Enroll your patients in KevzaraConnect today to provide them with in-person supplemental injection training, a dedicated nurse educator, and other program resources related to KEVZARA.
KevzaraConnect Nurse Educators* can address questions about KEVZARA and empower your patients to appropriately start and stay on track with their treatment
Nurse Educators provide the following core support
Supplemental injection training in person or by phone
Information about KEVZARA and other disease-related education
A sharps disposal kit
Injection and refill reminders
Assistance navigating prescription coverage and program benefits†
Patients can receive education and nursing support by enrolling in KevzaraConnect
Quick Start provides KEVZARA at no cost to eligible commercially insured patients if coverage has not been approved in 5 days or less or if there is a temporary lapse in coverage at any point in the treatment journey; examples include but are not limited to:
Patients may be eligible for Quick Start if they:
Other eligibility criteria apply
Eligible patients may receive up to 12 months of KEVZARA; in certain circumstances eligibility may be extended.
Quick Start does not interfere with the referring specialty pharmacy’s ability to fulfill commercial product
As little as $0 copay for eligible patients
Commercially eligible patients may pay as little as $0 per month for therapy, up to an annual maximum of $15,000, subject to additional terms and conditions.*
Patients can enroll in the program and receive membership information by:
Enrolling in the Copay Card Program at KEVZARA.com
Activating a physical copay card provided by their physician
Calling KevzaraConnect at 1-844-KEVZARA (1-844-538-9272)
Submitting a program enrollment form to KevzaraConnect
KevzaraConnect offers experts that help patients navigate the insurance process. KevzaraConnect can also help provide you with additional support if you have questions about facilitating access and approval for patients. In addition, the following coverage support is available and can complement the services your specialty pharmacy provides:
The Patient Assistance Program provides KEVZARA at no cost for up to 12 months to eligible functionally uninsured, underinsured, and certain Medicare Part D patients if additional eligibility requirements are met.
If you have patients who may meet eligibility requirements and would like to enroll in the program, they must contact KevzaraConnect (1-844-538-9272)
Enrolling in KevzaraConnect is the first step to connecting your patients to access support throughout their treatment journey
You can work directly with KevzaraConnect to connect your patients with a Nurse Educator or, if eligible, timely access to Quick Start, Patient Assistance Program, or Copay Card. To connect patients to KevzaraConnect support services, enroll your patient in KevzaraConnect by obtaining the patient’s certification of enrollment and HIPAA authorization.
Three convenient options for enrolling your patients in KevzaraConnect:
HCP faxes enrollment form
Step 1: HCP and patient complete the enrollment form
Step 2: HCP faxes the form to KevzaraConnect at 1-844-538-8960
Patient enrolls online
Step 1: Patient completes KevzaraConnect online enrollment at KEVZARA.com
Step 2: A Nurse Educator will contact the patient to obtain HIPAA consent
Patient calls KEVZARA
Step 1: Patient calls KevzaraConnect at 1-844-KEVZARA (1-844-538-9272)
Step 2: A Coordinator will work with the patient to complete enrollment and obtain HIPAA consent
A completed enrollment form provides:
This form is designed to be easily completed by you and your patients. Once the entire enrollment form is completed and signed by you and your patient, fax pages 1 through 4 to 1-844-538-8960.
KEVZARA sample letters are included to help provide the type of information that may be useful when responding to a health plan. These letters provide an example of the types of information that may be provided when responding to a request from a patient’s health plan to provide either a letter of appeal or a letter of medical necessity for KEVZARA. Use of the information in these letters does not guarantee that the health plan will cover KEVZARA and is not intended to be a substitute for or an influence on the independent medical judgment of the physician.