Patient-Helpdesk.com

xyrem patient assistance program application

by Boris Moore Published 1 year ago Updated 1 year ago
image

Is the Xyrem coupon program health insurance?

The XYREM Coupon Program is not health insurance. The pharmacy, patient, or prescriber cannot submit a claim for reimbursement under any federal, state, or other governmental programs or any third party for any part of the benefit received by the patient through the Coupon Program.

How much does Xyrem cost?

Eligible patients can pay as little as $35 for XYREM for a 30-day fill, subject to monthly and annual maximum benefit.

How do I sign up for Xyrem?

Call the pharmacy at 1-866-997-3688 to sign up! Your dedicated Nurse Case Manager assesses your unique needs, and can help you navigate social support, address practical challenges, and help motivate you! Through the Certified Pharmacy, a pharmacist is available 24/7 to answer questions about your prescription. Only pay as little as $35 for XYREM.

How do I refill my Xyrem?

Never run out of your medication. Refilling your XYREM is easy and convenient with our online refill scheduling and reminder. Sign up to receive email and text reminders today. Call the pharmacy at 1-866-997-3688 to sign up!

image

How do you get prescribed Xyrem?

The prescription for Xyrem can only be filled by the central certified pharmacy, not your local pharmacy. This is the only pharmacy in the United States permitted to fill the prescription and send it directly to patients.

Can I get Xyrem without insurance?

THE XYREM PATIENT ASSISTANCE PROGRAM (PAP) is available for those with additional financial needs. If you meet certain financial criteria, such as having a low income level, are uninsured or underinsured, you may be eligible to receive XYREM at no cost.

What is JazzCares?

The JazzCares program at Jazz Pharmaceuticals provides general information only and is not a guarantee of any coverage or reimbursement outcome. All treatment decisions rest solely with the treating physician or qualified healthcare professional. †See Terms and Conditions for eligibility.

What is Xyrem REMS program?

[1/17/2017] The U.S. Food and Drug Administration (FDA) has approved the first generic version of Xyrem (sodium oxybate) Oral Solution, to treat cataplexy and excessive daytime sleepiness in patients with narcolepsy, which is a potentially debilitating disease.

How much is Xyrem monthly?

As a guide, one 180 ml bottle of Xyrem oral liquid (500 mg/ml) usually costs around $5,800. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.

When will Xyrem go generic?

Xyrem faces generic competition in 2023.

What is the difference between Xyrem and Xywav?

Xywav is a low-sodium version of Xyrem, which carries warnings about its high sodium content. Both drugs contain the active ingredient oxybate, but the new offering has 92% less sodium, or about 1g to 1.5g per night, than Xyrem at the recommended dosage.

What is the cost of Xywav?

Xywav cost without insurance will vary depending on where you buy it. As a guide, Xywav oral liquid (0.5 g/mL) usually costs $5,800 for 180 milliliters. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.

How does Xyrem help narcolepsy?

Xyrem treats narcolepsy by reducing both cataplexy and excessive daytime sleepiness (EDS). It's approved for this use in adults and children ages 7 years and older. Xyrem contains the drug sodium oxybate, which belongs to a class of medications called central nervous system (CNS) depressants.

What is a REMS program?

A Risk Evaluation and Mitigation Strategy (REMS) is a drug safety program that the U.S. Food and Drug Administration (FDA) can require for certain medications with serious safety concerns to help ensure the benefits of the medication outweigh its risks.

What pharmacy can dispense Xyrem?

Prescriptions for XYWAV and XYREM are only dispensed and shipped to patients who are enrolled in the REMS with documentation of safe use conditions. Each pediatric patient must have a caregiver who is counseled by the healthcare provider. XYWAV and XYREM will be dispensed only by the REMS Certified Pharmacy.

What is the generic name for Xyrem?

Generic Name: sodium oxybate This medication is used to treat narcolepsy, a condition that causes severe daytime sleepiness. Sodium oxybate can decrease daytime sleepiness and also reduce the number of sudden short attacks of weak/paralyzed muscles (known as cataplexy) that can occur in patients with narcolepsy.

Is XYREM a REMS drug?

Xyrem is subject to a REMS with elements to assure safe use (ETASU) to mitigate the risks of serious adverse outcomes resulting from inappropriate prescribing, misuse, abuse, and diversion of Xyrem.

Is XYWAV a GHB?

The active ingredient of XYWAV is a form of gamma-hydroxybutyrate (GHB). Abuse or misuse of illegal GHB alone or with other drugs that cause changes in alertness (or consciousness) has caused serious side effects.

What is XYWAV prescribed for?

This medication is used to treat narcolepsy, a condition that causes severe daytime sleepiness. It can decrease daytime sleepiness and also reduce the number of sudden short attacks of weak/paralyzed muscles (known as cataplexy) that can occur in patients with narcolepsy.

