We’re Here for You and Your Patients

KevzaraConnect® is designed to support and simplify the KEVZARA journey for you and your patients through:

Coverage Support

Coverage Support

Assistance navigating the complex insurance process

Patient Access Support

Helps eligible patients get access to therapy, whether patients are uninsured, lack coverage, or need assistance with their out-of-pocket copay costs

Education and Personalized Nurse Support

A personalized, patient-centric approach to further educate and empower your patients to appropriately use KEVZARA

Receive comprehensive support through KevzaraConnect or go directly through a specialty pharmacy and still access a variety of support services, complementary to those provided by the specialty pharmacy.

Enrollment
Form

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Sample Letter Template: Medical Necessity

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Sample Letter Template: Appeals

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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.

Please see below for Important Safety Information and click here for full Prescribing Information.

*Terms & Conditions

This program only applies to patients who are at least 18 years of age, residents of the United States or Puerto Rico, are prescribed KEVZARA® (sarilumab) for an FDA-approved indication, and are insured and covered by a commercial health plan. 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. It is not an insurance benefit, and does not cover or provide support for supplies, procedures, or any physician-related services associated with KEVZARA. General, non-product specific insurance deductibles above the amount set forth above are also not covered. KevzaraConnect® 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 copay 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. Program is not valid for cash paying customers.

Patient Instructions:

KEVZARA must be covered by your commercial insurance. Program is not valid for cash paying customers. If your prescription is covered by insurance, you may need to notify the insurance carrier of redemption of this copay card. 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. This program is not valid where prohibited by law. By redeeming this coupon, you are certifying that (1) you are not a beneficiary of any government funded program as noted above; (2) should you begin receiving prescription benefits from any government funded program, you will withdraw from this program; and (3) you acknowledge and understand that adherence to the terms and conditions of this offer is necessary to ensure compliance with laws pertaining to any government funded program. For questions regarding your eligibility or benefits or if you wish to discontinue your participation, please call 1-844-218-0444.

Pharmacist:

When you process this card, you are certifying that you have read, understood, and are in compliance with the terms and conditions pertaining to this program. You are further certifying that you have not submitted and will not submit a claim for reimbursement under Medicaid, Medicare, VA, DOD, TRICARE, or similar federal or state programs including any state medical pharmaceutical assistance program for this prescription.

Pharmacist Instructions for a Patient with an Eligible Third Party:

Submit the claim to the primary Third-Party Payer first, then submit the balance due to Therapy First Plus as a Secondary Payer coordination of benefits with patient responsibility amount and a valid Other Coverage Code (e.g., 8). Maximum reimbursement limits apply; patient out-of-pocket expense may vary. Reimbursement will be received from Therapy First Plus.

For any questions regarding Therapy First Plus online processing, please call the Help Desk at 1-800-422-5604. The card is not transferable and the amount of the rebate cannot exceed the patient’s out-of-pocket expenses. Program managed by PSKW, LLC on behalf of Sanofi and Regeneron Pharmaceuticals. Product dispensed pursuant to program rules and federal and state laws. The parties reserve the right to amend or end this program at any time without notice.

BY USING THIS COPAY CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.