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xarelto patient assistance application pdf

by Dr. Kadin Beatty III Published 2 years ago Updated 1 year ago
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How can I get financial assistance to pay for my Xarelto® prescriptions?

Janssen CarePath can help eligible patients find financial assistance options to help them pay for their XARELTO ® prescriptions. Your patients can call 877-CarePath (877-227-3728) between 8:00 AM –8:00 PM ET, Monday to Friday, to talk with a Care Coordinator who will explain available options to them.

When should you not use Xarelto?

There are no clinical data in patients with CrCl <15 mL/min (including patients on dialysis); therefore, avoid the use of XARELTO ® in these patients. Discontinue XARELTO ® in patients who develop acute renal failure while on treatment.

What is the coverage for Xarelto®?

XARELTO ® is widely accessible nationwide with preferred coverage for 95% of commercial and >95% of Medicare Part D patients. 1 To see the formulary coverage for your patients, enter your ZIP code. Your results will appear below. This percentage may not represent 100% of formulary lives due to data limitations.

Are you eligible for the Janssen carepath savings program for Xarelto®?

You could be eligible to pay $10 per fill with the Janssen CarePath Savings Program for XARELTO ® Eligible patients using commercial or private insurance can save on out-of-pocket costs for XARELTO ®. Depending on the health insurance plan, savings may apply toward co-pay, co-insurance or deductible.

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What are the side effects of Xarelto?

The most common side effect of XARELTO® was bleeding.

Can Xarelto be used for heart valves?

XARELTO ® is not for use in people with artificial heart valves.

Does Xarelto help with stroke?

XARELTO ® lowers your chance of having a stroke by helping to prevent clots from forming. If you stop taking XARELTO ®, you may have increased risk of forming a clot in your blood. Do not stop taking XARELTO® without talking to the doctor who prescribes it for you.

Can you use Xarelto with artificial heart valves?

XARELTO ® is not for use in people with artificial heart valves.

Can you take Xarelto with food?

For the 10-mg dose, XARELTO ® may be taken with or without food. For the 15-mg and 20-mg doses, take XARELTO ® with food at the same time each day. If you miss a dose: If you take the 15-mg dose of XARELTO® 2 times a day (a total of 30 mg of XARELTO® in 1 day): Take XARELTO ® as soon as you remember on the same day.

What is the most common side effect of Xarelto?

The most common side effect of XARELTO® was bleeding. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects to Janssen Pharmaceuticals, Inc., at 1-800-JANSSEN (1-800-526-7736). Please read full Prescribing Information, including Boxed Warnings, ...

What is the name of the medication that is used to treat blood clots?

Clopidogrel (Plavix ® ) Selective serotonin reuptake inhibitors (SSRIs) or serotonin norepinephrine reuptake inhibitors (SNRIs) Other medicines to prevent or treat blood clots. Tell your doctor if you take any of these medicines. Ask your doctor or pharmacist if you are not sure if your medicine is one listed above.

Can Xarelto cause paralysis?

People who take a blood thinner medicine (anticoagulant) like XARELTO ®, and have medicine injected into their spinal and epidural area, or have a spinal puncture, have a risk of forming a blood clot that can cause long-term or permanent loss of the ability to move (paralysis).

Can you stop taking Xarelto?

Do not stop taking XARELTO® without talking to the doctor who prescribes it for you. Stopping XARELTO® increases your risk of having a stroke. If you have to stop taking XARELTO ®, your doctor may prescribe another blood thinner medicine to prevent a blood clot from forming. Increased risk of bleeding.

Can you take Xarelto while pregnant?

Taking XARELTO ® while you are pregnant may increase the risk of bleeding in you or in your unborn baby.

Can Xarelto be used for heart valves?

XARELTO ® is not for use in people with artificial heart valves.

Is Xarelto safe for children?

It is not known if XARELTO ® is safe and effective in children.

What is the FDA number for Xarelto?

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects to Janssen Pharmaceuticals, Inc., at 1-800-JANSSEN (1-800-526-7736).

What are the side effects of Xarelto?

The most common side effect of XARELTO® was bleeding.

How long does Xarelto need to be stopped?

XARELTO ® may need to be stopped for one or more days before any surgery or medical or dental procedure. Your doctor will tell you when to stop taking XARELTO ® and when to start taking XARELTO ® again after your surgery or procedure.

What to do if you miss Xarelto?

If you miss a dose of XARELTO ®, take it as soon as you remember on the same day. Take your next dose at your regularly scheduled time.

What to do if you take too much Xarelto?

If you take too much XARELTO ®, go to the nearest hospital emergency room or call your doctor right away.

What is the risk of developing a spinal or epidural blood clot?

Your risk of developing a spinal or epidural blood clot is higher if: A thin tube called an epidural catheter is placed in your back to give you certain medicine. You take NSAIDs or a medicine to prevent blood from clotting. You have a history of difficult or repeated epidural or spinal punctures.

Can you take Xarelto while pregnant?

Taking XARELTO ® while you are pregnant may increase the risk of bleeding in you or in your unborn baby.

We will review your application

Once we receive your application, it will take about three days to review. If the application is missing information, it will take longer. Upon completion of review, we’ll send you a letter to let you know whether you’re eligible. When you apply, please be sure to include all your supporting documents.

You can reapply each year

Once approved, you’ll receive the medicines you need for up to one year. Before your enrollment ends, we’ll send you a reminder to renew your application for next year.

Are you taking other HIV medications that are not covered in this program?

If so, please go to the HarborPath website to access the HarborPath Patient Application.

How do you get prescribed ?

Patients who require twice-daily dosing can administer the evening dose with the evening meal, at bedtime, or 12 hours after the morning dose. The dose of must be individualized based on clinical response.

How long does it take to sign a maxcare patient?

The whole procedure can take less than a minute. As a result, you can download the signed maxcare patient assistance program form to your device or share it with other parties involved with a link or by email. Because of its multi-platform nature, signNow is compatible with any device and any operating system. Select our eSignature tool and forget about the old times with efficiency, security and affordability.

Can you take a flextouch with a vial?

Needles are sold separately and may require a prescription in some states. Needles and ® FlexTouch® must not be shared. If you prefer to take your with a vial and syringe, or if you need to receive your in a vial for insurance reasons, you can still get ®.

Can you edit Maxcare patient assistance form?

By utilizing SignNow's comprehensive platform, you're able to execut e any important edits to Maxcare patient assistance program form, generate your customized electronic signature within a couple of quick actions, and streamline your workflow without leaving your browser.

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