How do I Opt Out of the KEVZARA patient support program?
I may opt out of receiving Communications, individual support services offered by the Program, including the KEVZARA Patient Support Copay Card, or opt out of the Program entirely at any time by notifying a Program representative by telephone at 1-844-KEVZARA (844-538-9272).
What is the cost of KEVZARA for Medicare patients?
The Patient Assistance Program provides KEVZARA at no cost for up to 12 months to eligible uninsured, underinsured, and certain Medicare Part D patients if additional eligibility requirements are met.
What should I know about KEVZARA before taking it?
Avoid use of KEVZARA in patients with an active infection. Active tuberculosis, which may present with pulmonary or extrapulmonary disease. Patients should be tested for latent tuberculosis before KEVZARA use and during therapy. Treatment for latent infection should be initiated prior to KEVZARA use.
When is KEVZARA indicated for the treatment of tuberculosis (TB)?
Hold treatment with KEVZARA if a patient develops a serious infection or an opportunistic infection. Patients with latent TB should be treated with standard antimycobacterial therapy before initiating KEVZARA.
What is KevzaraConnect Quick Start Program?
What is the Patient Assistance Program?
About this website
How is KEVZARA given?
The recommended dose of Kevzara is 200 mg once every 2 weeks administered as a subcutaneous injection. Reduction of dose from 200 mg once every 2 weeks to 150 mg once every 2 weeks is recommended for management of neutropenia, thrombocytopenia, and liver enzyme elevations.
How long does it take for KEVZARA to work?
KEVZARA, taken with methotrexate, has been proven to: Relieve pain in as little as 2 weeks (for some, it may take up to 3 months) Reduce tender and swollen joints.
Is KEVZARA self administered?
Kevzara (sarilumab) is an interleukin-6 receptor (IL-6R) antibody for the treatment of adults with rheumatoid arthritis. It is given as a subcutaneous injection, which can be self-administered.
Does KEVZARA make you tired?
diarrhea, stomach pain, weight loss; sores on your skin; pain or burning when you urinate; or. feeling very tired.
Is hair loss a side effect of Kevzara?
Hair loss should not occur as a side effect of Kevzara when the drug is used alone. Hair loss wasn't reported in clinical trials of Kevzara. However, hair loss can be a side effect of methotrexate. In some cases, doctors may prescribe this drug in combination with Kevzara to treat rheumatoid arthritis (RA).
Does Kevzara cause weight gain?
Weight gain is not a reported side effect of Kevzara. The symptoms of rheumatoid arthritis can make people tired and make it hard for them to move and exercise, which may contribute to weight gain. Other drugs that may also be given for rheumatoid arthritis, such as prednisone, are more likely to cause weight gain.
How often do you inject KEVZARA?
KEVZARA® Dosing & Administration | KEVZARA® (sarilumab) The recommended starting dosage for KEVZARA is 200 mg once every 2 weeks, given as a subcutaneous injection.
How often do you take KEVZARA?
KEVZARA is injected under the skin (subcutaneous injection) once every 2 weeks, and comes in 2 doses—200 mg/1.14 mL or 150 mg/1.14 mL. You should take KEVZARA exactly as your doctor or pharmacist has told you.
How do you inject a KEVZARA syringe?
1 of 6. Complete Step B after completing all steps in Step A “Get ready for an injection” Pull off the needle cap. ... 2 of 6. Pinch the skin. ... 3 of 6. Insert the needle into the fold of skin at about a 45° angle.4 of 6. Push the plunger down. ... 5 of 6. Before you remove the needle, check that the. ... 6 of 6. Dispose of the syringe.
Does Kevzara lower your immune system?
KEVZARA can lower the ability of your immune system to fight infections. Some people have had serious infections while using KEVZARA, including tuberculosis (TB), and infections caused by bacteria, fungi, or viruses that can spread throughout the body. Some people have died from these infections.
Can Kevzara cause stomach pain?
Kevzara may cause you to have a tear in your stomach or intestines. This is more likely if you have diverticulitis or a stomach ulcer, or if you also take steroids, methotrexate, or an NSAID (nonsteroidal anti-inflammatory drug). Call your doctor right away if you have a fever and ongoing stomach pain.
Does Kevzara cause bruising?
Bleeding: Sarilumab may cause a reduced number of platelets in the blood, which can make it difficult to stop cuts from bleeding. If you notice any signs of bleeding, such as frequent nosebleeds, unexplained bruising, or black and tarry stools, notify your doctor as soon as possible.
