Arcalyst

(rilonacept)
rilonacept 220 MG Injection [Arcalyst]
NO BLACK BOX WARNING

Dosage & administration

Administer by subcutaneous injection

drug label

Arcalyst prescribing information

Have more Arcalyst questions?

Submit MSL Request
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Need to report an Arcalyst issue?

ONLINE FORM
Report adverse event
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samples

Request Arcalyst samples

NOT PROVIDED BY BRAND
View Online Sample Form
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prior authorization

Arcalyst Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Complete Coverage Authorization appeals
Coverage Authorization Appeal
Appeal Letter Guide
Letter of Medical Neccessity Guide
Tiering Exception Letter
Tiering Exception Letter Guide
Learn More

Benefits investigation

Kinisa OneConnect Enrollment Form: Recurrent Pericarditis
Kinisa OneConnect Enrollment Form (Spanish): Recurrent Pericarditis
Kinisa OneConnect Enrollment Form: CAPS & DIRA
Kinisa OneConnect Enrollment Form (Spanish): CAPS & DIRA
Learn More

Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Arcalyst Financial assistance options

Co-pay savings program

commercial only
Kinisa OneConnect Enrollment Form: Recurrent Pericarditis
Kinisa OneConnect Enrollment Form (Spanish): Recurrent Pericarditis
Enroll in Patient Savings Program
Kinisa OneConnect Enrollment Form: CAPS & DIRA
Kinisa OneConnect Enrollment Form (Spanish): CAPS & DIRA
Learn More

Bridge program

commercial only
Kinisa OneConnect Enrollment Form: CAPS & DIRA
Kinisa OneConnect Enrollment Form (Spanish): CAPS & DIRA
Quick Start Program: CAPS & DIRA
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+
Kinisa OneConnect Enrollment Form: Recurrent Pericarditis
Kinisa OneConnect Enrollment Form (Spanish): Recurrent Pericarditis
Patient Assistance Program
Kinisa OneConnect Enrollment Form: CAPS & DIRA
Kinisa OneConnect Enrollment Form (Spanish): CAPS & DIRA
Learn More

patient education

Arcalyst Patient education

Getting started on Arcalyst

Instructions For Use (Video): Recurrent Pericarditis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Instructions For Use: All Indications
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Instructions For Use (Video): DIRA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Instructions For Use (Video): CAPS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Patient toolkit

About Arcalyst: Recurrent Pericarditis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Arcalyst: CAPS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Arcalyst: DIRA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.