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| About MOASC Sponsors |
AMGEN
The SAFETY NET Foundation
(888) 762-6436;
FAX (877) 549-7239;
9:00AM-8:00PM Eastern Time
Aranesp, Epogen, Neulasta, Neupogen, Nplate, Sensipar, Vectibix
The Foundation helps qualified uninsured patients with limited or no financial resources and in limited cases qualified underinsured patients obtain access to AMGEN products. Patients apply for assistance through sponsoring health care professionals.
ENcourage Foundation
(888) 4Enbrel;
FAX (888) 508-8083;
8:00AM-8:00PM Eastern Time
Enbrel
The Foundation helps qualified, uninsured patients with limited or no financial resources obtain access to Enbrel.
AMGEN Assist
www.amgenassistonline.com
888‐427‐7478
9:00AM-8:00PM Eastern Time
Amgen Assist® gives patients and healthcare professionals a single destination for access to
eService and online forms, and makes it easier to find a program that would best meet each
patient's unique needs, including coverage and reimbursement services, co‐pay support
information, and assistance for uninsured patients. Please contact us at (888) 4ASSIST
(888‐427‐7478), or visit us at www.amgenassistonline.com.
AstraZeneca
AstraZeneca Cancer Support Network (AZ CSN)
(866) 922-9276;
FAX (866) 279-0709;
8:00AM-8:00PM Eastern Time
Arimidex, Casodex, Faslodex, Zoladex
AZ CSN is a comprehensive service platform for physicians and patients designed to meet informational needs, provide access to product, and address coverage issues. Specially trained Registered Nurses, Pharmacists, and Reimbursement Specialists are available to personally address customer needs including a gateway to the AZ & Me Prescription Savings Program. More information can be obtained by visiting www.azcsn.net.
Bayer Healthcare Pharmaceuticals/Onyx Pharmaceuticals
CamCare;
Leukine Reimbursement Support Program
(800) 473-5832;
FAX (800) 513-1824;
9:00AM-5:00PM Eastern Time
Campath, Fludara, Leukine
This Program provides patient assistance and reimbursement support. CamCare’s nursing support line is available 24/7.
Nexavar REACH Program
(866) NEXAVAR (639-2827);
FAX (866) 639-5181;
9:00AM-8:00PM Eastern Time
Nexavar
The Program provides clinical information, insurance information, reimbursement support, prescription processing, and patient assistance to uninsured patients who meet the program eligibility criteria.
bioTheranostics
bioTheranostics discovers, develops and commercializes molecular diagnostic tests for cancer patients. Leveraging its unique expertise in genomic profiling and proprietary algorithms, bioTheranostics provides innovative tests to the oncology community that help drive personalized treatment. The company operates a CLIA-certified, CAP-accredited, diagnostic service laboratory in San Diego, California, to perform its proprietary molecular diagnostic tests: CancerTYPE ID®, a molecular cancer classifier particularly helpful for patients diagnosed with metastatic cancer whose tumor origin is either uncertain or unknown through conventional diagnostic testing; and the Breast Cancer Index®, which refines and improves risk stratification in patients with estrogen receptor (ER)-positive, lymph-node negative breast cancer. More information is available at www.biotheranostics.com.
Larry Hansen
V.P. Commercial Operations | bioTheranostics, Inc.
9640 Towne Centre Drive, Suite 200 | San Diego, CA 92121
T | (858) 587-5866
F | (858) 587-5871
larry.hansen@biotheranostics.com
www.biotheranostics.com
Celgene
Innohep Support Services
(866) 742-7646
Innohep
Innohep Support Services provides reimbursement and patient assistance support.
Patient Support Coordinator (PSC) Program
(800) 931-8691;
FAX (800) 822-2496;
www.celgenepsc.com;
patientsupport@celgene.com
5:00AM-4:00PM Pacific Time
The Celgene Patient Support Coordinator (PSC) Program was created to help patients and healthcare providers navigate the challenges of reimbursement, provide information about co-pay assistance, and answer general questions about Celgene products and their distribution. The PSC is a dedicated central point of contact who assists providers and patients who rely on Celgene products. The RevAssist/STEPS telephone number is (888) 423-5436.
