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xelsource patient assistance enrollment form

by Torey Murphy Published 2 years ago Updated 1 year ago
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How do I enroll patients in xelsource HCP?

​​​​​​Contact your Pfizer Representative to be put in touch with your FRM See how the XELSOURCE HCP Portal streamlines the enrollment processFind out more about XELSOURCEForms and resources to help eligible patients access their prescribed medicationXELSOURCE Prescription and Enrollment Form Complete, print, and fax to enroll patients in XELSOURCE.

How do I apply for the Xeljanz Patient Assistance Program?

XELSOURCE Patient Assistance Program Application 1 Phone 1-844-XELJANZ (1-844-935-5269) • Fax 1-866-297-3471 • 2730 S. Edmonds Lane, Suite 300, Lewisville, TX 75067 Patient Declaration– By signing below, I affirm that my answers and my proof-of-income documents are complete, true, and accurate to the best of my knowledge.

How do I enroll patients in e-prescribing?

EHR Complete a Prescription & Enrollment Form through your Electronic Health Record (EHR)* and send to XELSOURCE A link to enroll patients appears in the EHR during the e-prescribing process. How you are directed to the form is controlled by, and will vary based on, your EHR channel partner.

How do I send a prescription to sonexus health pharmacy?

Send to: Sonexus Health Pharmacy Services, 2730 S. Edmonds Lane #400, Lewisville, TX 75067 (NCPDP: 5910206; NPI: 1447680210) Fax Fax a completed Prescription & Enrollment Formto XELSOURCE at 1-866-297-3471 EHR Complete a Prescription & Enrollment Form through your Electronic Health Record (EHR)* and send to XELSOURCE

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What is Pfizer patient assistance program?

Pfizer Patient Assistance Program Provides free Pfizer medicines to eligible patients through their doctor's office or at home.

What is Xelsource?

Psoriatic Arthritis. • XELJANZ/XELJANZ XR (tofacitinib) is indicated for the treatment of adult patients with active psoriatic arthritis who have had an inadequate response or intolerance to methotrexate or other disease-modifying antirheumatic drugs (DMARDs).

How do I get Rinvoq?

Just give us a call at 1.800. 2RINVOQ (1.800. 274.6867). Eligibility: Available to patients with commercial prescription insurance coverage for RINVOQ™ (upadacitinib) who meet eligibility criteria.

What does XELJANZ treat?

XELJANZ (tofacitinib) is the first approved pill of its kind (JAK inhibitor) that treats adults with moderate to severe rheumatoid arthritis, active psoriatic arthritis, active ankylosing spondylitis, and moderate to severe ulcerative colitis.

Does tofacitinib cause hair loss?

Official answer. Hair loss is not a side effect of Xeljanz (tofacitinib citrate), according to the results of clinical trials used to gain approval of the drug. During clinical development, hair loss was not reported as an adverse effect.

Does Xeljanz work for ulcerative colitis?

XELJANZ is the first and only FDA-approved pill for adults with moderate to severe ulcerative colitis (UC) in whom tumor necrosis factor (TNF) blockers did not work well or cannot be tolerated.

Is Rinvoq an expensive drug?

The list price, also known as the Wholesale Acquisition Cost (WAC), for a 30-day supply of RINVOQ, is $5,671.26 as of January 2022. The WAC may not reflect the price paid by patients. Call 1-800-2RINVOQ (1-800-274-6867) to find out how much RINVOQ will cost for you.

Can Rinvoq make you gain weight?

It's possible that Rinvoq could cause weight gain. This wasn't a side effect reported during studies of the drug in people with RA or psoriatic arthritis. However, it was a rare side effect in people with atopic dermatitis (also called eczema).

How much does the medicine Rinvoq cost?

The typical cash price for Rinvoq is $7,754.79 per 1, 30 Tablets Extended Release 24 Hour Tablet Extended Release 24 Hour, but you can pay just $5,222.56 for 1, 30 tablets extended release 24 hour Bottle of generic Rinvoq when you use your SingleCare discount card to use the generic Rinvoq coupon.

How long can you stay on Xeljanz?

Xeljanz 10 mg twice daily for at least eight weeks; then 5 mg twice daily. A higher dose of 10 mg twice daily can be continued for a total of 16 weeks, depending on response.

Can you take Xeljanz long term?

Additionally, Xeljanz is used in certain children with juvenile idiopathic arthritis. If Xeljanz or Xeljanz XR works for you, your doctor may recommend the medication as a long-term treatment option.

What can I take instead of Xeljanz?

There are currently no generic alternatives to Xeljanz in the United States. Fortunately, Natco Pharma, an Indian pharmaceutical company, launched a generic Xeljanz (tofacitinib) called Jaknat 5 mg recently, which can help you save up to 90%.

Who should not take Rinvoq?

Increased risk of death in people 50 years and older who have at least 1 heart disease (cardiovascular) risk factor. Cancer and immune system problems. RINVOQ may increase your risk of certain cancers. Lymphoma and other cancers, including skin cancers, can happen.

Is Rinvoq hard on your liver?

Liver problems. Rinvoq may cause increased levels of certain enzymes (a type of protein) made in the liver. These enzymes are called alanine aminotransferase and aspartate aminotransferase. A large increase in these enzyme levels is sometimes a sign of liver damage.

Is there a generic drug for Rinvoq?

No. There is currently no therapeutically equivalent version of Rinvoq available in the United States. Note: Fraudulent online pharmacies may attempt to sell an illegal generic version of Rinvoq. These medications may be counterfeit and potentially unsafe.

How much do RA infusions cost?

Cost of rheumatoid arthritis infusions Infusion medications are expensive, and can cost upwards of $45,000 annually. Many health insurance plans only cover one or two of the medications used for these treatments.

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