Patient-Helpdesk.com

repatha patient assistance program form

by Dr. Percival Gerlach MD Published 1 year ago Updated 1 year ago
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Who can apply for the Repatha ® copay card?

The Repatha ® Copay Card is open to patients with commercial insurance, regardless of financial need. The program is not valid for patients whose Repatha ® prescription is paid for in whole or in part by Medicare, Medicaid, or any other federal or state programs. It is not valid for cash-paying patients or where prohibited by law.

What is a Repatha program benefit?

A program benefit that covers the patient’s eligible out-of-pocket prescription costs for Repatha ® (copay, deductible, or co-insurance) on behalf of the patient, up to a Maximum Monthly Benefit and/or a Maximum Annual Program Benefit.

What is the patient privacy authorization form for Repatha®?

This simple form collects the patient privacy authorization, allowing the Repatha® Access Specialist to provide personalized follow-up and support for patients using a specialty pharmacy or the RepathaReady® hub.

Who is not eligible for the Repatha® program?

The program is not valid for patients whose Repatha ® prescription is paid for in whole or in part by Medicare, Medicaid, or any other federal or state programs. It is not valid for cash-paying patients or where prohibited by law. (See ELIGIBILITY section below.)

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Is there a patient assistance program for Repatha?

RepathaReady® offers resources and support services to help patients stay on track with their high LDL treatment. Sign up today to see if you are eligible for the Repatha® Copay Card, and to receive nurse support, needle disposal containers, medication reminders and informational emails, and insurance assistance.

Does Amgen have a patient assistance program?

The AMGEN, INC. patient assistance program offers free medication to people who otherwise cannot afford their medications. Patients must meet financial and other program specific criteria to be eligible for assistance.

What is Amgen assist?

Amgen Assist 360™ is a single place for patients, caregivers, and healthcare professionals to go to find the support, tools, and resources most important to them.*

How do I order Repatha?

or Call 1-844-REPATHA (1-844-737-2842), 9 AM–11 PM ET.

What is Amgen first step program?

The Amgen FIRST STEP™ Program is here to help eligible commercially insured patients pay for their out-of-pocket prescription costs, including deductible, co-insurance, and co-payment.

What is Amgen edge program?

Maximum Program Benefit, Patient Benefits May Change, End or Vary Without Notice: The AmgenEdge® program provides up to a Maximum Program Benefit (based upon the medication covered by the AmgenEdge® program) to reduce a patient's out-of-pocket medication costs that Amgen will provide per patient for each calendar year, ...

Who is the manufacturer of Repatha?

24, 2018 /PRNewswire/ -- Amgen (NASDAQ: AMGN) today announced that it is making Repatha® (evolocumab), an innovative biologic medicine for people with high cholesterol who are at risk for heart attacks and strokes, available at a reduced list price of $5,850 per year.

How can I get Aimovig for free?

The Amgen Safety Net Foundation is an independent, nonprofit patient assistance program that provides Aimovig at no cost to qualifying patients who have a financial need and are uninsured or have insurance that excludes Aimovig.

What is Amgen safety net?

Amgen Safety Net Foundation (ASNF) is an independent nonprofit patient assistance program established in 2001, sponsored by Amgen. ASNF was designed to assist patients who have a financial need, and are uninsured or the insurance plan excludes the Amgen medicine.

Is there a generic version of Repatha?

The generic name of Repatha is evolocumab. Repatha comes as a 140 mg/mL prefilled syringe or autoinjector. It is also available as a 420 mg/3.5 mL infusor that is placed on the body. The usual dosage of Repatha is 140 mg every two weeks or 420 mg every month.

Does Repatha reduce plaque in arteries?

Previous studies include GLAGOV which showed Repatha, when added to optimal statin therapy, reduced plaque burden by decreasing plaque atheroma volume in patients with CAD. This was the first study to demonstrate that lowering LDL-C levels through PCSK9 inhibition reduces atherosclerotic plaque burden.

Is Repatha a Tier 3 drug?

Medicare prescription drug plans typically list Repatha on Tier 3 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.

How can I get Aimovig for free?

The Amgen Safety Net Foundation is an independent, nonprofit patient assistance program that provides Aimovig at no cost to qualifying patients who have a financial need and are uninsured or have insurance that excludes Aimovig.

Is there a patient assistance program for Prolia?

Amgen Safety Net Foundation is an independent, nonprofit patient assistance program that provides Prolia® at no cost to qualifying patients who have a financial need and who are uninsured or have insurance that excludes Prolia®.

What is Amgen safety net?

Amgen Safety Net Foundation (ASNF) is an independent nonprofit patient assistance program established in 2001, sponsored by Amgen. ASNF was designed to assist patients who have a financial need, and are uninsured or the insurance plan excludes the Amgen medicine.