Vidaza Support Services
(866) 742-7646;
FAX (866) 369-4333;
8:00AM-8:00PM Eastern Time
Vidaza
Vidaza Support Services provides reimbursement and patient assistance support.
Celgene Corporation is pleased to announce ISTODAX (romidepsin) for injection is now approved for the treatment of peripheral T-cell lymphoma (PTCL) in patients who have received at least 1 prior therapy. ISTODAX is also approved for the treatment of cutaneous T-cell lymphoma (CTCL) in patients who have received at least 1 prior systemic therapy. These indications are based on response rate. Clinical benefit such as improvement in overall survival has not been demonstrated.
Dosing and Administration
The recommended dose of romidepsin is 14 mg/m2 administered intravenously over a 4-hour period on days 1, 8, and 15 of a 28-day cycle. Cycles should be repeated every 28 days provided that the patient continues to benefit from and tolerates the therapy. Treatment discontinuation or interruption with or without dose reduction to 10 mg/m2 may be needed to manage adverse drug reactions.
Drug NDC and Coding
ISTODAX is supplied as a kit containing 1 single-use vial of 10 mg of romidepsin and 1 single-use vial of Diluent for romidepsin containing a 2 mL deliverable volume. The national drug code (NDC) for ISTODAX is 59572-983-01. The HCPCS Code for ISTODAX is J9315.
Storage
ISTODAX kit must be stored at 20°C to 25°C, excursions permitted between 15°C and 30°C. (See USP Controlled Room Temperature.)
Patient Assistance for ISTODAX
For more information regarding patient assistance for ISTODAX, contact Celgene Patient Support® at 1-800-931-8691. ISTODAX® (romidepsin) for injection is indicated for treatment of cutaneous T-cell lymphoma (CTCL) in patients who have received at least one prior systemic therapy. ISTODAX® (romidepsin) for injection is indicated for treatment of peripheral T-cell lymphoma (PTCL) in patients who have received at least one prior therapy. These indications are based on response rate. Clinical benefit such as improvement in overall survival has not
been demonstrated.
Please see accompanying full Prescribing Information, including WARNINGS AND PRECAUTIONS and
ADVERSE REACTIONS.
Eisai
Eisai Reimbursement Assistance Program
(877) 644-6270;
FAX (888) 644-7236;
8:00AM-8:00PM Eastern Time
Aloxi, Dacogen, Gliadel, Hexalen, Salogen
(866) 613-4724;
FAX (866) 573-4724;
Ontak, Panretin, Targretin
(866) 272-8804;
FAX (866) 272-8805;
Fragmin
The Eisai Reimbursement Assistance Program provides patient assistance and reimbursement support for Aloxi, Dacogen, Fragmin, Gliadel, Hexalen, Ontak, Panretin, Salogen, and Targretin. A customer service representative will assist with Eisai product information, indigent programs, reimbursement questions, prior authorizations, referral to co-pay assistance programs, insurance verification, billing/coding questions, appeal assistance, referral to disease-state assistance programs and letters of medical necessity.
Genentech BioOncology
Genentech Access Solutions
(888) 249-4918;
www.genentechaccesssolutions.com;
Avastin, Herceptin, Rituxan, Tarceva
Genentech Access Solutions provides one-stop access to a broad array of reimbursement information, and support and services for patients so that they can focus on treatment. In addition to providing information about co-pay assistance through independent public charities, Genentech Access Solutions can also help with common reimbursement challenges, insurance appeals and coverage denials, and referrals to the Genentech Access to Care Foundation. For coverage and reimbursement services, visit www.genentechaccesssolutions.com/
docs/av/ASEEnrollment.pdf for patient assistance, visit www.genentechaccesssolutions.com/
docs/av/GATCFEnrollment.pdf.
Avastin Patient Assistance Program
(888) 249-4918;
FAX (888) 249-4919;
6:00AM-5:00PM Pacific Time
The Avastin Patient Assistance Program is designed to limit the overall annual cost of Avastin for eligible patients receiving treatment for FDA-approved indications. Participation in the Program provides a voluntary opportunity for physicians and eligible patients who reach an annual charge of 10,000mg to receive free Avastin from Genentech for the remainder of the 12-month period. The Program is open to all patients receiving Avastin (regardless of insurance coverage) with a household adjusted gross income of up to $100,000. Patients must be receiving Avastin for an FDA-approved indication.
Genzyme Oncology
Clolar Direct Response Program
(800) RX-CLOLAR (800-792-5652);
FAX (866) 617-3001;
www.clolar.com/hcp/resources/cl_hc_re_direct.asp
9:00AM-5:00PM EST
Clolar
This support program provides a one-stop information resource for reimbursement and patient access questions. Staffed with specialists with expertise in public and private health insurance, the program offers assistance in securing payer coverage requirements, providing coding and billing information, verifying patient benefits, and accessing patient assistance resources.
ImClone Systems
BMS/ImClone Destination Access
(800) 861-0048;
FAX (888) 776-2370;
www.destinationaccess.com;
7:00AM-7:00PM
Erbitux
The BMS/ImClone Destination Access program helps with benefit investigation (appeals for physicians and patients, pre- & post-treatment appeals, Medicare Part B appeals, appeal FAQs) and patient assistance.
Lilly Oncology
Lilly Patient One
(866) 4PatOne;
FAX (866) 472-8663
Alimta, Gemzar
Lilly Oncology’s Patient One program provides reliable and individualized treatment support that addresses financial, access, and claim issues for patients who are candidates for Lilly’s oncology products. More information is available at www.lillypatientone.com/index.jsp.
Millennium
Velcade Reimbursement Assistance Program
(866) VELCADE;
9:00AM-8:00PM Eastern Time
Velcade
The Program provides product, clinical trials, and reimbursement information.
Novartis Oncology
Patient Assistance and Reimbursement Programs
Reimbursement Hotline: 800-282-7630
Patient Assistance Programs: 866-884-5906
Novartis is committed to providing access to our medications for those most in need. Through a variety of resources, including the Novartis Oncology Patient Assistance Program, the Novartis Oncology Reimbursement Hotline, and our support of independent Charitable Copay foundations, we have made a firm commitment to enable patients in need to access medicines.
Visit www.novartisoncology.us for complete patient assistance, reimbursement and clinical trail information. (This will link directly to Access to Medicine page)
Oncology Supply/ION
(888) 536-7697
OS/ION offers a unique value to pharmaceutical companies, service providers, and physician practices. Access provided by OS/ION empowers health care providers and industry companies to improve the efficiency, effectiveness, and quality of health care delivery to patients while enabling them to satisfy their respective missions. The collective portfolio of services and solutions from OS/ION include OS/ION Coding Workshops, monthly Web/teleconference workshops specifically for OS/ION members, which address pertinent topics such as basic coding rules and standards, and evaluation and management documentation requirements; OS/ION Medical Advisory Panel (MAP), comprising industry thought leaders with collective expertise in disease states, community-based practice, and business administration with an ongoing mission to deliver quality pharmaceutical products to patients as well as creative practice solutions to physicians; OS/ION Protocol Analyzer, a preloaded software program, complete with standard drug pricing from Oncology Supply and CMS’s most recent reimbursement data, which is available online at www.iononline.com, and calculates the overall cost of delivering chemotherapy in the practice; the OS/ION Pharmacy & Dispensing Program, with two distinct drug dispensing models that can be used to distribute medication for payment under the pharmacy benefits portion of a patient’s insurance and enables close analysis of each practice’s prescription-writing habits to determine which model is most suitable for use; OS/ION Practice Reimbursement Series, a series of reimbursement webinars that are designed to help network members stay abreast of breaking issues related to reimbursement and how it impacts them; OS/ION Vital Reimbursement Resources, a feature on the OS/ION Web site through which members are directed to an array of reimbursement material including CMS and Medicare enrollment forms, and timely news updates pertaining to reimbursement and legislation are posted in this section; and the overall OS/ION GPO Function, whereby the country’s largest diversified services organization for the community-based practitioner is designed to contract directly with pharmaceutical and biotech companies to support their products within the organization’s membership.
Onmark, McKesson Specialty Care Solutions
Regimen Profiler
(866) 686-8340
Onmark, McKesson Specialty Care Solutions, is the leading national group purchasing organization for community-based practices. Onmark delivers cost savings through its premier contract portfolio, plus innovative business and clinical solutions that empower members to operate more efficiently and deliver cost-effective, high-quality patient care.
Regimen Profiler is a Web-based tool that helps oncology practices and their patients understand financial and clinical information for many oncology treatment regimens. It is available free of charge to Onmark members. Visit www.onmarkservices.com and click on the Practice Management tab to learn more.
Ortho Biotech
DOXILine
(800) 609-1083;
FAX (800) 987-5572;
www.DOXILine.com;
9:00AM-8:00PM Eastern Time
Doxil
DOXILine provides access to reimbursement information and support—patient assistance program to patients without insurance coverage (based on financial need); access to insurance guidelines for private, federal, and state plans; verification of insurance coverage; and, coding and billing assistance.
ProcritLine
(800) 553-3851;
FAX (800) 987-5572;
www.procritline.com;
9:00AM-8:00PM Eastern Time
Leustatin, Procrit
ProcritLine provides easy access to reimbursement information and support—patient assistance program to patients without insurance coverage (based on financial need), coding and billing assistance, verification of insurance coverage, and assistance with appeals.
Pfizer Oncology
FirstRESOURCE
(877) 744-5675;
FAX (877) 744-5473;
9:00AM-7:00PM Eastern Time
Aromasin, Camptosar, Ellence, Sutent
FirstRESOURCE provides insurance benefit verification, prior authorization, payer cover policy, appeals assistance, alternative sources of coverage, and patient support program information.
Roche Oncology
Oncoline
(800) 443-6676;
8:30AM-5:00PM Eastern Time
Kytril, Roferon-A, Vesanoid, Xeloda
Oncoline offers a range of reimbursement and literature search services, including third-party payer reimbursement information, coverage and benefits verification, billing codes and claims procedures, assistance with appeals, clinical literature searches, and enrollment information for Roche’s Medical Needs Program.
Sanofi Aventis Oncology
Eligard Reimbursement Hotline
(877) 354-4273;
FAX (866) 354-4273;
9:00AM-8:00PM Eastern Time
Eligard
The Hotline provides patient assistance and reimbursement support.
Hyalgan Reimbursement Hotline
(800) 992-9022;
FAX (866) 354-4273;
9:00AM-8:00PM Eastern Time
Hyalgan
The Hotline provides patient assistance and reimbursement support.
PACT+ Program
(800) 996-6626;
FAX (800) 996-6627;
www.pactplusonline.com;
9:00AM-8:00PM Eastern Time
Anzemet, Elitek, Eloxatin, Nilandron, Taxotere
The PACT+ Program provides patient assistance, alternative resources, and reimbursement support to oncology patients and providers. The PACT+ Provider Portal is a secure web site accessible only to healthcare provides and reimbursement personnel who participate in the PACT+ Program on behalf of their practice’s needy patients. This tool is the first of its kind in oncology and offers improved workflow processes related to reimbursement and patient assistance program (PAP) information, such as the ability to streamline and prioritize PAP caseload, complete enrollment applications online, receive alerts and reminders about specific patient cases, track PAP product shipments, and easily access all patient related information including patient history, alerts/reminders, insurance benefit summaries, shipments, attachments, and case histories. To register for the PACT+ Provider Portal, visit www.pactplusonline.com or call (800) 996-6626.
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AstraZeneca Cancer Support Network (AZ CSN)
(866) 922-9276
Monday-Friday 8:00 AM to 8:00 PM Eastern Time.
AZ CSN is a comprehensive service platform for physicians and patients
designed to meet informational needs, provide access to product, and
address coverage issues. Specially trained Registered Nurses,
Pharmacists, and Reimbursement Specialists are available to personally
address our customers needs including a gateway to our AZ & Me
Prescription Savings Program.
More information can be obtained by visiting: www.azcsn.net |
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Celgene Corporation is pleased to announce that VIDAZA® (azacitidine for injection) has received approval from the US Food and Drug Administration to include survival data for patients with higher-risk myelodysplastic syndromes (MDS) in its prescribing information. A PDF file of the updated Vidaza prescribing information is attached to this message. For more information, please visit www.vidaza.com.
PLEASE NOTE:
VIDAZA is indicated for treatment of patients with the following French-American-British (FAB) myelodysplastic syndrome subtypes: refractory anemia (RA) or refractory anemia with ringed sideroblasts (RARS) (if accompanied by neutropenia or thrombocytopenia or requiring transfusions), refractory anemia with excess blasts (RAEB), refractory anemia with excess blasts in transformation (RAEB-T), and chronic myelomonocytic leukemia (CMMoL).
IMPORTANT SAFETY INFORMATION:
- VIDAZA is contraindicated in patients with a known hypersensitivity to azacitidine or mannitol and in patients with advanced malignant hepatic tumors
- In Studies 1 and 2, the most commonly occurring adverse reactions by SC route were nausea (70.5%), anemia (69.5%), thrombocytopenia (65.5%), vomiting (54.1%), pyrexia (51.8%), leukopenia (48.2%), diarrhea (36.4%), injection site erythema (35.0%), constipation (33.6%), neutropenia (32.3%), and ecchymosis (30.5%). Other adverse reactions included dizziness (18.6%), chest pain (16.4%), febrile neutropenia (16.4%), myalgia (15.9%), injection site reaction (13.6%), and malaise (10.9%). In Study 3, the most common adverse reactions by IV route also included petechiae (45.8%), weakness (35.4%), rigors (35.4%), and hypokalemia (31.3%)
- In Study 4, the most commonly occurring adverse reactions were thrombocytopenia (69.7%), neutropenia (65.7%), anemia (51.4%), constipation (50.3%), nausea (48.0%), injection site erythema (42.9%), and pyrexia (30.3%). The most commonly occurring Grade 3/4 adverse reactions were neutropenia (61.1%), thrombocytopenia (58.3%), leukopenia (14.9%), anemia (13.7%), and febrile neutropenia (12.6%)
- Because treatment with VIDAZA is associated with anemia, neutropenia, and thrombocytopenia, complete blood counts should be performed as needed to monitor response and toxicity, but at a minimum, prior to each dosing cycle
- Because azacitidine is potentially hepatotoxic in patients with severe preexisting hepatic impairment, caution is needed in patients with liver disease. In addition, azacitidine and its metabolites are substantially excreted by the kidneys and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, it may be useful to monitor renal function
- VIDAZA may cause fetal harm when administered to a pregnant woman. Women of childbearing potential should be apprised of the potential hazard to the fetus. Men should be advised not to father a child while receiving VIDAZA
- Nursing mothers should be advised to discontinue nursing or the drug, taking into consideration the importance of the drug to the mother.
I you have any questions regarding this message, please contact:
George K. Malouly
National Account Management
Celgene Corporation
310.859.0175 office
gmalouly@celgene.com
http://www.celgene.com |
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The Celgene Patient Support Coordinator (PSC) is a dedicated central point of contact helping healthcare providers and patients to navigate the challenges of reimbursement, provide information about co-pay assistance and to answer general questions about Celgene products.
Celgene, is committed to developing safe and effective therapies for treating cancer and blood diseases. Celgene wants to ensure that their medications and services are readily accessible to patients and healthcare providers.
The benefits of the PSC® program and the Celgene commitment to patients:
Dedicated, central point of contact
Can locate co-pay assistance programs and services
Can assist with insurance claims and appeals
Can address opportunities for free product
Recently, Oncology Business Review published the results of their exclusive market research study on patient assistance programs—those programs that provide help to uninsured and underinsured patients, programs like our PSC® program. Here are the highlights of their results:
- These programs had a positive influence on prescribing not just for the specific patient receiving assistance, but also for future patients
- Cost to the patient was cited by oncologists as the top reason NOT to prescribe a drug
- Oncologists identified Celgene as being tied for #2 for having the best program in the industry!
- The 3 top reasons that determined “best” in the oncologists’ minds were:
Easy/liberal enrollment
Easy access to needed products
Easy to use
- Oncologists use these programs because:
Programs are helpful to patients
Easy access/use
If you are interested in receiving more information regarding the PSC® Program, please contact a live Patient Support Coordinator @ 800.931.8691, your Celgene Representative or George K. Malouly, National Account Management
310.859.0175 office, gmalouly@celgene.com.
http://www.celgene.com |
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VELCADE Reimbursement Assistance Program
This program is a full-service hotline for healthcare providers, patients and caregivers. Reimbursement Specialists verify health insurance coverage and eligibility; obtain pre-authorization; assess each patient’s drug coverage; and clarify any co-payments obligations patients may have relative to VELCADE® (bortezomib) for Injection. In cases where patients have insufficient health insurance coverage, Reimbursement Specialists will help determine if alternative funding sources for VELCADE are available. If no other sources of drug coverage can be identified, patients will be evaluated for the Velcade Patient Assistance Program and, if eligible, will receive VELCADE free of charge.
Reimbursement Specialists are available Monday through Friday from 9:00 am to 7:00 pm ET by calling 1-866-VELCADE (1-866-835-2233).
Millennium: The Takeda Oncology Company
Millennium Pharmaceuticals, Inc. was established in 1993 in Cambridge, Massachusetts as a genomics company and since has grown into a fully integrated biopharmaceutical organization. The Company was acquired by Takeda Pharmaceutical Company Limited, Japan’s largest pharmaceutical company, and renamed Millennium: The Takeda Oncology Company in May 2008. As a wholly-owned and independent subsidiary, Millennium operates as Takeda’s Global Center of Excellence in Oncology. Today, Millennium is committed to discovering and developing innovative new therapies that fundamentally improve the lives of people with cancer.
In 2009, Millennium announced its new vision: We Aspire to Cure Cancer. The Company focuses on innovation and strives to cure cancer and one day be a leading global oncology company. Currently, Millennium has a robust clinical development pipeline of innovative product candidates focused in oncology. Millennium celebrates and entrepreneurial spirit and culture of people who work with a sense of urgency to deliver medicines to patients with cancer worldwide through our science, innovation and passion. |
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Amgen (NASDAQ:AMGN), a biotechnology pioneer, discovers, develops and delivers innovative human therapeutics. Our medicines have helped millions of patients in the fight against cancer, kidney disease, rheumatoid arthritis and other serious illnesses. With a deep and broad pipeline of potential new medicines, we continue to advance science to serve patients.
Amgen Assist™
www.amgenassist.com
1-800-272-9376
9:00AM-8:00PM Eastern Time
Amgen Assist™ gives healthcare professionals and patients a
single destination for user-friendly online tools and forms and
makes it easier to find the appropriate program for each
patient’s unique needs.
Use Amgen Assist™ for:
• Insurance verification
• Prior authorization
• Patient assistance program information
• Billing and claims processing support
The Safety Net Foundation
(888) 762-6436
FAX (866) 549-7239
9:00AM-8:00PM Eastern Time
A nonprofit foundation supported by Amgen that provides
qualified uninsured patients with Amgen medicines at no cost. |
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AZandMe direct link (all forms of patient assistance)
<www.azandme.com.url>>
Joan Milazzo
Oncology Customer Account Leader, West Region VM 866.822.797.2420 x66528 Cell 626.665.1447 |
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The Eisai Reimbursement Hotline can help customers with reimbursement support, billing, coding, insurance verification and /or pre-certification, prior-authorization assistance, letters of medical necessity, claim denial appeal support, co-pay assistance and alternate coverage for all Eisai Oncology products- Aloxi, Dacogen, Fragmin, Ontak, Gliadel, and Targretin.
