Arcalyst(rilonacept)
NO BOXED WARNING

Dosage & Administration

Administer by subcutaneous injection

Get Your Patient on Arcalyst

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Insurance Carrier
Or select your Insurance from the list below:

Arcalyst Prescribing Information

Arcalyst Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Oct 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Oct 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Oct 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Oct 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Oct 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Oct 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Oct 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Oct 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Oct 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Oct 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Oct 24, 2024Texas - Uniform Prior Authorization Form
Verified: Nov 04, 2024Washington - Uniform Prior Authorization Form
Verified: Nov 04, 2024Wisconsin - Uniform Prior Authorization Form
Appeal Letter Guide
Coverage Authorization Appeal
Letter of Medical Neccessity Guide
Complete Letter of Medical Necessity
Tiering Exception Letter
Tiering Exception Letter Guide

Benefits investigation

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

Arcalyst Financial Assistance Options

Copay savings program

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

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

Foundation programs

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

Arcalyst PubMed™ News

    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
    To share resource; ask patient to:
    1.Pull out phone
    2.Open camera
    3.Scan QR code with camera
    4.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

    Arcalyst FAQs