be used when administering EYLEA. Patients should be instructed to report any symptoms suggestive of endophthalmitis or retinal detachment without delay and should be managed appropriately. Intraocular inflammation has been reported with the use of EYLEA.
Can you drive after eyelea injection?
Patients may experience temporary visual disturbances after an intravitreal injection with EYLEA and the associated eye examinations. Advise patients not to drive or use machinery until visual function has recovered sufficiently.
Sample Letters
Sample Letters can be found on the EYLEA home page under the resources tab here.
Other Resources
You can find additional resources on the EYLEA home page under the resources tab here.
Does the Patient Assistance Program provide Eylea?
The Patient Assistance Program provides eligible patients with EYLEA free of charge. To qualify, you must
Is Eylea a registered trademark?
EYLEA and EYLEA4U are registered trademarks of Regeneron Pharmaceuticals, Inc.
