The XIAFLEX Copay Assistance Program can cover up to $1200 of your out-of-pocket costs for each injection of XIAFLEX (collagenase clostridium histolyticum). How much you pay for XIAFLEX depends on your health benefits or insurance coverage. To find out if you qualify, call 1-800-743-2382.
Is XIAFLEX covered under insurance?
Xiaflex is covered by all major US health insurance plans. All associated costs including doctor visits are typically covered by health plans. Health insurance does not cover the cost of penile traction devices.
Why is XIAFLEX no longer available?
The decision to withdraw is not based on safety or efficacy concerns. Despite best efforts to appropriately educate the government and the market on XIAFLEX® over the past several years, the product did not receive government reimbursement approval and demand for the product has remained unsustainably low.
How do I pay my XIAFLEX injection?
Bill as 2 units OR 2 separate lines of 1 unit If you have questions about XIAFLEX ® coding, please contact Endo Advantage™ at 1-877-XIAFLEX (1-877-942-3539) or the payor's Provider Service Representative. Application of finger splint should be used only when the procedure is performed in a physician's office.
What is the cost of XIAFLEX injections?
Pain, swelling and bruising can develop in the injection area. Xiaflex costs $3,300 an injection, so a full course of eight injections would cost about $26,000, in addition to a doctor's fee. Doctors already use less expensive drugs off-label to treat Peyronies, including injections of a generic blood pressure drug.
How much does XIAFLEX cost with insurance?
The cost for Xiaflex injectable powder for injection 0.9 mg is around $5,959 for a supply of 1 powder for injection, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans....Injectable Powder For Injection.QuantityPer unitPrice1$5,959.05$5,959.05
Is Dupuytren's contracture a disability?
This condition causes a limited range of motion in one or both hands. This complication can result in an inability to perform work tasks. If the condition is severe enough to prohibit them from working, individuals suffering from the condition can apply for Social Security disability insurance.
How many units is J0775?
HCPCS Code: J0775 – Injection, collagenase, clostridium histolyticum, 0.01 mg: 0.01 mg = 1 billable unit.
Does xiaflex work for Dupuytren's contracture?
XIAFLEX® is an FDA-approved, nonsurgical treatment for adults with Dupuytren's contracture when a cord can be felt. Studies show that prescription XIAFLEX®, along with a finger extension procedure, may help straighten or nearly straighten the affected finger and improve range of motion after up to 3 injections.
What is it called when your fingers are bent?
Dupuytren's contracture is a painless deformity of the hand in which one or more fingers (in this case, the two fingers farthest from the thumb) are bent toward the palm and can't be fully straightened.
What is the success rate of XIAFLEX?
Success rates vary but studies demonstrate an average 34% improvement in the curvature (or 17-degree decrease from baseline curvature). 60% of men getting Xiaflex experienced improvement compared to 30% with placebo.
Does XIAFLEX increase size?
Xiaflex with first generation PTT devices also had not impact on length. When patients used RestoreX along with the injection treatment, they experienced a nearly 2cm gain in length or about 17%.
How long does XIAFLEX treatment last?
Each treatment cycle is about 6 weeks apart. In between cycles, follow your doctor's instructions on straightening and stretching the penis. Tell your doctor if you have trouble stretching or straightening your penis or if new pain occurs.
What is the ICD 10 code for Peyronie's disease?
607.85 - Peyronie's disease | ICD-10-CM.
How do you pronounce xiaflex?
0:521:07Pronunciation of the word(s) "Xiaflex". - YouTubeYouTubeStart of suggested clipEnd of suggested clipXiaflex xiaflex xiaflex xiaflex.MoreXiaflex xiaflex xiaflex xiaflex.
What is Xiaflex used for?
Xiaflex (collagenase clostridium histolyticum) is a member of the miscellaneous uncategorized agents drug class and is commonly used for Dupuytren's contracture, and Peyronie's Disease.
How much does a free drug card save?
The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.
Is Xiaflex valid with insurance?
Prices are for cash paying customers only and are not valid with insurance plans. This Xiaflex price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
What to tell your healthcare provider before taking Xiaflex?
Before receiving XIAFLEX, tell your healthcare provider if you have had an allergic reaction to a previous XIAFLEX injection, have a bleeding problem, received XIAFLEX for another condition, or any other medical conditions.
What is Xiaflex used for?
XIAFLEX is a prescription medicine used to treat adults with Dupuytren’s contracture when a “cord” can be felt. It is not known if XIAFLEX is safe and effective in children under the age of 18.
How long does it take for Xiaflex to go away?
The back pain may also include spasms and make it hard to walk. These symptoms usually go away in 15 minutes or less, but may last longer.
What happens if you take Xiaflex?
Receiving an injection of XIAFLEX may cause damage to the tubes in your penis called the corpora. After treatment with XIAFLEX, one of these tubes may break during an erection.This is called a corporal rupture or penile fracture. This could require surgery to fix the damaged area.
How old do you have to be to take Xiaflex?
It is not known if XIAFLEX is safe and effective in children under the age of 18.
Is Xiaflex right for you?
Talk to your healthcare provider if you have a problem with your blood clotting. XIAFLEX ® may not be right for you. Before receiving XIAFLEX ®, tell your healthcare provider if you have had an allergic reaction to a previous XIAFLEX ® injection, or have a bleeding problem or any other medical conditions. Tell your healthcare provider about all the ...
Can Xiaflex cause a broken tendon?
Tendon rupture or ligament damage. Receiving an injection of XIAFLEX may cause damage to a tendon or ligament in your hand and cause it to break or weaken. This could require surgery to fix the damaged tendon or ligament. Call your healthcare provider right away if you have trouble bending your injected finger (towards the wrist) after the swelling goes down or you have problems using your treated hand after your follow-up visit
What is Xiaflex used for?
XIAFLEX ® is indicated for the treatment of adult patients with Dupuytren’s contracture with a palpable cord.
How long does it take to get Xiaflex?
Key contact information, reminders, and forms to help you acquire XIAFLEX ® 1 Standard processing can take up to 2-3 weeks for shipment of medication 2 XIAFLEX ® Copay Program automatically applied for eligible patients
What is the number to call Endo Advantage?
For more information, see helpful tips and reminders or call Endo Advantage ™ at 1-877-XIAFLEX (1-877-942-3539), Monday through Friday, from 9:00 AM to 8:00 PM ET. NOTE: Insurers may require you to use a specific acquisition method.
What is the phone number for Endo Advantage?
To learn more, or if you have questions, call Endo Advantage ™ at 1-877-XIAFLEX (1-877-942-3539) Monday through Friday, from 9:00 AM to 8:00 PM ET.
What is JW modifier?
JW Modifier: Drug amount discarded/not administered to any patient. Centers for Medicare and Medicaid Services Website. June 9, 2016. Accessed February 8, 2018.
Is Xiaflex contraindicated?
XIAFLEX is contraindicated in patients with a history of hypersensitivity to XIAFLEX or to collagenase used in any other therapeutic application or application method
Is Xiaflex covered by Medicare?
To help support you and your patients, XIAFLEX ® is covered for the majority of both commercially insured and Medicare Part B patients. † Download a copy of our XIAFLEX ® Copay Brochure to see what your patients can expect from our Patient Assistance Program in 3 steps:
