Patient-Helpdesk.com

xelsource patient assistance forms

by Syble Orn Published 2 years ago Updated 1 year ago
image

What is the xelsource Patient Assistance Program?

XELSOURCE Patient Assistance Program is part of the Pfizer RxPathways™ family of patient assistance programs – a joint program of Pfizer Inc and the Pfizer Patient Assistance Foundation™. Note: If you are a New York prescriber, please attach state prescription form.

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 send a prescription to xelsource?

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 A link to enroll patients appears in the EHR during the e-prescribing process.

How do i e-prescribe to sonexus health pharmacy services?

How you are directed to the form is controlled by, and will vary based on, your EHR channel partner. If you choose to e-Prescribe directly to Sonexus Health Pharmacy Services, you are certifying you have received patient consent for Sonexus Health Pharmacy Services and XELSOURCE to contact your patient or caregiver and provide them services.

image

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.

Does Rinvoq cause weight gain?

Is weight gain a side effect of Rinvoq? It's possible for weight gain to occur with Rinvoq. This wasn't reported in clinical trials of people with rheumatoid arthritis (RA) or psoriatic arthritis. However, it was a rare side effect in people with atopic dermatitis, which is also known as eczema.

When will there be a generic for Rinvoq?

Rinvoq will be eligible for patent challenges on August 16, 2023. This date may extended up to six months if a pediatric exclusivity extension is applied to the drug's patents. By analyzing the patents and regulatory protections it appears that the earliest date for generic entry will be October 17, 2036.

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.

Who should not take Xeljanz?

chronic kidney disease stage 4 (severe) chronic kidney disease stage 5 (failure) kidney disease with likely reduction in kidney function. an increased risk of developing an uncommon viral infection called an opportunistic infection.

Can you stop Xeljanz cold turkey?

You should not stop taking Xeljanz without consulting your doctor. Stopping treatment with Xeljanz may cause the symptoms of your condition to return. However, some patients are able to stop Xeljanz without their symptoms flaring up, according to the results of research conducted in patients with rheumatoid arthritis.

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.

What is the safest drug for rheumatoid arthritis?

Methotrexate is widely regarded as one of the safest of all arthritis drugs, though it carries some potential downsides. Gastrointestinal symptoms such as nausea and vomiting are its most frequent side effects.

Is Rinvoq good for arthritis?

RINVOQ is used in adults to treat: moderate to severe rheumatoid arthritis when 1 or more medicines called tumor necrosis factor (TNF) blockers have been used, and did not work well or could not be tolerated.

How quickly does Rinvoq work?

Rinvoq does not work right away. It can take about 2 to 8 weeks before patients start feeling better, and it can take 3 to 6 months to feel the maximum effect of this medication.

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