Getting started with ARIKAYCE

Insmed is here to help throughout the patient journey

Prescribing ARIKAYCE

Prescribing ARIKAYCE enrollment form icon

Download the Arikares Enrollment Form

Download and complete the Arikares Enrollment Form to prescribe ARIKAYCE. The form can also be used to enroll your patients in the Arikares Support Program.

This form has been translated into a variety of languages for reference only.

Submit via fax (1-800-604-6027) or e-mail (enrollment@arikares.com).

Arikares Support Program icon

Arikares Support Program

The Arikares Support Program is here to assist and guide patients throughout the course of their therapy.

Additional resources

After I prescribe ARIKAYCE, what will my patient receive?

  1. A Welcome Pack and a call from their Arikares Coordinator to discuss questions and next steps
  2. Their first shipment of ARIKAYCE, arriving in 2 packages: the first containing the 28-day supply of medicine and the second delivering the Lamira Nebulizer System and Getting Started Kit

Patients can receive voluntary device training that can be scheduled with an Arikares Trainer after the ARIKAYCE delivery date is confirmed.

Welcome Pack

Your patients will be sent a Welcome Pack in the mail after enrollment into Arikares that includes important and helpful information about getting started with ARIKAYCE.

Image of the Arikares Welcome Pack unzipped with all of its contents, including various pamphlets and brochures, spread around it.

The Welcome Pack contains:

  1. Welcome Letter
  2. Treatment Journal
  3. Preparing for Your First Shipment of ARIKAYCE
  4. Questionnaire
  5. Getting to Know Arikares
  6. Medication and Allergy Wallet Cards
  7. Tips for Traveling With Your Medication
  8. Create Space for Your Treatment

28-day ARIKAYCE Medication Kit

The first shipment of ARIKAYCE will include a 28-day supply of medicine from a specialty pharmacy. After this initial shipment, patients will continue to receive a 28-day supply of ARIKAYCE each month.

Image of the 28-day ARIKAYCE (amikacin liposome inhalation suspension) Medication Kit box shown open with all materials and kit contents surrounding it.

The 28-day ARIKAYCE Medication Kit contains:

  1. Cooler Return Form
  2. 1 ARIKAYCE Quick Start Guide
  3. 1 Instructions for Use
  4. 1 Full Prescribing Information and Medication Guide
  5. 1 Lamira Nebulizer Handset
  6. 28 once-daily vials of ARIKAYCE (1 vial to be used each day for 28 days)
  7. 4 Lamira Aerosol Heads (1 in each weekly box)

Lamira Nebulizer System and Getting Started Kit

The second shipment will include the Lamira Nebulizer System and Getting Started Kit, and will be sent from the same pharmacy as the first box. Patients will only receive this shipment once.

Image of the Lamira Nebulizer System shipment box shown open with all of its contents around it.

The Lamira Nebulizer System contains:

  1. 1 Instructions for Use
  2. 1 Full Prescribing Information and Medication Guide
  3. 1 Spare Lamira Aerosol Head
  4. 1 Spare Lamira Nebulizer Handset
  5. 1 eBase® Controller
  6. 4 AA Batteries
  7. 1 Connection Cord
  8. 1 A/C Power Supply
  9. 1 Carrying Case
Image of the ARIKAYCE (amikacin liposome inhalation suspension) Getting Started Kit box and all of its contents.

The Getting Started Kit contains:

  1. Timer
  2. Lint-free Drying Mat
  3. 2 oz Dish Soap Sample
  4. Lint-free Towel

ARIKAYCE storage and handling1

Packaging icon
  • Store ARIKAYCE vials refrigerated at 36°F to 46°F (2°C to 8°C). Do not freeze. Once expired, discard any unused drug
  • ARIKAYCE can be stored at room temperature up to 77°F (25°C) for up to 4 weeks. Once at room temperature, any unused drug must be discarded at the end of 4 weeks
  • Prior to opening, the ARIKAYCE vial should be shaken well for at least 10 to 15 seconds until the contents appear uniform and well mixed

Savings and financial support

ARIKAYCE is covered for 76% of insured patients*

  • Most plans require the completion of a prior authorization. Some plans may require further medical justification
  • To learn more about what insurance providers require, contact an Arikares Patient Access Lead (PAL). PALs have the reimbursement and payer expertise that may help minimize delays during the authorization and reimbursement process. By understanding payer-specific reauthorization requirements, Arikares PALs can provide information that may help patients maintain access to treatment
Footnote

*Source: Managed Markets Insights & Technology, LLC, database as of April 2020. All information provided is as of 4/16/2020. 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.

Phone icon

Insmed is committed to providing access to ARIKAYCE. To discuss reimbursement or affordability, please call 1-833-ARIKARE (1-833-274-5273), Monday through Friday from 8 am to 8 pm Eastern Time.

ARIKAYCE Co-pay Savings Program

  • Eligible patients using private or commercial 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)

DoD=Department of Defense; VA=Veterans Affairs.

Medicare Part D extra help—LIS program

Medicare patients who have limited income and resources may qualify for extra help to pay for medication. The LIS, or "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 who are eligible for LIS may:

  • Receive assistance paying their monthly minimum
  • Have a reduced or no deductible
  • Have a reduced or no prescription coinsurance and co-payments
  • Have no gap in coverage
Learn more about the LIS program

State-sponsored programs

Some states sponsor prescription financial assistance programs, each with its own eligibility requirements.

Learn more about state pharmaceutical assistance programs

Footnote

These programs are not offered by Insmed.

LIS=Low-Income Subsidy.

Arikares Support Program

Supporting ARIKAYCE patients throughout their journey

Doctor icon

Prescribe ARIKAYCE and Enroll Patients in Arikares

To prescribe ARIKAYCE and enroll your patients in Arikares, complete the Arikares Enrollment Form. Submit via fax (1-800-604-6027) or e-mail (enrollment@arikares.com)

After enrolling patients in the Arikares Support Program, they will receive a Welcome Pack in the mail and a call from their Arikares Coordinator

Arikares Coordinator icon

Arikares Coordinators

An Arikares Coordinator can assist patients with their specialty pharmacy to verify insurance coverage

They can help answer device-related treatment questions

Arikares Patient Access Lead (PAL) icon

Arikares Patient Access Leads (PALs)

An Arikares PAL provides:

Information on the reimbursement process, payer requirements, and the prior authorization and appeals processes

Answers to questions that may arise during the reimbursement process

Access information, including the most recent publicly available payer-specific forms and procedures

Delivering ARIKAYCE truck icon

Starting ARIKAYCE

An Arikares Coordinator and the specialty pharmacy will work with patients to coordinate the shipment of ARIKAYCE to their home

Nebulizer training icon

Arikares Trainers

An Arikares Trainer (nurses and respiratory therapists) may provide voluntary in-home or virtual device training for patients and caregivers at treatment initiation

Mobile phone icon

Ongoing Support

Arikares can provide patients with ongoing support during their course of care

Arikares enrollment form icon

Support starts with you

Complete the Arikares Enrollment Form with your patients to get started.

This form has been translated into a variety of languages for reference only.

Submit via fax (1-800-604-6027) or e-mail (enrollment@arikares.com).

Download
Download arrow icon

the Arikares Enrollment Form

ARIKAYCE Co-pay Savings Program Terms and Conditions

Most patients who are eligible pay $0 co-pay every month up to a $32,000 maximum program benefit per calendar year, and subject to a monthly program benefit limit of $8,000 per month. Patient will be responsible for any co-pay once limit is reached. Depending on the private or commercial health insurance plan, savings may apply toward co-pay, coinsurance, or deductible.

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 the patient’s 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 above the amount set forth above are also not covered. 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 on 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.

MAC=Mycobacterium avium complex.

Reference

  1. ARIKAYCE [package insert]. Bridgewater, NJ: Insmed Incorporated; 2020.