How much does Xyrem cost?

Eligible patients can pay as little as $35 for XYREM for a 30-day fill, subject to monthly maximum benefit. The Coupon Program is only available for residents of the US, Puerto Rico, and the other US territories who have commercial insurance with out-of-pocket expenses, including co-pay/co-insurance/plan deductibles exceeding $35 (for XYREM) per 30-day prescription fill. The Coupon Program is for commercially insured patients with narcolepsy that have been prescribed XYREM for its FDA-approved indications. The XYREM Coupon Program is not valid for beneficiaries of Medicare, Medicaid, VA, or other federal or state healthcare programs, if you pay for your prescription in cash or if you choose not to use your insurance coverage. The Coupon Program requires a valid, signed prescription for XYREM. The Coupon Program is for patients enrolled in the XYREM and XYREM REMS. The pharmacy will bill your insurance for the portion that your insurance plan has agreed to cover. The XYREM Coupon Program is not health insurance. The pharmacy, patient, or prescriber cannot submit a claim for reimbursement under any federal, state, or other governmental programs or any third party for any part of the benefit received by the patient through the Coupon Program. By using this offer, patients certify that they will comply with any terms of their health insurance contract requiring notification to their payor of the existence and/or value of this offer. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is non-transferrable. This offer is void where prohibited by law. No purchase necessary. The Coupon may not be applied retroactively. If your insurance changes, you must inform the pharmacy immediately. Based on your insurance change, you may no longer be able to participate in the XYREM Coupon Program. Jazz Pharmaceuticals reserves the right to terminate or modify this program at any time and without notice and in its sole discretion. In order to facilitate the XYREM Coupon Program, you understand and agree that Jazz will process your personal information in accordance to Jazz Pharmaceuticals’ Privacy Policy which can be found at www.jazzcares.com.

What is the Xyrem bridge program?

The Bridge Program is for patients who have commercial insurance that are at risk of therapy interruption due to a change in insurance or change in insurance coverage for XYREM. The Bridge Program benefit is a free drug offer valid for up to a one hundred and twenty (120) day supply of XYREM or until commercial insurance coverage has been established or denied, whichever comes first, given in up to fifteen (15) day increments. The Bridge Program is only available for residents of the US, Puerto Rico, and the other US territories. The Bridge Program is for patients with narcolepsy that have been prescribed XYREM for its FDA-approved indications. The Bridge Program is not valid for beneficiaries of Medicare, Medicaid, VA, or other federal or state healthcare programs, if you pay for your prescription in cash or if you choose not to use your insurance coverage. The Bridge Program requires a valid, signed prescription for XYREM. The Bridge Program is for patients enrolled in the XYREM and XYREM REMS. The Bridge Program is not health insurance. The pharmacy, patient, or prescriber cannot submit a claim for reimbursement under any federal, state, or other governmental programs or any third party for any part of the benefit received by the patient through the Bridge Program. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is non-transferrable. This offer is void where prohibited by law. No purchase necessary. If your insurance changes, you must inform the pharmacy immediately. Based on your insurance change, you may no longer be able to participate in the XYREM Bridge Program. Jazz Pharmaceuticals reserves the right to terminate or modify this program at any time and without notice and in its sole discretion.

How long is Xyrem free?

Experiencing delays in getting insurance approval? You may be eligible for up to 4 months of free XYREM while waiting for coverage approval.

How long is a Xyrem voucher good for?

The voucher is good for up to one-month’s free supply (maximum of three bottles) for a patient’s first-time shipment. There is a lifetime limit of one voucher per patient. The voucher is for commercially insured patients with narcolepsy that have been prescribed XYREM for its FDA-approved indications. The voucher is only available for residents of the US, Puerto Rico, and the other US territories. The voucher is not valid for beneficiaries of Medicare, Medicaid, VA, or other federal or state healthcare programs. The voucher requires a valid, signed prescription for XYREM. The voucher is for patients enrolled in the XYREM and XYREM REMS. The voucher is for patients that are experiencing an insurance coverage decision delay greater than 10 calendar days for XYREM or for patients changing from XYREM who are at risk of therapy interruption (i.e., less than seven calendar days from the patient’s next XYREM delivery date). The voucher may not be submitted by the patient, pharmacy, or prescriber to seek reimbursement for all or any part of the benefit received by the patient through this voucher. The free supply of XYREM cannot be used toward any out-of-pocket costs under any health insurance or prescription drug plan. The voucher may not be applied retroactively and does not cover refills. The voucher cannot be combined with any other voucher, certificate, coupon, rebate, or similar offer. Use of the voucher is not contingent on any purchase requirement. This is not a discount, rebate, or insurance program. The voucher is not valid where otherwise prohibited by law. It is illegal for any person to sell, purchase, trade, or counterfeit the voucher. Jazz Pharmaceuticals reserves the right to terminate or modify this program any time with or without notice. In order to facilitate the XYREM Quick Start Voucher, you understand and agree that Jazz will process your personal information in accordance to Jazz Pharmaceuticals’ Privacy Policy which can be found at www.jazzcares.com.

