Patient-Helpdesk.com

onfi patient assistance form

by Price Cormier Published 1 year ago Updated 1 year ago
image

What are the terms and conditions for the ONFI copay assistance program?

Complete Terms and Conditions for the ONFI Copay Assistance Program are available here. *Medicaid patients and other federal health care program beneficiaries, patients who are self-pay, and patients who do not have insurance coverage for ONFI are not eligible. Eligible commercial patients must be at least 2 years old to participate.

What is ONFI used to treat?

ONFI [ (clobazam) CIV] is a prescription medicine used along with other medicines to treat seizures associated with Lennox-Gastaut syndrome in people 2 years of age or older. See Medication Guide and full Prescribing Information for complete information. ONFI is a benzodiazepine medicine.

How do I contact the ONFI support center?

The Support Center is also available to answer questions about the ONFI patient support programs. If you or your patients have questions about the support program services available, call the ONFI Support Center at 1-855-345-6634 (8:00 AM to 8:00 PM ET, Monday through Friday).

How much does ONFI cost?

Eligible commercial patients* may pay as little as $10/30-day supply of ONFI with a maximum benefit of $600 per 30-day prescription. Offers are valid only in the USA where allowed by law. Eligible commercial patients* may pay as little as $10/30-day supply of ONFI with a maximum benefit of $600 per 30-day prescription.

image

Is Onfi addictive?

ONFI can be abused and cause dependence. Physical dependence is not the same as drug addiction. Your healthcare provider can tell you more about the differences between physical dependence and drug addiction.

What drug class is Onfi?

It belongs to a class of medications called benzodiazepines, which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA).

What type of seizures does Onfi treat?

What is Onfi? Onfi is a brand-name prescription medication. It's approved to treat seizures in people who have a rare type of epilepsy called Lennox-Gastaut syndrome (LGS).

Can Onfi cause seizures?

Patients should not stop taking Onfi without first talking to their health care professionals. Stopping Onfi suddenly can cause serious withdrawal problems, such as seizures that will not stop, hallucinations (hearing or seeing things that are not real), shaking, nervousness, and stomach or muscle cramps.

Does clobazam affect memory?

Clobazam did not impair memory. Lorazepam impaired performances in all the tests used to evaluate perception, immediate memory, reaction time, psychomotor skill and intellectual capacity.

Can you take clobazam long term?

Eligible patients from these two trials were enrolled in an open label extension study that allowed them to take clobazam for up to 6 years 38. The results showed that clobazam was indeed effective over a long time period, with 80% of patients “very much improved” or “much improved” after 3 years.

Can Onfi cause aggression?

You should contact your doctor right away if you notice aggression while taking Onfi. Although aggression itself may not be serious, changes in your behavior can be a sign of more serious side effects of Onfi. These can include addiction or misuse, or suicidal thoughts or behaviors.

Can clobazam cause anger?

Most patients develop moderate intellectual disability and behavioral problems, including hyperactivity, aggressiveness, insecurity, and autistic features. Treatment with benzodiazepines, including clobazam, may increase aggression/behavioral problems in patients with Lennox-Gastaut syndrome.

Does Onfi cause weight gain?

It's possible that taking Onfi could lead to weight gain. Weight gain wasn't reported as a side effect in studies of Onfi. But some people have an increased appetite with Onfi, and increased appetite could lead to weight gain. If you're concerned about weight gain while taking Onfi, talk with your doctor.

Does clobazam affect speech?

After 3 weeks of treatment with clobazam 20 mg a day, the patient developed, in association with his seizures, a neologistic jargon dysphasia but with loss of inflection, volume, and rhythm of speech, presumably as a result of the effect of the clobazam.

What does clobazam do to the brain?

Clobazam is used to help control seizures (convulsions) that occur with Lennox-Gastaut syndrome (LGS). It works in the brain to prevent seizures. This medicine will not cure LGS and will only control seizures for as long as you continue to take it. Clobazam is a benzodiazepine.

Does Onfi cause anxiety?

