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.
- Remember to get your patient’s signature on the Enrollment Form. One signature gets your patient’s consent to submit their information, and the other signature gives them access to patient support services
- Patient authorization may also be submitted online at enroll.ARIKARES.com
- ARIKAYCE is a limited distribution product and can only be dispensed by select specialty pharmacies
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.
Is ARIKAYCE covered by insurance?
ARIKAYCE is covered for most insured patients.* Learn more about commercial and government coverage and other financial programs, as well as coverage on plans available in your area.
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.
When prescribed ARIKAYCE and enrolled in Arikares
When starting ARIKAYCE
While continuing ARIKAYCE
The Arikares Support Program will provide regular follow-up visits to ensure that patients have the support they need along the way.
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 2023, 91% of Medicare and 86% of commercial prescriptions were approveda
Most plans require completion of a prior authorization (PA), which is aligned with the ARIKAYCE label
Eligible patients using private or commercial insurance may pay as little as $0 co-pay for ARIKAYCEb
Insmed is committed to providing access to ARIKAYCE. The Arikares Support Program can help
Accurate and complete documentation submitted with prior authorization is important for approval. Contact a Patient Access Lead for more information about the PA process.
- Commercial insurance
- Government coverage
ARIKAYCE co-pay savings programb
- 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)
bSee full terms and conditions.
Affordability options for those with government coveragec
## Medicare Part D enrollees- Changes to Medicare Part D due to the Inflation Reduction Act may lower out-of-pocket costs for brand-name drugs for some enrollees to ~$3,300 per year in 2024
- Starting in 2025, the Medicare prescription payment plan will give enrollees the option, if they opt in, to pay their out-of-pocket prescription drug costs as monthly payments spread throughout the year, which may help patients avoid surprise bills from the pharmacy
- The Medicare Part D Extra Help program provides financial assistance to help enrollees with limited income pay for their drug costsd
State-sponsored program enrollees:
- Some states sponsor prescription financial assistance programs. Please note that each of those programs has its own eligibility requirements
For additional information:
c
These programs are not offered by Insmed.
d
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. 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.