How often do you take KEVZARA?
KEVZARA is injected under the skin (subcutaneous injection) once every 2 weeks, and comes in 2 doses—200 mg/1.14 mL or 150 mg/1.14 mL. You should take KEVZARA exactly as your doctor or pharmacist has told you.
Does KEVZARA lower your immune system?
KEVZARA can lower the ability of your immune system to fight infections. Some people have had serious infections while using KEVZARA, including tuberculosis (TB), and infections caused by bacteria, fungi, or viruses that can spread throughout the body. Some people have died from these infections.
Can you drink alcohol with KEVZARA?
Alcohol use and Kevzara Alcohol may also affect your liver. So, alcohol and Kevzara together may increase your risk of liver problems. Also, other medications you may take with Kevzara, such as Trexall (methotrexate) or non-steroidal anti-inflammatory drugs (NSAIDs), may interact with alcohol.
Can KEVZARA cause stomach pain?
Kevzara may cause you to have a tear in your stomach or intestines. This is more likely if you have diverticulitis or a stomach ulcer, or if you also take steroids, methotrexate, or an NSAID (nonsteroidal anti-inflammatory drug). Call your doctor right away if you have a fever and ongoing stomach pain.
Patient Assistance Program Application
Page 1 SECTION 4 – Patient Assistance Program Prescription Information KEVZARA Injection: single dose auto-injector pre-filled pen, Package of 2
KevzaraConnect® | KEVZARA® (sarilumab)
KEVZARA sample letters are included to help provide the type of information that may be useful when responding to a health plan. These letters provide an example of the types of information that may be provided when responding to a request from a patient’s health plan to provide either a letter of appeal or a letter of medical necessity for KEVZARA.
Enrollment And Consent Form - KEVZARA
Patient Consent and Enrollment Form Section 1. Patient Information (*Required Fields) Patient Name (First, MI, Last) * Date of Birth * / / Gender * Male Female Other Prefer not to disclose
Complete and fax pages 1-4 to KevzaraConnect at 1-844-538-8960 ...
Page 2 Complete and fax pages 1-4 to KevzaraConnect® at 1-844-538-8960. SECTION 6 – Household Income (Only required if requesting KevzaraConnect® patient assistance for uninsured patients or for patients who lack pharmacy benefit coverage)
SupportPlus™ - Patient Assistance from Otezla® (apremilast)
Just been prescribed Otezla? Download our Otezla Patient Roadmap and we’ll help you get off to a great start! This 1 page resource will provide you information on getting started with Otezla, financial support options, how to get Otezla delivered—and how to stay on track with Otezla.
What is KevzaraConnect Quick Start Program?
KevzaraConnect Quick Start Program provides Kevzara free of charge for commercially insured eligible patients who are experiencing delays in coverage
What is the Patient Assistance Program?
Patient Assistance Program provides eligible uninsured patients with drug at no cost
What are pharmacy instructions for a patient with an eligible third party?
Pharmacist Instructions for a Patient with an Eligible Third Party: Submit the claim to the primary Third-Party Payer first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer coordination of benefits with patient responsibility amount and a valid Other Coverage Code ( e.g., 8). Maximum reimbursement limits apply; patient out-of-pocket expense may vary. Reimbursement will be received from CHANGE HEALTHCARE.
What does it mean to process a prescription card?
Pharmacist: When you process this card, you are certifying that you have read, understood, and are in compliance with the terms and conditions pertaining to this program. You are further certifying that you have not submitted and will not submit a claim for reimbursement under Medicaid, Medicare, VA, DOD, TRICARE, or similar federal or state programs including any state medical pharmaceutical assistance program for this prescription.
How to contact change health care?
Reimbursement will be received from CHANGE HEALTHCARE. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-422-5604. The card is not transferable and the amount of the rebate cannot exceed the patient’s out-of-pocket expenses.
Is the TRICARE program valid for cash?
Program is not valid for cash paying customers. If your prescription is covered by insurance, you may need to notify the insurance carrier of redemption of this copay card. This offer is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA, DOD, TRICARE, or similar federal or state programs ...
What are the most common adverse reactions to kevadar?
The most common adverse reactions (occurred in at least 3% of patients treated with KEVZARA + DMARDs) are neutropenia, increased ALT, injection site erythema, upper respiratory infections, and urinary tract infections.
