Full Answer
Where can I find the tezspire patient assistance program enrollment form?
The TEZSPIRE Patient Assistance Program enrollment form can be found under the Resources section on TEZSPIRETogetherHCP.com and TEZSPIRETogether.com. Who can I contact for technical assistance? You can contact TEZSPIRE Together at 1-888-TZSPIRE (1-888-897-7473), 8am – 8pm ET, Monday – Friday.
What services does tezspire together provide?
TEZSPIRE Together provides the following programs and resources: *For eligible commercially insured patients only. Eligibility criteria and program maximums apply. See full Terms and Conditions. † Nurse Educators are nurses by training, but they are not part of a patient’s treatment team or an extension of their doctor’s office.
What is the tezspire pre-enrollment program?
This program helps eligible patients obtain TEZSPIRE while coverage is being secured, up to program limits.
How much does tezspire cost?
The list price for TEZSPIRE is $3633* per 210 mg/mL. For patients aged 12 and older with severe asthma, the recommended dose is a 210-mg injection given by your doctor once every 4 weeks. Most patients do not pay the list price. Your actual cost will vary based on your insurance coverage. † Talk to your insurance provider.
How much does Tezspire cost?
As a guide, Tezspire subcutaneous solution (210 mg/1.91 mL) will typically cost around $3,800 for 1.91 milliliters. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
Is Tezspire covered by Medicare?
Centers for Medicare and Medicaid Services (CMS) Medicare does not have a National Coverage Determination (NCD) specifically for Tezspire™ (tezepelumab-ekko).
How long does it take Tezspire to work?
How long does it take to work? Tezspire typically starts working after about 2 weeks, but your symptoms may continue to improve for several months. See your doctor if your asthma symptoms don't improve or get worse after starting Tezspire.
Can you self administer Tezspire?
However, when the FDA approved the drug on December 17, 2021, the label stated that it must be administered by a health care provider. As a result, tezepelumab will be removed from our Self-Administered Drugs policy.
What drugs does Medicare not pay for?
Medicare does not cover:Drugs used to treat anorexia, weight loss, or weight gain. ... Fertility drugs.Drugs used for cosmetic purposes or hair growth. ... Drugs that are only for the relief of cold or cough symptoms.Drugs used to treat erectile dysfunction.More items...
How do I find out if my Medicare covers a drug?
– Look for more information on Medicare drug coverage in the “Drug Coverage (Part D)” section. Call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
Does Tezspire lower your immune system?
If you are pregnant or breastfeeding, talk to your doctor before treatment with Tezspire. As with all therapeutic proteins, there is a risk for an immune response to the drug, which lowers its effectiveness over time. This is known as immunogenicity.
Who qualifies for Tezspire?
Tezspire is approved for adults and children aged 12 years and older with severe asthma not controlled by their current asthma medicine. Tezspire is the first asthma treatment targeting thymic stromal lymphopoietin, a molecule involved in airway inflammation.
How often is Tezspire given?
The recommended dose of TEZSPIRE is 210 mg administered subcutaneously once every 4 weeks. If a dose is missed, administer the dose as soon as possible. Thereafter, the patient can continue (resume) dosing on the usual day of administration. If the next dose is already due, then administer as planned.
What is the difference between Xolair and Tezspire?
For patients with allergic, asthma Tezspire's improvements in symptoms was similar to Xolair, although Tezspire achieved a higher improvement in the exacerbation rate. ICER reviewers point out that symptom control, rather than exacerbation rate, remains a priorty for both physicians and patients.
Does Tezspire need to be refrigerated?
Once the medication has been brought to room temperature, it must be used within 30 days and cannot be refrigerated again. Tezspire is a monoclonal antibody that works by targeting and binding to thymic stromal lymphopoietin (TSLP), a cytokine involved in the inflammatory pathway of asthma.
Where do you inject Tezspire?
Inject TEZSPIRE 210 mg (contents of one vial or one pre-filled syringe as described below) subcutaneously into the upper arm, thigh, or abdomen, except for the 2 inches (5 cm) around the navel. TEZSPIRE should not be injected into areas where the skin is tender, bruised, erythematous, or hardened.
What is the HCPCS code for Tezspire?
Added coverage criteria for Tezspire (tezepelumab) for the add-on maintenance treatment of patients aged 12 years and older with severe asthma. Added unlisted biologic HCPC code J3590 to report Tezspire®.
Is Tezspire FDA approved?
The FDA approved Tezspire in December 2021. It's the first and only asthma medication that can treat any type of severe asthma.
How do I bill C9399 to Medicare?
The quantity of a C9399 drug or biological administered should be billed on “1” claim line for “1” unit dose for the date of service given. The total dose quantity administered needs to be indicated in the remarks field (Field Locator 80) on the UB-04 (CMS 1450 form) or the equivalent 5010 electronic claims field.
Does Tezspire need to be refrigerated?
Once the medication has been brought to room temperature, it must be used within 30 days and cannot be refrigerated again. Tezspire is a monoclonal antibody that works by targeting and binding to thymic stromal lymphopoietin (TSLP), a cytokine involved in the inflammatory pathway of asthma.
WARNINGS AND PRECAUTIONS
Hypersensitivity reactions (e.g., rash and allergic conjunctivitis) can occur following administration of TEZSPIRE. These reactions can occur within hours of administration, but in some instances have a delayed onset (i.e., days).
ADVERSE REACTIONS
The most common adverse reactions (incidence ≥3%) are pharyngitis, arthralgia, and back pain.
USE IN SPECIFIC POPULATIONS
There are no available data on TEZSPIRE use in pregnant women to evaluate for any drug-associated risk of major birth defects, miscarriage, or other adverse maternal or fetal outcomes.
INDICATION
TEZSPIRE is indicated for the add-on maintenance treatment of adult and pediatric patients aged 12 years and older with severe asthma.
