Getting patients started on ARIKAYCE

To prescribe ARIKAYCE, first complete the Arikares® Enrollment Form with your patients

The Arikares Enrollment Form allows you to both prescribe ARIKAYCE and enroll your patients in the Arikares Support Program. A patient's signature on the Enrollment Form gives them access to support services. ARIKAYCE is a limited distribution product and can only be dispensed by select specialty pharmacies. Download the Enrollment Form to prescribe and learn more.


Download the Arikares Enrollment Form

Learn more about the support available

What does the Arikares Support Program provide to patients?

The Arikares Support Program provides coordination and ongoing support and resources for patients prescribed ARIKAYCE.


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Is ARIKAYCE covered by insurance?

ARIKAYCE is covered for most insured patients.* Learn more about coverage, approval rates, and financial support that might be available to your patients.


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Where can my office go with questions?

Our highly experienced Patient Access Leads are ready to address nonmedical questions about getting patients started on ARIKAYCE.


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The Arikares Support Program offers enrolled patients ongoing support and information

When prescribed ARIKAYCE and enrolled in Arikares

arikares coordinator

Patients will receive a and a call from an Arikares Coordinator who will work with the patient and specialty pharmacy to coordinate the first shipment of ARIKAYCE.

Arikares Coordinators will keep patients informed of next steps and answer any questions patients may have related to getting their delivery of ARIKAYCE.

When starting ARIKAYCE

Patients will receive 2 separate boxes:

  • The , which contains ARIKAYCE
  • The , which includes the Lamira® Nebulizer System

The Arikares Support Program can provide patients with voluntary live or virtual device training on how to set up the nebulizer and how to take ARIKAYCE.

While continuing ARIKAYCE

The Arikares Support Program will provide regular follow-up to ensure that patients have the support they need along the way.

It is important to encourage patients to answer the phone when receiving calls from an unfamiliar number as it may be Arikares.

  • The Arikares Support Program can be reached at 1-833-ARIKARE (1-833-274-5273)
    • Patients should also save this number on their phone as the Arikares Support Program
  • An Arikares Coordinator is available for 1:1 support, Monday through Friday, 8 AM to 8 PM ET

ARIKAYCE is covered for most insured patientsa*

In 2022, 91% of Medicare and 84% of commercial prescriptions were approvedb*

  • Commercial insurance
  • Government coverageb

ARIKAYCE co-pay savings programa

  • Eligible patients using private insurance can save on out-of-pocket costs for ARIKAYCE
  • Not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA, DoD, TRICARE or similar federal or state programs, including any state pharmaceutical assistance program
  • Eligibility can be determined by calling Arikares at 1-833-ARIKARE (1-833-274-5273)

aSee full terms and conditions.

Medicare Part D Extra Help Programc

Medicare patients with limited income and resources may qualify for extra help to pay for medication. The Extra Help program from Medicare provides financial assistance for patients who may not be able to afford the costs associated with their Medicare Part D plan.


Those eligible for Extra Help may:


  • Receive assistance paying monthly minimum, have a reduced or no deductible, or have a reduced or no prescription coinsurance and co-payments
  • Have no gap in coverage



State-sponsored programs

  • Some states sponsor prescription financial assistance programs, each with their own eligibility requirements
  • The specialty pharmacy will work with your patients to let them know of any additional financial assistance programs, including state-sponsored financial assistance programs



b

These programs are not offered by Insmed.

c

Also known as the Low-Income Subsidy (LIS) program.

Find ARIKAYCE coverage on selected plans in:



ARIKAYCE Co-pay Savings Program Terms and Conditions

Patients who are eligible may pay as little as a $0 co-pay every month. Co-pay savings offered under this program are subject to the following limits: $10,000 per month and up to a total of $45,000 maximum program benefit per calendar year. Patient will be responsible for any co-pay amounts once these limits are reached. Depending on the private or commercial health insurance plan, savings may apply toward co-pay, coinsurance, or deductible. Keep in mind that co-payments, coinsurance, and deductibles are all different types of out-of-pocket costs and you may still have out-of-pocket costs even if you are eligible for this program. Refer to your insurance plan documents if you have questions related to your total out-of-pocket costs for ARIKAYCE.

Who is eligible?

Patients who have been prescribed ARIKAYCE, are at least 18 years of age, a resident of the 50 United States, the District of Columbia, or Puerto Rico, and have commercial or private health insurance may be eligible for the ARIKAYCE Co-pay Savings Program. ARIKAYCE must be covered by your commercial or private insurance. This program is not valid for cash-paying customers. This offer is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA, DoD, TRICARE or similar federal or state programs, including any state pharmaceutical assistance program.

Patients who are currently ineligible for the ARIKAYCE Co-pay Savings Program may reapply if their circumstances change.

This is not an insurance benefit, and does not cover or provide support for supplies, procedures, or any physician-related services associated with ARIKAYCE. General, non-product specific insurance deductibles are also not covered by this program. Insmed reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms and conditions at any time without notice. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. This offer is not conditioned upon, or reward for, any past, present, or future purchase, including refills. The co-pay card is non-transferable, limited to one per person, and cannot be combined with any other offer or discount. This program is not valid where prohibited by law, taxed, or restricted. Offer has no cash value.

Footnote

*Source: Managed Markets Insight & Technology, LLC, database as of October 2022. All information provided is as of 10/14/2022. The information includes applicable public and private payers. The information available here is compiled from a source believed to be accurate, but Insmed makes no representation that it is accurate. This information is subject to change. Payer requirements may vary or change over time, so it is important to regularly check with each payer as to payer-specific requirements. The use of this information does not guarantee payment or that any payment received will cover your costs.

DoD=Department of Defense; VA=Veterans Affairs.

Footnotes

aAll information provided as of 10/14/2022.

bManaged Markets Insight and Technology, LLC™, a trademark of MMIT, as of October 2022.

cSee full terms and conditions.

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Source: Managed Markets Insight and Technology, LLC™, a trademark of MMIT, as of 2/13/2024.