Risk of dependence and withdrawal Because of the risk of dependence, stopping Onfi suddenly can lead to serious or life threatening withdrawal symptoms. Examples of possible symptoms include: nausea and vomiting. anxiety or confusion.

Is Onfi an opioid?

ONFI is a benzodiazepine medicine. Taking benzodiazepines with opioid medicines, alcohol, or other central nervous system (CNS) depressants (including street drugs) can cause severe drowsiness, breathing problems (respiratory depression), coma, and death when taken with opioid medicines.

What type of drug is clobazam?

Clobazam is a benzodiazepine. Benzodiazepines belong to the group of medicines called central nervous system (CNS) depressants, which are medicines that slow down the nervous system. This medicine is available only with your doctor's prescription.

What can you not take with clobazam?

Do not drink alcohol or use street drugs during your treatment. Drinking alcohol or using street drugs during your treatment with clobazam also increases the risk that you will experience these serious, life-threatening side effects.

Is clobazam similar to diazepam?

Clobazam 10mg is approximately equivalent to diazepam 5mg. Clobazam is used short-term for severe anxiety and as adjunctive therapy in psychosis, schizophrenia and epilepsy. The daily dose can be given in divided doses or as a single dose at night. Doses higher than 30mg should be given in divided doses.

What is ONFI counseling?

Use of ONFI, particularly in patients at elevated risk , necessitates counseling about the risks and proper use of ONFI along with monitoring for signs and symptoms of abuse, misuse, and addiction. Prescribe the lowest effective dosage; avoid or minimize concomitant use of Central Nervous System (CNS) depressants and other substances associated with abuse, misuse, and addiction (e.g., opioid analgesics, stimulants); and advise patients on the proper disposal of unused drug. If a substance use disorder is suspected, evaluate the patient and institute (or refer them for) early treatment, as appropriate.

What are the risks of ONFI?

Limit dosages and durations to the minimum required. Follow patients for signs and symptoms of respiratory depression and sedation. The use of benzodiazepines, including ONFI, exposes users to risks of abuse, misuse, and addiction, which can lead to overdose or death.

How old do you have to be to be eligible for ONFI?

Eligible commercial patients must be at least 2 years old to participate.

Can ONFI cause withdrawal?

The continued use of benzodiazepines, including ONFI, may lead to clinically significant physical dependence. Abrupt discontinuation or rapid dosage reduction of ONFI after continued use, or administration of flumazenil (a benzodiazepine antagonist) may precipitate acute withdrawal reactions, which can be life-threatening (e.g., seizures).

Is ONFI excreted in milk?

ONFI is excreted in human milk. Because of the potential for serious adverse reactions from ONFI in nursing infants, discontinue nursing or discontinue the drug.

When to discontinue ONFI?

Discontinue ONFI at the first sign of rash, unless the rash is clearly not drug-related. Suicidal Behavior and Ideation. Antiepileptic drugs (AEDs), including ONFI, increase the risk of suicidal thoughts or behavior in patients.

Can ONFI be discontinued?

Abrupt discontinuation or rapid dosage reduction of ONFI after continued use may precipitate acute withdrawal reactions, which can be life-threatening.

What is ONFI used for?

ONFI [ (clobazam) CIV] is a prescription medicine used along with other medicines to treat seizures associated with Lennox-Gastaut syndrome in people 2 years of age or older.

How much is ONFI?

Eligible commercial patients* may pay as little as $10/30-day supply of ONFI with a maximum benefit of $600 per 30-day prescription. Offers are valid only in the USA where allowed by law.

How does ONFI affect you?

Do not drive, operate heavy machinery, or do other dangerous activities until you know how ONFI affects you. ONFI may cause problems with your coordination, especially when you are walking or picking things up.

How long can you keep ONFI?

ONFI oral suspension should be kept in its original bottle in an upright position and used within 90 days of first opening the bottle. After 90 days, safely throw away any unused ONFI oral suspension.

What are the medical conditions that you should tell your doctor about?

Tell your healthcare provider about all your medical conditions, including liver or kidney problems, lung problems (respiratory disease), depression, mood problems, or suicidal thoughts or behavior.