Can you use Kevzara while pregnant?
KEVZARA should be used in pregnancy only if the potential benefit justifies the potential risk to the fetus. Because monoclonal antibodies could be excreted in small amounts in human milk, the benefits of breastfeeding and the potential adverse effects on the breastfed child should be considered along with the mother’s clinical need for KEVZARA.
Is Kevzara a serious infection?
WARNING: RISK OF SERIOUS INFECTIONS. Patients treated with KEVZARA are at increased risk for developing serious infections that may lead to hospitalization or death. Opportunistic infections have also been reported in patients receiving KEVZARA. Most patients who developed infections were taking concomitant immunosuppressants such as methotrexate ...
Can you take Kevzara with latent TB?
Patients with latent TB should be treated with standard antimycobacterial therapy before initiating KEVZARA. Consider anti-TB therapy prior to initiation of KEVZARA in patients with a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed, and for patients with a negative test for latent TB but having risk factors for TB infection.
How to contact Kevzara?
Patient calls KEVZARA. Step 1:Patient calls KevzaraConnect at 1-844-KEVZARA(1-844-538-9272) Step 2:A Coordinator will work with the patient to complete enrollment and obtain HIPAA consent. A completed enrollment form provides:
What is the number to call Kevzara?
Calling KevzaraConnect at 1-844-KEVZARA(1-844-538-9272) *This program is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, Veterans Affairs, Department of Defense, TRICARE, or similar federal or state programs, including any state pharmaceutical assistance program.
What is the first step in HCP enrollment?
Step 1:HCP and patient complete the enrollment form, including HIPAA consent from patient
What infections are associated with Kevzara?
The most frequently observed serious infections with KEVZARA included pneumonia and cellulitis. Among opportunistic infections, TB, candidiasis, and pneumocystis were reported with KEVZARA. Hold treatment with KEVZARA if a patient develops a serious infection or an opportunistic infection.
Where is a patient resident?
Patient is a resident of the 50 United States, the District of Columbia, or Puerto Rico
Can you die from a kevagra?
Patients treated with KEVZARA are at increased risk for developing serious infections that may lead to hospitalization or death . Opportunistic infections have also been reported in patients receiving KEVZARA. Most patients who developed infections were taking concomitant immunosuppressants such as methotrexate or corticosteroids.
Can you combine vouchers with TheraCom?
This free trial will be supplied through TheraCom. Vouchers and samples cannot be combined, and the voucher is not
How much is the KevzaraConnect copay?
* The maximum copay assistance is $15,000 per calendar year. * Applicable for eligible patients with commercial insurance not funded through a government healthcare program. Subject to the program’s Terms & Conditions.
What is KevzaraConnect card?
Whether you’ve just been prescribed KEVZARA, or have already started taking it, the KevzaraConnect® Copay Card helps eligible, commercially insured patients with their copay costs for KEVZARA.
What does it mean to process a prescription card?
Pharmacist: When you process this card, you are certifying that you have read, understood, and are in compliance with the terms and conditions pertaining to this program. You are further certifying that you have not submitted and will not submit a claim for reimbursement under Medicaid, Medicare, VA, DOD, TRICARE, or similar federal or state programs including any state medical pharmaceutical assistance program for this prescription.
What are pharmacy instructions for a patient with an eligible third party?
Pharmacist Instructions for a Patient with an Eligible Third Party: Submit the claim to the primary Third-Party Payer first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer coordination of benefits with patient responsibility amount and a valid Other Coverage Code ( e.g., 8). Maximum reimbursement limits apply; patient out-of-pocket expense may vary. Reimbursement will be received from CHANGE HEALTHCARE.
How to contact change health care?
Reimbursement will be received from CHANGE HEALTHCARE. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-422-5604. The card is not transferable and the amount of the rebate cannot exceed the patient’s out-of-pocket expenses.
Can you submit a claim for TRICARE?
You are further certifying that you have not submitted and will not submit a claim for reimbursement under Medicaid, Medicare, VA, DOD, TRICARE, or similar federal or state programs including any state medical pharmaceutical assistance program for this prescription.
What is KevzaraConnect Quick Start Program?
KevzaraConnect Quick Start Program provides Kevzara free of charge for commercially insured eligible patients who are experiencing delays in coverage
What is the Patient Assistance Program?
Patient Assistance Program provides eligible uninsured patients with drug at no cost
