ICLUSIG 1Point: Support when you need it

ICLUSIG 1Point can support your patients throughout the course of their therapy.

To get your patients started:

  1. Download the ICLUSIG 1Point Enrollment Form.
  2. Instruct your patient to review and sign the ICLUSIG 1Point Enrollment Form.
  3. Fax the completed ICLUSIG 1Point Enrollment Form to 1-855-246-5201.

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Overview

ICLUSIG 1Point: ACCESS, AFFORD, ASSist

Access

A Patient Access Specialist can work with your patient and your office to conduct a benefits investigation and provide you both with details on your patient’s drug coverage and options.

Afford

ICLUSIG 1POINT HELPS YOUR PATIENTS AFFORD MEDICATION

Regardless of your patients’ insurance status, ICLUSIG 1Point can help identify an array of financial assistance programs for which they may be eligible.

  • FOR ELIGIBLE, COMMERCIALLY-INSURED PATIENTS

    The ICLUSIG Co-Pay Assistance Program limits your patients’ co-pay or coinsurance to no more than $10 per month. Please see Eligibility Requirements, terms, and conditions.*

    • To learn more about the ICLUSIG Co-Pay Assistance Program call 1-844-T1POINT (1-844-817-6468)

  • FOR GOVERNMENT-INSURED PATIENTS

    ICLUSIG 1Point helps identify third-party, nonprofit foundations that can grant financial assistance to patients that can help with their out-of-pocket, treatment-related expenses (e.g., co-pays, coinsurance, and deductibles). To learn more call 1-844-T1POINT (1-844-817-6468).

  • FOR UNINSURED OR UNDERINSURED PATIENTS

    The Patient Assistance Program provides assistance to patients who either do not have insurance or are functionally underinsured. The program offers free monthly supplies of ICLUSIG to patients who meet certain eligibility requirements.

    HOW TO APPLY

    In order to apply, your patient must:

    1. Complete the Patient Assistance Program Application. It is important to note that you
    and your patient must sign this application.

    2. Have a valid prescription for ICLUSIG.

    3. Have 1 of the documents listed in the Patient Assistance Program Application
    that is required for household income verification.

    If your patient is approved for this Program, both of you will be notified, and a 1-month supply of ICLUSIG will be mailed to your patient. Each month, you will need to confirm that your patient still needs ICLUSIG.

    Qualifying patients may be enrolled for up to 1 year, subject to continued eligibility.

ASSIST

ICLUSIG 1Point is committed to supporting your patients throughout their treatment by offering a wide range of services to get them the information they need and assist with day-to-day concerns associated with their treatment.

*ICLUSIG CO-PAY ASSISTANCE PROGRAM
Eligibility Requirements: This offer cannot be used if you are a beneficiary of, or any part of your prescription is covered by: (1) any federal or state health care program (Medicare, Medicaid, TRICARE, Veterans Administration, Department of Defense, etc.), including a state or territory pharmaceutical assistance program, (2) the Medicare Prescription Drug Program (Part D), or if you are currently in the coverage gap, Medicare Advantage Plans, Medicaid Managed Care or Alternative Benefit Plans under the Affordable Care Act, or Medigap, or (3) insurance that is paying the entire cost of the prescription. Patients must be at least 18 years old.

Terms & Conditions: You must meet Eligibility Requirements. You agree to report your use of this offer to any third party that reimburses you or pays for any part of the prescription price. Use of this offer is confirmation that you are permitted, under the terms and conditions of the health benefit plan(s) covering your prescription, to take advantage of co-pay assistance programs. You additionally agree that you will not submit the cost of any portion of the product dispensed pursuant to this offer to a federal or state health care program (Medicare, Medicaid, TRICARE, Veterans Administration, Department of Defense, etc.), for purposes of counting it toward your out-of-pocket expenses, and to notify ICLUSIG 1Point if you become eligible for a federal or state health care program. This assistance Program covers out-of-pocket expenses greater than $10 per monthly prescription. Maximum $25,000 annually. Your co-pay card can be renewed every 12 months, subject to continued eligibility. This offer is not valid with any other program, discount, or offer involving ICLUSIG®(ponatinib). This offer may be rescinded, revoked, or amended without notice. No reproductions. This offer is void where prohibited by law, taxed, or restricted. Limit one offer per purchase. Cash value of 1/100 of 1¢. For questions about this offer, please contact the ICLUSIG Co-Pay Assistance Program, a service of ICLUSIG 1Point, at 1-844-T1POINT (1-844-817-6468), Option 2, Monday-Friday, 8 AM-8 PM ET.

How It Works

WHAT YOUR ICLUSIG 1POINT PATIENTS CAN EXPECT

Step 01

Prescribe the Medication to Get Patients Started

Enrolling your patients in ICLUSIG 1Point is easy.

Step 02

Access and Financial Support Assessment Begins

Access support: A Patient Access Specialist will coordinate with Biologics' oncology pharmacy support team to conduct a benefits investigation and provide the results.

Financial support: A Patient Access Specialist will work with patients to identify programs for which they may be eligible.

Step 03

Patient Receives Medication

Once a benefits investigation is complete, your patient will be contacted to schedule delivery.

That's all you need to do to enroll!

Plus...There's Ongoing Support for Your Patient

Biologics' multidisciplinary pharmacy care team will provide the following core pharmacy services:

  • Counsel your patient, including a review of drug and food interactions, dosage, and possible
    side effects
  • Provide information on adherence and side effect management throughout therapy
  • Coordinate with your patient to set up free delivery and free refills delivery based on your
    patient’s therapy schedule
  • Contact your office if a new prescription is needed
  • Advise your patients on how to take, store, and properly dispose of medication

FAQs

Frequently Asked Questions

Q. Will my office receive follow-up about my ICLUSIG 1Point patients?

A. Yes, once Biologics fills the prescription, they will be in touch with both your patient and your office as needed.

Q. How do my patients get financial assistance?

A. After your patients are enrolled, you and your patients will be assigned a Patient Access Specialist who will conduct a benefits investigation and provide you and your patient with details on your patients' drug coverage and options.

Q. What if patients with private (commercial) insurance need help paying their copay or coinsurance?

A. ICLUSIG Co-Pay Assistance Program was developed for patients with private (commercial) insurance; it limits the copay to $10 per month for eligible patients. Please see Eligibility Requirements, terms, and conditions.*

Q. What if my patients with government insurance such as Medicare Part D, Medicaid, TRICARE, or Veterans Affairs need help paying their copay or coinsurance?

A. ICLUSIG 1Point works with you and your patients to identify the right financial solution for each patient based on the specific situation, including referral to an independent charitable organization.

Q. Is there any financial assistance available if my patients have no insurance, or coverage is denied?

A. ICLUSIG 1Point works with your patients to find the right individualized solution based on their financial need.

Q. How experienced are the people at Biologics?

A. Biologics’ is a trusted, high-touch oncology pharmacy that provides a comprehensive and personalized approach to oncology pharmacy services.

Q. Who exactly will be speaking with my patients?

A. The same Biologics’ oncology pharmacy support team continues to provide support throughout the course of treatment, including information on side effect management, refill reminders, and ongoing monitoring for certain high-risk medications

Q. What will Biologics say to my patients? What are their counseling services?

A. When medication is first dispensed, Biologics’ oncology pharmacy support team will counsel your patient on the following:

  • How to take, store, and properly dispose of medication
  • Possible interactions between cancer medicines and other prescription or over-the-counter drugs
  • Any complications that could occur while taking medication
  • Potential side effects
  • The importance of ongoing visits to the patient’s doctor and laboratory monitoring
Q. What if I want to speak with a Biologics’ oncology pharmacist?

A. Oncology pharmacists are on call 24 hours a day, 7 days a week. You can reach them at 1-800-850-4306.

*ICLUSIG CO-PAY ASSISTANCE PROGRAM
Eligibility Requirements: This offer cannot be used if you are a beneficiary of, or any part of your prescription is covered by: (1) any federal or state health care program (Medicare, Medicaid, TRICARE, Veterans Administration, Department of Defense, etc.), including a state or territory pharmaceutical assistance program, (2) the Medicare Prescription Drug Program (Part D), or if you are currently in the coverage gap, Medicare Advantage Plans, Medicaid Managed Care or Alternative Benefit Plans under the Affordable Care Act, or Medigap, or (3) insurance that is paying the entire cost of the prescription. Patients must be at least 18 years old.

Terms & Conditions: You must meet Eligibility Requirements. You agree to report your use of this offer to any third party that reimburses you or pays for any part of the prescription price. Use of this offer is confirmation that you are permitted, under the terms and conditions of the health benefit plan(s) covering your prescription, to take advantage of co-pay assistance programs. You additionally agree that you will not submit the cost of any portion of the product dispensed pursuant to this offer to a federal or state health care program (Medicare, Medicaid, TRICARE, Veterans Administration, Department of Defense, etc.), for purposes of counting it toward your out-of-pocket expenses, and to notify ICLUSIG 1Point if you become eligible for a federal or state health care program. This assistance Program covers out-of-pocket expenses greater than $10 per monthly prescription. Maximum $25,000 annually. Your co-pay card can be renewed every 12 months, subject to continued eligibility. This offer is not valid with any other program, discount, or offer involving ICLUSIG®(ponatinib). This offer may be rescinded, revoked, or amended without notice. No reproductions. This offer is void where prohibited by law, taxed, or restricted. Limit one offer per purchase. Cash value of 1/100 of 1¢. For questions about this offer, please contact the ICLUSIG Co-Pay Assistance Program, a service of ICLUSIG 1Point, at 1-844-T1POINT (1-844-817-6468), Option 2, Monday-Friday, 8 AM-8 PM ET.


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