Page 6 - HFA Dateline 2013 Q4 Winter

navigating patient Assistance programs ith the uncertainty of healthcare, many in the bleeding disorders community are concerned about the future of cost and ac- Wcess to factor products Co-payments and out-of-pocket expenses can result in a large chunk of a family’s monthly budget Many manufacturers of factor products have co-pay assistance programs that can provide a source of relief Manufacturer Co-pay/Co-insurance program limit total notes name and Contact information Bayer Kogenate fS Co-pay/Co-insurance $6,000 (Assistance • Must have Hemophilia A Assistance Pilot Program available for up to 12 • Must have private health insurance Bayer factor Solutions months, or until pilot • <400% FPL; eligible to receive up to 1-800-288-8374 program ends) $6,000 in financial assistance • >400% FPL; eligible to receive up to $500 in financial assistance • Must first contact Bayer’s Factor Solutions to apply Baxter Hemophilia Co-pay/Co-insurance $10,000 (Assistance • Must meet financial criteria for Assistance Pilot Program available for up to 12 enrollment—fPL is set at 400% (facilitated by Patient Services, Inc.) months while program • Must have private health insurance 1-800-366-7741 is in effect) • Funds can only be used towards patient’s out of pocket expenses for Baxter hemophilia products • Apply online via PSI’s website Csl Behring MyAccess Cost-Share Program $12,000 • Must take a CSL Behring product for the 1-800-676-4266 treatment of von Willebrand disease or hemophilia A Corifact Co-Pay Program • Must currently have a private insurance (factor XIII deficiency only ) plan (federal or state insurance programs 1-888-267-1440 *Hemophilia federation of America (HfA) makes every attempt to provide accurate information regarding patient assistance programs and resources However, since program policies often change, are not eligible) • Annual enrollment pfizer Pfizer RSVP Co-Pay Program $10,000 • Must meet income eligibility requirements 1-888-327-7787 • Must not have public insurance, may have private insurance novo nordisk* SevenSeCURe $1,500 • Must have hemophilia with inhibitors, factor 1-877-668-6777 VII deficiency, or acquired hemophilia please contact the manufacturer directly for the most updated information **This chart has been updated on January 10, 2014 octapharma No co-pay program currently available N/A N/A Grifols* AlphaNine Sd Savings Card Program $6,000 ($500 each • Must have a valid prescription for 1-855-355-2574 month maximum) AlphaNine Sd • Must not have a state or federally funded healthcare plan • Card is available for one year from date of enrollment eligible patients may re-enroll Biogen idec* No co-pay program currently available N/A N/A Kedrion No co-pay program currently available N/A N/A Biopharma 6 Dateline Federation | Winter 2013