Getting patients started on ARIKAYCE
Enrolling into the inLighten Patient Support program is easy—just fill out the inLighten Enrollment Form
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The inLighten Enrollment Form allows you to prescribe ARIKAYCE and your patients to enroll in the inLighten Patient Support program. Fill out the fields on the form, including your signature, and ask your patient to sign
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Remember to get your patient’s signatures 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
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Patient authorization may also be submitted online at enroll.inlightensupport.com
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ARIKAYCE is a limited distribution product and can only be dispensed by the following:
- Amber Specialty Pharmacy (1-888-370-1724)
- Maxor Specialty Pharmacy (1-866-629-6779)
- PANTHERx Rare Pharmacy (1-855-726-8479)
Learn more about the support available
What does inLighten provide to patients?
inLighten 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 Field Access Managers are ready to address nonmedical questions about getting patients started on ARIKAYCE.
When prescribed ARIKAYCE and enrolled in inLighten
Patients will receive a call from their inLighten team and specialty pharmacy.
inLighten Coordinators serve as a dedicated resource to helping the patient through their treatment initiation, including:
- Keeping them informed of the payer approval process
- Understanding the role of the specialty pharmacy
- Providing information on the resources and training available as patients go through their journey
Coordinators keep patients informed of next steps and answer any questions patients may have related to getting their delivery of ARIKAYCE.
When starting ARIKAYCE
While continuing ARIKAYCE
inLighten can provide patients with voluntary live or virtual device training on how to set up the nebulizer and how to take ARIKAYCE.
It is important to encourage patients to answer the phone when receiving calls from an unfamiliar number as it may be inLighten.
- inLighten can be reached at 833-LIGHT-00 (833-544-4800) Monday through Friday from 8 AM to 8 PM Eastern Time
- Patients should also save this number on their phone as inLighten Patient Support
An inLighten Coordinator is available for 1:1 support, Monday through Friday, 8 AM to 8 PM Eastern Time.
ARIKAYCE is covered for most insured patientsa
In 2024, 91% of Medicare and 82% 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. inLighten can help
Accurate and complete documentation submitted with prior authorization is important for approval. Contact a Field Access Manager 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 inLighten at 833-LIGHT-00 (833-544-4800) Monday through Friday from 8 AM to 8 PM Eastern Time
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 prescription drug out-of-pocket costs for enrollees to a maximum of $2,000 per year
- The Medicare Prescription Payment Plan (MPPP)* gives enrollees the option of making monthly installment payments for prescription drugs over the course of the calendar year. You can talk with your insurance plan to find out how to opt in to this plan
- 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. Visit for more information
For additional information:
c
These programs are not offered by Insmed.
d
Also known as the Low-Income Subsidy (LIS) program.
*
These services are provided by the U.S. Centers for Medicare & Medicaid Services. inLighten cannot enroll you in these services. For more information, call 1-800-633-4227 or visit medicare.gov.
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.
