Patient-Helpdesk.com

otezla patient assistance form 2021

by Prof. Terry Weber MD Published 1 year ago Updated 1 year ago
image

What is the Amgen Patient Assistance Program for Otezla?

The Amgen Patient Assistance Program for Otezla provides no-cost medication to patients who meet specific program eligibility requirements. Please complete, sign, and submit this application form in order to begin the evaluation process for enrollment.

What happens once Otezla is approved by the patient's health plan?

Once Otezla is approved by the patient's health plan, the patient is no longer eligible for the Bridge to Commercial Coverage Offer. (See PROGRAM DETAILS in full Terms & Conditions.) Co-Pay Offer: If Otezla is approved by the patient's health plan, a patient can pay as little as a $0 co-pay per month for their Otezla monthly out-of-pocket costs.

How do I get support with Otezla supportplus?

Once you sign up for Otezla SupportPlus, an Otezla Nurse Partner will call you to provide tailored one-on-one support during your Otezla experience. If you have any questions or concerns, you can also speak to one of our on-call Otezla Nurse Partners at 1-844-4OTEZLA (1-844-468-3952). With Otezla, support is always there for you.

How do I contact an Otezla Nurse Partner?

If you have any questions or concerns, you can also speak to one of our on-call Otezla Nurse Partners at 1-844-4OTEZLA (1-844-468-3952). With Otezla, support is always there for you. ‡ Otezla Nurse Partners are nurses by training, but they are not part of your treatment team or an extension of your doctor's office.

What is the phone number for Otezla?

What are the side effects of Otezla?

Does otezla cause depression?

image

What is the Otezla bridge program?

The program provides up to a Maximum Program Benefit of assistance to reduce a patient's out-of-pocket prescription costs that Amgen will provide per patient for each calendar year, which must be applied to the Otezla patient's out-of-pocket costs (co-pay, deductible, or co-insurance).

How do you get Otezla covered?

Otezla is covered by most health plans in the US, including commercial, Medicare, and Medicaid....FINANCIAL SUPPORTPatients with commercial health insurance plans.Patients covered by Medicare and Medicaid.Patients without health insurance coverage.Underinsured patients.

How do you get prescribed Otezla starter pack?

START NOW3 SIMPLE STEPS TO GET STARTED.Provide an Otezla Starter Pack so patients can start taking Otezla right away. ... Send prescriptions to the specialty pharmacy (SP) of your choice. ... Initiate a prior authorization (PA) process. ... Send prescriptions to the specialty pharmacy (SP) of your choice.More items...

How much does Otezla cost at Walmart?

Average 12 Month Prices for OtezlaPharmacyOtezla Retail PriceOtezla SingleCare PriceWalmart$4585.98$3790.94Walgreens$5011.37$4087.37Kroger Pharmacy$5091.00$3910.20Albertsons Pharmacy$4531.20$4047.601 more row

Is there a generic version of Otezla?

The US Food and Drug Administration (FDA) has granted approval for the first generic version of Otezla (apremilast) in 10, 20, and 30 mg tablets. The drug is commonly used to treat diseases such as psoriatic arthritis (PsA), Behcet's Syndrome, and plaque psoriasis.

What other drugs are similar to Otezla?

The following are some of the most common alternatives to Otezla.Tumor Necrosis Factor Inhibitor (TNFi) Biologics (etanercept, infliximab, adalimumab) ... Interleukin-17 (IL17) Inhibitor Biologics (secukinumab, ixekizumab, brodalumab) ... Interleukin 12/23 Inhibitor Biologic (ustekinumab) ... CTLA4 Immunoglobulin (abatacept)More items...•

How many day supply is Otezla starter pack?

Otezla Starter Pack (14-day or 28-day) 1.

Does Otezla hurt your liver?

There is no evidence that it is unsafe to drink alcohol while taking Otezla. This is most likely because Otezla is not known to cause liver problems, unlike some other medications used to manage psoriasis.

Is Otezla hard to get?

Getting Otezla shouldn't be difficult. If you don't hear from your specialty pharmacy within a week after your doctor submitted your prescription, be sure to give Otezla SupportPlus a call at 1-844-4OTEZLA (1-844-468-3952). *The Otezla Co-Pay Card is for eligible commercially insured patients.

Do you take Otezla forever?

For some people, Otezla can prevent symptoms of psoriasis or psoriatic arthritis without causing any problematic side effects. In this case, the drug may be continued long-term to keep the condition under control. Long-term studies, ranging from 3 to 5 years, have shown that Otezla is safe for prolonged use.