How do I contact Amgen?

For product questions, to report an adverse event or safety-related issue, or to report a quality issue with a product or device, call +1 800-772-6436 (800-77-AMGEN). U.S. healthcare professionals can also visit www.amgenmedinfo.com. Local contact information by country can be found below.

What is the number to call for Repatha?

We’re having a problem processing your request. We’re sorry, there was an error processing your request. Please call 1-844-REPATHA (1-844-737-2842) to complete your registration.

How long does it take for a Repatha card to arrive?

Your Repatha ® Copay Card should arrive within 7 days. Until then, you can print and use this temporary card. You’ve successfully activated your Repatha ® Copay Card. You can now use your card at the pharmacy when you fill your prescription.

What is the phone number for a Copay card?

Please call us at 1-800-732-4083 from Monday to Friday, from 9 AM-11 PM ET, to learn more about it. We’re having a problem processing your copay card request. We’re sorry, we’re having an error processing your request. Please call 1-844-REPATHA (1-844-737-2842) to complete your copay sign-up.

Is Repatha ready for cholesterol?

Whether you're already taking Repatha ® or considering asking your doctor about a prescription, Repatha Ready® offers helpful resources to support you on your path to lowering high bad cholesterol.

What are the side effects of Repatha?

and call your healthcare provider or seek emergency help right away if you have any of these symptoms: trouble breathing or swallowing, raised bumps (hives), rash or itching, swelling of the face, lips, tongue, throat or arms. The most common side effects of Repatha.

How to report side effects of a prescription drug?

Call your healthcare provider for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Please see full Prescribing Information.

Does Repatha cause a runny nose?

The most common side effects of Repatha. ®. include: runny nose, sore throat, symptoms of the common cold, flu or flu-like symptoms, back pain, high blood sugar levels (diabetes), and redness, pain, or bruising at the injection site.

Does RepathaReady help with bad cholesterol?

RepathaReady® offers helpful resources to support you on your path to lower LDL bad cholesterol and to reduce your risk of heart attack or stroke. Click on one of the boxes below to take a closer look at the available services.

Can you use Repatha if you are allergic to evolocumab?

Do not use Repatha. ®. if you are allergic to evolocumab or to any of the ingredients in Repatha. ®. . Before you start using Repatha. ®. , tell your healthcare provider about all your medical conditions, including if you are allergic to rubber or latex, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed.

How to contact Repatha?

If you have questions regarding these terms and conditions or the Repatha ® Copay Card program, please call 1-844-REPATHA or visit Repatha.com/copay.

How to activate Repatha card?

If you are currently on Repatha ®, you can enroll in the Repatha Ready ® program to sign up for and activate your card if you’re eligible. Click here to activate your card or call 1-844-REPATHA.

What is a copay card and how often can I use it?

If you have commercial or private prescription insurance through your employer, your spouse’s employer, or through a private insurance carrier, the Repatha ® Copay Card reduces your out-of-pocket costs for Repatha ® if you’re eligible. These costs include copayments, co-insurance, and prescription deductibles, subject to plan design. Eligible commercially insured adults may pay $5 per month** with the Repatha ® Copay Card. You are not eligible if you are enrolled in any government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, the Retiree Drug Subsidy program, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE ®. Once your copay card has been activated, you can use the card every time you fill your Repatha ® prescription, up to an annual maximum amount. The card must be renewed annually either by clicking here or by calling 1-844-REPATHA (1-844-737-2842).

How much does Repatha cost?

For adults with Medicare or Medicaid, if you’re enrolled in Medicare Extra Help or Low Income Subsidy (LIS), you’ll pay no more than $10 per month for Repatha ® . For more information about Medicare Extra Help, or to enroll if you’re eligible, you can visit Medicare.gov or call 1-800-MEDICARE. If you don't have insurance, Repatha Ready ® can help you with other potential financial assistance options.

How to contact Medicare Extra Help?

For more information about Medicare Extra Help, or to enroll if you’re eligible, you can visit Medicare.gov or call 1-800-MEDICARE. If you don't have insurance, Repatha Ready ® can help you with other potential financial assistance options. You are now leaving Repatha.com.

How to report side effects of a prescription drug?

Call your healthcare provider for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Please see full Prescribing Information.

Can Repatha cause rash?

can cause serious side effects including, serious allergic reactions. Stop taking Repatha. ®. and call your healthcare provider or seek emergency help right away if you have any of these symptoms: trouble breathing or swallowing, raised bumps (hives ), rash or itching, swelling of the face, lips, tongue, throat or arms.

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