What is the dosage of Acthar?

Acthar is available in 1 dosages, including 80 unt/ml Sol

What does Acthar treat?

Acthar treats Collagen Diseases, Erythema Multiforme, Multiple Sclerosis, Nephrotic Syndrome, Optic Neuritis, Rheumatic Diseases, Sarcoidosis, Serum Sickness, Infantile Spasms and Uveitis

What is Acthar made of?

Acthar contains corticotropin which is a Adrenocorticotropic Hormone

How is Acthar administered?

Acthar is administered as a Injectable

Dosage & Administration Drug label Prior authorization Financial assistance

Patient education

Acthar

(corticotropin)

corticotropin 80 UNT/ML Injectable Solution [Acthar]

NO BLACK BOX WARNING

Dosage & administration

* In the treatment of infantile spasms, the recommended dose is 150 U/m2 divided into twice daily intramuscular injections of 75 U/m2. After 2 weeks of treatment, dosing should be gradually tapered and discontinued over a 2-week period.
* In the treatment of acute exacerbations of multiple sclerosis, daily intramuscular or subcutaneous doses of 80-120 units for 2-3 weeks may be administered. It may be necessary to taper the dose.
* In the treatment of other disorders and diseases, dosing will need to be individualized depending on the disease under treatment and the medical condition of the patient. It may be necessary to taper the dose.

Acthar prescribing information

Need to report an Acthar issue?

ONLINE FORMReport adverse event

Learn More

prior authorization

Acthar Prior authorization resources

NOT PROVIDED BY BRANDComplete Letter of Medical Necessity

NOT PROVIDED BY BRANDComplete Coverage Authorization request

Coverage Authorization Appeals

Coverage Authorization Request - Guide

Coverage Authorization Request - Rheumatology

Coverage Authorization Request - Pulmonology

Coverage Authorization Request - Ophthalmology

Coverage Authorization Request - Nephrology

Coverage Authorization Request - Neurology - Multiple Sclerosis

Coverage Authorization Request - Neurology - Infantile Spasms

Coverage Authorization Appeals - Patient Bill of Rights

Coverage Authorization Appeals - Patient Appeals Letter Template

Coverage Authorization Appeals - Discussing Your Appeal Guide

Coverage Authorization Appeals - Verbal Appeals Template

Content Authorization Appeals - Patient Bill of Rights - Spanish

Coverage Authorization Appeals - Discussing your Appeal Guide - Spanish

Coverage Authorization Appeals - Patient Appeals Letter Template - Spanish

Coverage Authorization Appeals - Verbal Appeals Template - Spanish

Patient Consent Form

Coverage Authorization Appeals - Appeals Kit

Learn More

Benefits investigation

NOT PROVIDED BY BRANDBenefits investigation resources

Learn More

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

Learn More

financial assistance

Acthar Financial assistance options

Co-pay savings program

commercial only

Enroll in patient savings program

Learn More

Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

Bridge program

commercial only

Learn More

Overview

Provide patient immediate access to therapy during an insurance delay (typically new starts; some may cover change in insurance)
Limited time/ fill (typically 7-30 days; some may offer additional fill for continued delay up to certain limit)

Patient benefit

100% free (outside of insurance)

Patient eligibility

HCP must enroll patient
May be limited to commercially insured patients (i.e., no government beneficiaries); some programs may allow government beneficiaries

How to sign up

Typically HCP assisted enrollment (via form)

Foundation programs

under insured

no insurance

goverment insurance

65+

Patient Assistance Program

Learn More

Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.

How to sign up

Patients submit proof of out-of-pocket drug costs to charities for reimbursement