1 ML evolocumab 140 MG/ML Auto-Injector [Repatha]1 ML evolocumab 140 MG/ML Prefilled Syringe [Repatha]
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NO BLACK BOX WARNING
Dosage & administration
In adults with established CVD or with primary hyperlipidemia:
In pediatric patients aged 10 years and older with HeFH:
* The recommended dosage of REPATHA is either 140 mg every 2 weeks OR 420 mg once monthly administered subcutaneously. * If switching dosage regimens, administer the first dose of the new regimen on the next scheduled date of the prior regimen.
In adults and pediatric patients aged 10 years and older with HoFH:
* The initial recommended dosage of REPATHA is 420 mg once monthly administered subcutaneously. * The dosage can be increased to 420 mg every 2 weeks if a clinically meaningful response is not achieved in 12 weeks. * Patients on lipid apheresis may initiate treatment with 420 mg every 2 weeks to correspond with their apheresis schedule. Administer REPATHA after the apheresis session is complete.
* Assess LDL-C when clinically appropriate. The LDL-lowering effect of REPATHA may be measured as early as 4 weeks after initiation. * Advise latex-sensitive patients that the needle cover of the glass single-dose prefilled syringe and the single-dose prefilled autoinjector contain dry natural rubber, a derivative of latex. * Administer REPATHA subcutaneously into areas of the abdomen, thigh, or upper arm. Rotate injection sites for each administration. * See Full Prescribing Information for important administration instructions.
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prior authorization
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Complete Letter of Medical Necessity
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financial assistance
Repatha Financial assistance options
Co-pay savings program
commercial only
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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
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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+
Amgen Safety Net Foundation - Patient Assistance Program Application
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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
patient education
Repatha Patient education
Getting started on Repatha
Intructions For Use - SureClick Autoinjector
ASK PATIENT TO: Open Camera on Phone Scan QR Code & Tap Link
Instructions For Use - Prefilled Syringe
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Instructions For Use - Pushtronex System
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Patient toolkit
Patient Brochure - English
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Patient Brochure - Spanish
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Patient Stories
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About Repatha
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