The Eisai Assistance Program also offers Patient Assistance Programs to serve the indigent, underinsured and uninsured.
Eisai Oncology Assistance Program Hotline contact information is:
Phone # 1-866-61-Eisai
Hours of Operation: Monday - Friday 8:00 a.m. - 8:00 p.m. EST
Fax# 1-866-57-Eisai |
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Genentech BioOncology
Genentech Access Solutions
(888) 249-4918;
www.genentechaccesssolutions.com;
Avastin, Herceptin, Rituxan, Tarceva
Genentech Access Solutions provides one-stop access to a broad array of reimbursement information, and support and services for patients so that they can focus on treatment. In addition to providing information about co-pay assistance through independent public charities, Genentech Access Solutions can also help with common reimbursement challenges, insurance appeals and coverage denials, and referrals to the Genentech Access to Care Foundation. For coverage and reimbursement services, visit www.genentechaccesssolutions.com/
docs/av/ASEEnrollment.pdf; for patient assistance, visit www.genentechaccesssolutions.com/
docs/av/GATCFEnrollment.pdf.
Avastin Patient Assistance Program
(888) 249-4918;
FAX (888) 249-4919;
6:00AM-5:00PM Pacific Time
The Avastin Patient Assistance Program is designed to limit the overall annual cost of Avastin for eligible patients receiving treatment for FDA-approved indications. Participation in the Program provides a voluntary opportunity for physicians and eligible patients who reach an annual charge of 10,000mg to receive free Avastin from Genentech for the remainder of the 12-month period. The Program is open to all patients receiving Avastin (regardless of insurance coverage) with a household adjusted gross income of up to $100,000. Patients must be receiving Avastin for an FDA-approved indication.
qualified uninsured patients with Amgen medicines at no cost. |
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Allos Therapeutics, Inc.
Allos Support for Assisting Patients (ASAP) Program
(877) ASAP102 (272-7102);
FAX (877) 801-0777;
9:00AM-8:00PM Eastern Time
Folotyn
ASAP (Allos Support for Assisting Patients) is a program designed to provide you with the tools to help make reimbursement easy to understand and more manageable. Services include benefit investigations, pre-authorizations, pre-determinations, appeals, drug replacement, alternative sources of coverage, and finding co-pay assistance. Visit www.getasapinfo.com for more information and to access the interactive map that provides available reimbursement information by state, specific to Medicare, Medicaid, and commercial payers.
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Allos Therapeutics, Inc. is a biopharmaceutical company committed to the development and commercialization of innovative anti-cancer therapeutics. FOLOTYN™ (pralatrexate injection) is the first and only drug approved in the U.S. for the treatment of patients with relapsed or refractory peripheral T-cell lymphoma. Allos is also developing FOLOTYN in other potential indications. Allos retains exclusive worldwide rights to FOLOTYN for all indications. The Company is headquartered in Westminster, CO. For additional information, please visit www.allos.com |
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sanofi-aventis
PACT+
Monday–Friday
9 am – 8 pm, ET
1.800.996.6626
www.pactplusonline.com
Patient Assistance and Reimbursement Services
The PACT+ program provides patient assistance, alternative resources and reimbursement support to oncology patients and providers. Reimbursement Counselors are available to answer questions about Eloxatin® (oxaliplatin injection), Taxotere® (docetaxel), Elitek® (rasburicase), Anzemet® (dolasetron mesylate) and Nilandron® (nilutamide).
sanofi-aventis Oncology has established this toll-free patient assistance hotline as a resource to health care professionals, patients, family members, and payers. All callers receive personalized assistance from reimbursement counselors, who are specially trained to address coding questions, coverage and benefit verification, claim submission, payment policies, and other reimbursement issues regarding sanofi-aventis oncology products.
