Patient-Assistance-Reimbursement-Guide-2019.Pdf
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ASSOCIATION OF COMMUNITY CANCER CENTERS Patient & Reimbursement Guide 2019 PATIENT ASSISTANCE AND REIMBURSEMENT GUIDE 1 ASSOCIATION OF COMMUNITY CANCER CENTERS Patient & Reimbursement 3 Financial Toxicity Navigation Process Improvement Guide by Natasha Gomes 8 Patient Assistance Program Flowchart Pharmaceutical Company Patient Medical Device & Testing Patient Assistance & Reimbursement Programs Assistance & Reimbursement Programs AbbVie, Inc. 13 Adaptive Biotechnologies 76 Amgen, Inc. 14 Foundation Medicine 77 Array BioPharma 16 Astellas Pharma US, Inc. 17 Other Patient Assistance Programs & Resources AstraZeneca 19 Agingcare.com® 80 Bayer HealthCare Pharmaceuticals, Inc. 21 BenefitsCheckUp® 80 Boehringer Ingelheim Pharmaceuticals, Inc. 24 CancerCare® 80 Bristol-Myers Squibb 26 CancerCare® Co-payment Assistance Foundation 81 Celgene Oncology 28 Cancer Financial Assistance Coalition 81 Coherus BioSciences 30 Co-Pay Relief 82 Eisai Co., Ltd. 32 FamilyWize® 82 Eli Lilly and Company 34 Good Days® 82 EMD Serono, Inc. and Pfizer, Inc. 37 HealthWell Foundation® 83 Exelixis, Inc. 39 The Leukemia & Lymphoma Society 84 Genentech, Inc. 41 NeedyMeds 84 Heron Therapeutics 43 Partnership for Prescription Assistance 85 Incyte Corporation 45 Patient Access Network Foundation 86 Ipsen Biopharmaceuticals, Inc. 47 Patient Advocate Foundation 86 Janssen Biotech, Inc. 49 RxAssist 87 Kite Pharma 52 RxHope™ 87 Merck 53 Rx Outreach® 87 Mylan 55 Novartis Pharmaceuticals Corporation 57 Pfizer, Inc. 59 Pharmacyclics, LLC 61 Puma Biotechnology 62 Regeneron Pharmaceuticals, Inc. and Sanofi Genzyme 64 Sandoz, Inc. 66 Seattle Genetics 67 The ACCC Patient Assistance & Reimbursement Guide was Taiho Oncology 68 printed in January 2019. This publication is updated four times Takeda Oncology 69 a year. Visit accc-cancer.org/PatientAssistanceGuide to TerSera Therapeutics 72 download and print the most up-to-date information on cancer drug assistance and reimbursement programs. Tesaro, Inc. 73 Teva Oncology 75 2019 PATIENT ASSISTANCE AND REIMBURSEMENT GUIDE 1 Patient Assistance and Reimbursement Assistance Programs by Drug or Product Abraxane® (paclitaxel protein-bound particles Faslodex® (fulvestrant) 19 for injectable suspension) (albumin-bound) 28 Femara® (letrozole) tablets 57 Actiq® (oral transmucosal fentanyl citrate) [C-II] 75 Fentora® (fentanyl buccal tablet) [C-II] 75 Adcetris® (brentuximab vedotin) for injection 67 Fulphila® (pegfilgrastim-jmdb) injection 55 Afinitor® (everolimus) tablets 57 Gardasil®9 (Human Papillomavirus 9-valent Afinitor Disperz® (everolimus) tablets for Vaccine, Recombinant) 53 oral suspension 57 Gazyva® (obinutuzumab) 41 Alecensa® (alectinib) capsules 41 Gilotrif® (afatinib) 24 Alimta® (pemetrexed for injection) 34 Gleevec® (imatinib mesylate) tablets 57 Aliqopa™ (copanslib) for injection 21 Granix® (tbo-filgrastim) for injection 75 Aloxi® (palonosetron hydrochloride) injection 32 Halaven® (eribulin mesylate) 32 Alunbrig® (brigatinib) tablets 69 Herceptin® (trastuzumab) 41 Aranesp® (darbepoetin alfa) 14 Herceptin Hylecta™ (trastuzumab and Aromasin® (exemestane) tablets 59 