Can Onfi cause dizziness?

ONFI may cause problems with your coordination, especially when you are walking or picking things up. Do not drink alcohol or take other drugs that may make you sleepy or dizzy while taking ONFI without first talking to your healthcare provider. ONFI may make your sleepiness or dizziness much worse.

Can ONFI cause withdrawal?

The use of benzodiazepines, including ONFI, exposes users to risks of abuse, misuse, and addiction, which can lead to overdose or death. Stopping or decreasing ONFI dosage suddenly after continued use may cause serious withdrawal reactions, which can be life-threatening.

Why do you withdraw from ONFI?

As with all antiepileptic drugs (AEDs), withdraw ONFI gradually to minimize the risk of precipitating seizures, seizure exacerbation, or status epilepticus . Withdrawal symptoms occurred following abrupt discontinuation of ONFI; the risk of withdrawal symptoms is greater with higher doses.

Does ONFI have a depressant effect?

ONFI has a CNS depressant effect. Caution patients or their caregivers against simultaneous use with other CNS depressant drugs or alcohol and that the effects of other CNS depressant drugs or alcohol may be potentiated.

Does ONFI cause somnolence?

ONFI causes somnolence and sedation. In clinical trials, somnolence or sedation was reported at all effective doses and was dose-related. In general, somnolence and sedation begin within the first month of treatment and may diminish with continued treatment. Monitor patients for somnolence and sedation, particularly with concomitant use of other CNS depressants. Caution patients against engaging in hazardous activities that require mental alertness, such as operating dangerous machinery or motor vehicles, until the effect of ONFI is known.

Can you discontinue ONFI?

Discontinue ONFI at the first sign of rash, unless the rash is clearly not drug-related.

How long is the ONFI trial?

Terms and Conditions for the ONFI 14-Day Free Trial and Copay Assistance Programs

How much is the Copay Assistance program?

Use of the Copay Assistance program will require patients to pay a minimum of $10 out-of-pocket expense for each 30-day prescription. To be eligible, patients must have a copay that exceeds $10 for each 30-day prescription. A maximum benefit of $600 may apply for each 30-day prescription. If the patient’s total out-of-pocket pharmacy bill exceeds the cap established by Lundbeck, the patient will be responsible for the additional balance. Patients should talk to their pharmacist to determine the maximum amount that they could pay based on their prescribed dosage and insurance benefits. By participating in the Copay Assistance program, the patient acknowledges and agrees that he/she is eligible to participate and that he/she understands and agrees to comply with the General and Copay Assistance Terms and Conditions.

What is informational support?

Informational Support includes insurance coverage information related to ONFI and, depending on patient eligibility, information regarding other Lundbeck patient support programs. Separate applications may be required for Lundbeck programs to determine patient eligibility.

What segment of the NCPDP is used for copay card?

For the copay card, if primary coverage exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response

Is a prescription offer transferable?

The Offers are not transferable. The selling, purchasing, trading, or counterfeiting of the Offers is prohibited by law. The Offers have no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription.

Can you verify insurance coverage for ONFI?

There may be other ways for patients to obtain assistance verifying insurance coverage for, and/or affording the cost of ONFI. Questions regarding other possible sources of patient support should be directed to the patient’s health care provider.

Can you submit a free trial prescription to a third party?

The free trial and copay prescriptions shall not be submitted for reimbursement to any public third-party payer, including Medicaid or Medicare or any other similar federal or state healthcare program; in addition, the free trial prescription shall not be submitted to any private third-party payer.

What is ONFI counseling?

Use of ONFI, particularly in patients at elevated risk , necessitates counseling about the risks and proper use of ONFI along with monitoring for signs and symptoms of abuse, misuse, and addiction. Prescribe the lowest effective dosage; avoid or minimize concomitant use of Central Nervous System (CNS) depressants and other substances associated with abuse, misuse, and addiction (e.g., opioid analgesics, stimulants); and advise patients on the proper disposal of unused drug. If a substance use disorder is suspected, evaluate the patient and institute (or refer them for) early treatment, as appropriate.

How to reduce withdrawal reactions from ONFI?

To reduce the risk of withdrawal reactions, use a gradual taper to discontinue or reduce the dosage of ONFI.

Can ONFI cause withdrawal?

The continued use of benzodiazepines, including ONFI, may lead to clinically significant physical dependence. Abrupt discontinuation or rapid dosage reduction of ONFI after continued use, or administration of flumazenil (a benzodiazepine antagonist) may precipitate acute withdrawal reactions, which can be life-threatening (e.g., seizures).

Is ONFI contraindicated?

Contraindication: Hypersensitivity. ONFI is contraindicated in patients with a history of hypersensitivity to the drug or its ingredients.

What are the risks of ONFI?

Limit dosages and durations to the minimum required. Follow patients for signs and symptoms of respiratory depression and sedation. The use of benzodiazepines, including ONFI, exposes users to risks of abuse, misuse, and addiction, which can lead to overdose or death.

Can ONFI cause fetal harm?

Based on animal data, ONFI may cause fetal harm and should only be used during pregnancy if the potential benefit justifies the potential risk to the fetus.#N#Talk to your patients about enrolling in the North American Antiepileptic Drug Pregnancy Registry; encourage them to call 1-888-233-2334 or visit http://www.aedpregnancyregistry.org/.

Does ONFI count toward deductible?

Patients are responsible for complying with any rules imposed by their insurance plan; some plans may not allow commercial copay assistance to count toward a patient's deductible. Complete Terms and Conditions for the ONFI Copay Assistance Program are available here.

How to contact ONFI?from onfihcp.com

Call ONFI Support Center for support at 1-855-345-6634. *. Medicaid patients and other federal health care program beneficiaries, patients who are self-pay, and patients who do not have insurance coverage for ONFI are not eligible. Eligible commercial patients must be at least 2 years old to participate. See complete Terms and Conditions ...

What is the ONFI number?from onfihcp.com

1-855-345-ONFI (6634) | 8 AM to 8 PM ET.

What is informational support?from onfi.com

Informational Support includes insurance coverage information related to ONFI and, depending on patient eligibility, information regarding other Lundbeck patient support programs. Separate applications may be required for Lundbeck programs to determine patient eligibility.

What is the ONFI support center?from onfihcp.com

The ONFI Support Center will be available to assist ONFI patients. The ONFI Support Center can help confirm insurance coverage information for ONFI and, depending on patient eligibility, provide blank prior authorization forms where available and provide information about other support programs that may be able to assist the patient, including helping eligible patients enroll in the 14-Day Free Trial and Copay Assistance Programs. The Support Center is also available to answer questions about the ONFI patient support programs. If you or your patients have questions about the support program services available, call the ONFI Support Center at 1-855-345-6634 (8:00 AM to 8:00 PM ET, Monday through Friday).

How much is the Copay Assistance program?from onfi.com

Use of the Copay Assistance program will require patients to pay a minimum of $10 out-of-pocket expense for each 30-day prescription. To be eligible, patients must have a copay that exceeds $10 for each 30-day prescription. A maximum benefit of $600 may apply for each 30-day prescription. If the patient’s total out-of-pocket pharmacy bill exceeds the cap established by Lundbeck, the patient will be responsible for the additional balance. Patients should talk to their pharmacist to determine the maximum amount that they could pay based on their prescribed dosage and insurance benefits. By participating in the Copay Assistance program, the patient acknowledges and agrees that he/she is eligible to participate and that he/she understands and agrees to comply with the General and Copay Assistance Terms and Conditions.

How much does a copay for a prescription cost?from onfihcp.com

Use of the Copay Assistance program will require patients to pay a minimum of $10 out-of-pocket expense for each 30-day prescription. To be eligible, patients must have a copay that exceeds $10 for each 30-day prescription. A maximum benefit of $600 may apply for each 30-day prescription.

What segment of the NCPDP is used for copay card?from onfihcp.com

For the copay card, if primary coverage exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9