What tier drug is Otezla?

What drug tier is Otezla typically on? Medicare prescription drug plans typically list Otezla on Tier 5 of their formulary. Generally, the higher the tier, the more you have to pay for the medication.

Does Otezla lower your immune system?

Yes, Otezla is an immunosuppressant. This means the drug lowers (suppresses) the activity of your immune system. Specifically, Otezla works by reducing inflammation that's caused by an overactive immune system.

Is Otezla considered a specialty drug?

Otezla (apremilast) is an expensive medicine that you may only be able to get from a specialty pharmacy. You may need to be followed more closely by a healthcare provider for safety reasons. Otezla is not a biologic drug treatment.

Is Otezla hard to get?

Getting Otezla shouldn't be difficult. If you don't hear from your specialty pharmacy within a week after your doctor submitted your prescription, be sure to give Otezla SupportPlus a call at 1-844-4OTEZLA (1-844-468-3952). *The Otezla Co-Pay Card is for eligible commercially insured patients.

What tier drug is Otezla?

What drug tier is Otezla typically on? Medicare prescription drug plans typically list Otezla on Tier 5 of their formulary. Generally, the higher the tier, the more you have to pay for the medication.

Does Otezla go to a specialty pharmacy?

Otezla is delivered by a specialty pharmacy. What does that mean? Unlike a retail pharmacy, where you go to pick up your medication, specialty pharmacies deliver your Otezla straight to your door.

Amgen Patient Assistance Application Form

Download Amgen Patient Assistance Application Form pdf. Download Amgen Patient Assistance Application Form doc. Divided into four phases, patient assistance programs funded either the united

$0 Co-Pay Card for Otezla® (apremilast) | Save on Otezla

Getting an Otezla $0 Co-Pay Card Did you know the majority of people pay $0 a month for Otezla? Just fill out and submit the form below—if you’re eligible, you’ll be automatically enrolled and your new $0 Co-Pay Card will be sent to you ready to use.

Does Medicare Cover Otezla?

Symptoms that arise from certain types of autoimmune diseases can be difficult to manage without appropriate medications. Your doctor may prescribe Otezla to help you control your condition and relieve certain symptoms, such as inflammation or swelling around the joints.

OTEZLA ez Start Psoriatic Arthritis Enrolment Form - RheumInfo

I agree and consent to the following collection, use and disclosure of my Health Information for OTEZLA ez Start (“Program”): u The collection, retention, use and disclosure of my Health Information or the

Otezla Prices, Coupons, Copay & Patient Assistance - Drugs.com

Otezla Bridge to Commercial Coverage Offer: Eligible commercially insured/RX not covered patients may receive FREE medication for up to 12 prescription fills within 12 months from the date of the first fill; this is a one-time offer and patients cannot re-enroll; for additional information contact the program at 844-468-3952.

IMPORTANT SAFETY INFORMATION

Diarrhea, Nausea, and Vomiting: Cases of severe diarrhea, nausea, and vomiting were associated with the use of Otezla. Most events occurred within the first few weeks of treatment. In some cases patients were hospitalized.

INDICATIONS

Otezla ® (apremilast) is indicated for the treatment of adult patients with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy.

How to contact Otezla?

Call the Patient Assistance Program for Otezla at 1-855-554-9168. *Certain restrictions apply; eligibility not based on income, must be 18 years or older. This offer is not valid for persons eligible for reimbursement of this product, in whole or in part under Medicaid, Medicare, or similar state or federal programs.

What is an Otezla copay card?

With the Otezla Co-Pay Card, a commercially insured patient who meets eligibility criteria can receive one of two offers when filling their Otezla prescription: the Bridge Offer or the Co-Pay Card Offer. Patients can participate in one offer at a time. See PROGRAM DETAILS for full description.

How to contact Otezla if you don't have insurance?

If you don't have your prescription insurance card information, simply select skip this step and contact Otezla SupportPlus™ at 1-844-4OTEZLA (1-844-468-3952) to complete your enrollment.

How to speak with a specialist at Otezla?

To speak with a specialist, call Otezla SupportPlus at 1-844-4OTEZLA .

What is otezla used for?

Otezla is a prescription medicine approved for the treatment of adult patients with active psoriatic arthritis. Otezla is a prescription medicine approved for the treatment of adult patients with oral ulcers associated with Behçet’s Disease.

What are the side effects of Otezla?