hyaluronidase-oysk) 41 Arzerra® (ofatumumab) injection 57 Ibrance® (palbociclib) 59 Avastin® (bevacizumab) 41 Iclusig® (ponatinib) 69 Balversa™ (erdafitinib) 49 Idamycin PFS® (idarubicin hydrochloride) Bavencio® (avelumab) injection 37, 59 for injection 59 Bendeka® (bendamustine hydrochloride) Idhifa® (enasidenib) 28 for injection 75 Imbruvica® (ibrutinib) 61 Besponsa® (inotuzumab ozogamicin) for injection 59 Imfinzi® (durvalumab) injection 19 Blincyto® (blinatumomab) 14 Imlygic® (talimogene laherparepvec) suspension Bosulif® (bosutinib) tablets 59 for intralesional injection 14 Braftovi® (encorafenib) capsules 16 Inlyta® (axitinib) tablets 59 Cabometyx® (cabozantinib) tablets 39 Intron® A (interferon alfa-2b, recombinant) Calquence® (acalabrutinib) 19 for injection 53 Camptosar® (irinotecan hydrochloride injection) 59 Iressa® (gefitinib) 19 Cinvanti® (aprepitant) injectable emulsion 43 Jadenu® (deferasirox) tablets 57 Cometriq® (cabozantinib) capsules 39 Jakafi® (ruxolitinib) tablets 45 Cotellic® (cobimetinib) tablets 41 Kadcyla® (ado-trastuzumab emtansine) 41 Cyramza® (ramucirumab) 34 Kanjinti™ (trastuzumab-anns) 14 Darzalex® (daratumumab) 49 Keytruda® (pembrolizumab) 53 Daurismo™ (glasdegib) 59 Kisqali® (ribociclib) tablets 57 Doxil® (doxorubicin HCl liposome injection) 49 Kymriah® (tisagenlecleucel) suspension Ellence® (epirubicin hydrochloride injection) 59 for IV infusion 57 Emcyt® (estramustine phosphate sodium Kyprolis® (carfilzomib) for injection 14 capsules) 59 Lartruvo® (olaratumab) 34 Emend® (aprepitant) 53 Lenvima® (lenvatinib) capsules 32 Emend® (fosaprepitant) for injection 53 Libtayo® (cemiplimab-rwlc) 64 Empliciti® (elotuzumab) 26 Lonsurf® (trifluridine and tipiracil) tablets 68 Erbitux® (cetuximab) 34 Lorbrena® (lorlatinib) 59 Erleada® (apalutamide) 49 Lumoxiti™ (moxetumomab pasudotox-tdfk) 19 Erivedge® (vismodegib) 41 Lupron Depot® (leuprolide acetate for depot Exjade® (deferasirox) tablets 57 suspension) 13 Farydak® (panobinostat) capsules 57 Lynparza® (olaparib) tablets and capsules 19 2019 PATIENT ASSISTANCE AND REIMBURSEMENT GUIDE 1 Patient Assistance and Reimbursement Assistance Programs by Drug or Product (continued) Mektovi® (binimetinib) tablets 16 Tarceva® (erlotinib) 17, 41 Mekinist® (trametinib) tablets 57 Tasigna® (nilotinib) tablets 57 Mylotarg™ (gemtuzumab ozogamicin) Tecentriq® (atezolizumab) for injection 41 for injection 59 Temodar® (temozolomide) 53 Nerlynx® (neratinib) 62 Thalomid® (thalidomide) 28 Neulasta® (pegfilgrastim) 14 Torisel® (temsirolimus) for injection 59 Neulasta® Onpro® (pegfilgrastim) injection kit 14 Trazimera™ (trastuzumab-qyyp) 59 Improving patient flow Neupogen® (filgrastim) 14 Treanda® (bendamustine HCl) for injection 75 by optimizing EHRs Nexavar® (sorafenib) tablets 21 Trisenox® (arsenic trioxide) for injection 75 Ninlaro® (ixazomib) capsules 69 Tykerb® (lapatinib) tablets 57 Nplate® (romiplostim) 14 Udenyca® (pegfilgrastim-cbqv) 30 Odomzo® (sonidegib) 57 Varubi® (rolapitant) tablets 72 Onivyde® (irinotecan liposome injection) 47 Vectibix® (panitumumab) 14 Opdivo® (nivolumab) 26 Velcade® (bortezomib) for injection 69 Perjeta® (pertuzumab) for injection 41 Venclexta® (venetoclax) 41 Piqray® (alpelisib) 57 Verzenio® (abemaciclib) 