PACT+Provider Portal
The PACT+ Provider Portal is a secure web site accessible only to healthcare providers and reimbursement personnel who participate in the PACT+ program on behalf of their practice's needy patients. This tool is the first of its kind in oncology and offers improved workflow processes related to reimbursement/patient assistance program information, such as the ability to: streamline and prioritize PAP caseload, complete enrollment applications online, receive alerts and reminders about specific patient cases, track PAP product shipments, and easily access all patient-related information, including patient history, alerts/reminders, insurance benefit summaries, shipments, attachments, and case history.
To register for the PACT+ Provider Portal, please visit www.pactplusonline.com or call PACT+ at 1.800.996.6626 and select Option 2.
Please Note: Access to the PACT+ Provider Portal is restricted to physicians, staff, and administrators who currently have permission to view patients' charts and their PHI. The portal is not accessible to sanofi-aventis employees or to patients enrolled in the PACT+ Program. There are no charges associated with registration or use of this portal.
To Download Sanofi-Aventis Patient and Practice Reimbursement Tools and Access the Sanofi-Aventis Website: Click here http://www.oncology.sanofi-aventis.us/.
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Dear MOASC Members,
Genentech has implemented the BioOncology Co-Pay Card Program to assist eligible patients with their insurance co-payments for our infused products Avastin® (bevacizumab), Herceptin® (trastuzumab), and RITUXAN® (Rituxumab). This complements our existing Co-Pay Card Program for Tarceva® (erlotinib) patients.
This program is in alignment with Genentech’s corporate commitment to ensure that all eligible patients have access to the therapies they need.
How does the Genentech BioOncology Co-Pay Card Program help eligible patients?
Genentech will pay 80% of the remaining co-pay, up to $4,000 per eligibility period, after the patient pays the first $100 plus 20% of the co-pay per treatment or infusion of their BioOncology therapy.
Who is eligible for the Genentech BioOncology Co-Pay Card Program?
Patient Eligibility Terms:
§ Covered by private insurance (nongovernmental)
§ Annual household Adjusted Gross Income of $100,000 or less
§ Co-pay over $100
§ Age 18 years or older
§ Prescribed an infused BioOncology therapy for an FDA-approved use
Who is not eligible for the Genentech BioOncology Co-Pay Card Program?
Patient Ineligibility Terms:
§ Participating in Medicare, Medicaid, Medigap, VA, DoD, or Tricare (or any other federally- or state-funded benefit programs)
§ Uninsured
§ Currently residing or receiving services in Massachusetts
§ Currently participating in the Genentech® Access to Care Foundation
How does a patient get started?
1. The patient works with the physician’s office to:
Ø Complete the Statement of Medical Necessity (SMN) and Patient Authorization of Notification (PAN) forms, which can be found at BioOncologyAccessSolutions.com
Ø Call Genentech Access Solutions at 888-249-4918 to verify eligibility and confirm the patient’s age, address, household income, insurance status, and diagnosis
2. The physician receives enrollment approval once the enrollment is finalized.
3. The patient receives treatment and the co-pay benefit.
Please don’t hesitate to contact me directly with questions.
Best regards,
Jennifer Fraga Schroeder
Reimbursement Manager
415.740.5445 |
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The Genomic Health Access Program (GAP) has been designed to assist patients and healthcare providers with any billing or reimbursement issues related to the Oncotype DX test. Payors representing more than 200 million lives cover Oncotype DX and have established favorable coverage policies for this groundbreaking technology. We can help with reimbursement support, billing, coding, insurance verification and /or pre-certification, prior-authorization assistance, letters of medical necessity, claim denial appeal support and co-pay assistance for Oncotype DX.
The Genomic Health Assistance Program also offers Patient Assistance Programs to serve the indigent, underinsured and uninsured.
Genomic Health Access Program contact information is:
Phone # 866-ONCOTYPE (866-662-6897)
Hours of Operation: Monday - Friday 8:00 a.m. - 8:00 p.m. EST |
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© 2008 Medical Oncology Association of Southern California
P.O. Box 161 •
Upland, CA 91785
Phone: (909) 985-9061 •
Fax: (909) 985-8581 • email: moasc@moasc.org
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