What is Xyrem used for?

Xyrem has been approved by the FDA to treat narcolepsy and excessive daytime sleepiness. Xyrem is administered orally. Because of the chance of abuse for this, the patient must arrange for refills with the company once a year.

What is jazz pharmaceuticals?

California-based Jazz Pharmaceuticals is a pharmaceutical company that seeks to fill the needs of the neurological and psychological field that they feel have not yet been met. Their main goal is to develop, acquire and license existing products, and then improve on those products by altering their chemical make up, thereby reducing the negative side-effects of the product. Working closely with patients, healthcare professionals, and groups advocating the right of patients, Jazz Pharmaceuticals is dedicated to the patient’s best interest.

Does Jazz Pharmaceuticals offer Xyrem?

Xyrem Patient Assistance Program a patient assistance program provided by Jazz Pharmaceuticals offers Xyrem at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:

What is the Xyrem bridge program?

The Bridge Program is for patients who have commercial insurance that are at risk of therapy interruption due to a change in insurance or change in insurance coverage for XYREM. The Bridge Program benefit is a free drug offer valid for up to a one hundred and twenty (120) day supply of XYREM or until commercial insurance coverage has been established or denied, whichever comes first, given in up to fifteen (15) day increments. The Bridge Program is only available for residents of the US, Puerto Rico, and the other US territories. The Bridge Program is for patients with narcolepsy that have been prescribed XYREM for its FDA-approved indications. The Bridge Program is not valid for beneficiaries of Medicare, Medicaid, VA, or other federal or state healthcare programs, if you pay for your prescription in cash or if you choose not to use your insurance coverage. The Bridge Program requires a valid, signed prescription for XYREM. The Bridge Program is for patients enrolled in the XYREM and XYREM REMS. The Bridge Program is not health insurance. The pharmacy, patient, or prescriber cannot submit a claim for reimbursement under any federal, state, or other governmental programs or any third party for any part of the benefit received by the patient through the Bridge Program. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is non-transferrable. This offer is void where prohibited by law. No purchase necessary. If your insurance changes, you must inform the pharmacy immediately. Based on your insurance change, you may no longer be able to participate in the XYREM Bridge Program. Jazz Pharmaceuticals reserves the right to terminate or modify this program at any time and without notice and in its sole discretion.

How long is a Xyrem voucher good for?

The voucher is good for up to one-month’s free supply (maximum of three bottles) for a patient’s first-time shipment. There is a lifetime limit of one voucher per patient. The voucher is for commercially insured patients with narcolepsy that have been prescribed XYREM for its FDA-approved indications. The voucher is only available for residents of the US, Puerto Rico, and the other US territories. The voucher is not valid for beneficiaries of Medicare, Medicaid, VA, or other federal or state healthcare programs. The voucher requires a valid, signed prescription for XYREM. The voucher is for patients enrolled in the XYREM and XYREM REMS. The voucher is for patients that are experiencing an insurance coverage decision delay greater than 10 calendar days for XYREM or for patients changing from XYREM who are at risk of therapy interruption (i.e., less than seven calendar days from the patient’s next XYREM delivery date). The voucher may not be submitted by the patient, pharmacy, or prescriber to seek reimbursement for all or any part of the benefit received by the patient through this voucher. The free supply of XYREM cannot be used toward any out-of-pocket costs under any health insurance or prescription drug plan. The voucher may not be applied retroactively and does not cover refills. The voucher cannot be combined with any other voucher, certificate, coupon, rebate, or similar offer. Use of the voucher is not contingent on any purchase requirement. This is not a discount, rebate, or insurance program. The voucher is not valid where otherwise prohibited by law. It is illegal for any person to sell, purchase, trade, or counterfeit the voucher. Jazz Pharmaceuticals reserves the right to terminate or modify this program any time with or without notice. In order to facilitate the XYREM Quick Start Voucher, you understand and agree that Jazz will process your personal information in accordance to Jazz Pharmaceuticals’ Privacy Policy which can be found at www.jazzcares.com.

How long can you get free therapy with insurance?

Commercially insured patients with a continued or new delay in insurance coverage may be eligible for up to 4 months of free therapy while coverage is pursued.

Does Xyrem cost?

Provides XYREM at no cost to patients who are uninsured or deemed uninsured due to a lack of coverage.

image
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