34 Polivy™ (polatuzumab vedotin-piiq) 41 Vidaza® (azacitidine) 28 Pomalyst® (pomalidomide) 28 Vitrakvi® (larotrectinib) 59 Portrazza® (necitumumab) 34 Vizimpro® (dacomitinib) 59 Procrit® (epoetin alfa) 49 Votrient® (pazopanib) tablets 57 Prolia® (denosumab) 14 Xalkori® (crizotinib) capsules 59 Promacta® (eltrombopag) tablets 57 Xgeva® (denosumab) 14 Revlimid® (lenalidomide) 28 Xofigo® (radium Ra 223 dichloride) injection 21 Rituxan® (rituximab) 41 Xospata® (gilteritinib) tablets 17 Rituxan Hycela® (rituximab/hyaluronidase human) Xtandi® (enzalutamide) capsules 17 for injection 41 Yervoy® (ipilimumab) 26 Rydapt® (midostaurin) 57 Yescarta® (axicabtagene ciloleucel) suspension Sandostatin® (octreotide acetate) for injection 57 for infusion 52 Sandostatin® LAR Depot (octreotide acetate Yondelis® (trabectedin) 49 for injectable suspension) 57 Zarxio® (filgrastim-sndz) 66 Sensipar® (cinacalcet) 14 Zejula® (niraparib) 73 Somatuline® Depot (lanreotide) for injection 47 Zelboraf® (vemurafenib) 41 Sprycel® (dasatinib) 26 Zinecard® (dexrazoxane) for injection 59 Stivarga® (regorafenib) tablets 21 Zirabev™ (bevacizumab-bvzr) 59 Sustol® (granisetron) extended-release injection 43 Zoladex® (goserelin acetate implant) 72 Sutent® (sunitinib malate) 59 Zolinza® (vorinostat) 53 Sylatron® (peginterferon alfa-2b) for injection 53 Zykadia® (ceritinib) capsules 57 Sylvant® (siltuximab) 49 Zytiga® (abiraterone acetate) 49 Synribo® (omacetaxine mepesuccinate) for injection 75 Tafinlar® (dabrafenib) capsules 57 Tagrisso® (osimertinib) 19 Talzenna® (talazoparib) 59 2 ASSOCIATION OF COMMUNITY CANCER CENTERS 2019 PATIENT ASSISTANCE AND REIMBURSEMENT GUIDE 3 Financial Toxicity NavigationBY NATASHA GOMES Process Improvement FINANCIAL TOXICITY NavigationImproving patient Process flow by Improvement optimizing EHRs Improving patient flow by optimizing EHRs inances are often a major concern for patients electronic health record (EHR) has allowed us to manage dealing with a cancer diagnosis. In 2017 DuPage this heavy caseload. Medical Group, Downers Grove, Ill., directed more attention and resources toward our financial Leveraging our Epic EHR to better support financial Fnavigation department to assist patients in minimizing navigation of patients along the care continuum, DuPage out-of-pocket expenses. Adding financial navigators Medical Group is able to: to the conversation and communication process helps • Capture patients from the time an order for bridge the gap for a patient deciding whether to start treatment is placed or continue treatment, as financial navigators provide • Develop communications with oncology and patients with exceptional, personalized care and guid- infusion patients ance throughout the course of their treatment. This also • Follow up on patient accounts eases the burden on our clinical staff by allowing them to • Track billing to co-pay assistance programs and focus on their areas of expertise. foundations. DuPage Medical Group is the largest physician-owned Since implementing this process in June 2017, DuPage group in Illinois, with more than 700 physicians, 115 Medical Group has tripled patient enrollment in co-pay locations, and 6 infusion sites that average 700 scheduled and