Side effects of Otezla include diarrhea, nausea, vomiting, upper respiratory tract infection, runny nose, sneezing, or congestion, abdominal pain, tension headache, and headache.

How old do you have to be to enroll in Otezla?

You must be over 18 to complete enrollment online. Please contact Otezla Supportplus™ at 1-844-4OTEZLA (1-844-468-3952) for further assistance. Our team is ready to help, Monday-Friday 8 AM -8 PM ET.

What is otezla used for?

Otezla® (apremilast) is a prescription medicine approved for the treatment of adult patients with moderate to severe plaque psoriasis for whom phototherapy or systemic therapy is appropriate. Otezla is a prescription medicine approved for the treatment of adult patients with active psoriatic arthritis.

Can you stop taking otezla?

In clinical studies, some patients reported depression, or suicidal behavior while taking Otezla. Some patients stopped taking Otezla due to depression. Before starting Otezla, tell your doctor if you have had feelings of depression, or suicidal thoughts or behavior.

Is otezla a prescription?

Otezla is a prescription medicine approved for the treatment of adult patients with active psoriatic arthritis. Otezla is a prescription medicine approved for the treatment of adult patients with oral ulcers associated with Behçet’s Disease. FOR US AUDIENCES ONLY. Important Safety Information.

Can you take otezla if you are allergic to apremilast?

IMPORTANT SAFETY INFORMATION. You must not take Otezla if you are allergic to apremilast or to any of the ingredients in Otezla. Otezla can cause severe diarrhea, nausea, and vomiting, especially within the first few weeks of treatment.

Does otezla cause weight loss?

Some patients taking Otezla lost body weight. Your doctor should monitor your weight regularly. If unexplained or significant weight loss occurs, your doctor will decide if you should continue taking Otezla.

What is otezla used for?

Otezla® (apremilast) is a prescription medicine approved for the treatment of adult patients with moderate to severe plaque psoriasis for whom phototherapy or systemic therapy is appropriate. Otezla is a prescription medicine approved for the treatment of adult patients with active psoriatic arthritis.

What are the side effects of Otezla?

Side effects of Otezla include diarrhea, nausea, vomiting, upper respiratory tract infection, runny nose, sneezing, or congestion, abdominal pain, tension headache, and headache.

How to find a telehealth doctor?

Keep this in mind as you get started: 1 If you have a doctor, check in with them first to determine which telehealth options may be available to you 2 If you’re looking for a doctor, consider using this tool from the National Psoriasis Foundation to find one. With this tool, you can filter by location, specialty, payment type, gender, or name of a doctor if you already have one in mind#N#Please see Notice of Third Party Site below. 3 You can also contact your health insurance provider—they may be able to provide telehealth options covered under your plan 4 If you prefer to seek care from home, but your current dermatologist isn’t available, there are many different telehealth services to choose from. One telehealth service is Dermatologist On Call—you can learn more about this service at the link below#N#As with any appointment, it’s important to remember that speaking with a dermatologist through a telehealth platform does not guarantee a prescription of Otezla or any other medication.

Can you take otezla if you are allergic to apremilast?

IMPORTANT SAFETY INFORMATION. You must not take Otezla if you are allergic to apremilast or to any of the ingredients in Otezla.

What to do if your appointment is live?

If your appointment will be live, make sure to log in early to troubleshoot any technical issues

Can you use telehealth to discuss Otezla?

Just like any time you have an appointment, you can use telehealth to discuss your symptoms, treatment options, and whether Otezla may be right for you.

Is National Psoriasis Foundation a referral?

Access to the National Psoriasis Foundation tool and/or DermatologistOnCall.com is not intended to provide medical advice or a referral to a particular physician;

What is the phone number for Otezla?

People who are not eligible can call 1-844-4OTEZLA to discuss other financial assistance opportunities. † To receive a free bridge supply of Otezla, you must have an on-label diagnosis and be denied or experiencing a delay in obtaining coverage. Federal, State, or similar insurance plans are not eligible for Bridge.

What are the side effects of Otezla?

Side effects of Otezla include diarrhea, nausea, vomiting, upper respiratory tract infection, runny nose, sneezing, or congestion, abdominal pain, tension headache, and headache.

Does otezla cause depression?

In clinical studies, some patients reported depression, or suicidal behavior while taking Otezla. Some patients stopped taking Otezla due to depression. Before starting Otezla, tell your doctor if you have had feelings of depression, or suicidal thoughts or behavior.

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