KevzaraConnect®

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® patient resource program

To access all of the resources offered, help your patients enroll today

KevzaraConnect® PATIENT EDUCATION AND NURSE SUPPORT

KevzaraConnect Nurse Educators* can address questions about KEVZARA and empower your patients to appropriately start and stay on track with their treatment

  • Scheduled as-needed access to a dedicated Nurse Educator
  • Nurse Educators are available during normal business hours, as well as after hours, and on weekends

Nurse Educators provide the following core support

Supplemental injection training in person or by phone

  • Available at any point, as many times as needed, for patients and/or caregivers
  • Flexible in-person scheduling at home or a convenient location outside of the physician's office
  • Injection technique retraining to help ensure patients maintain best practices when self-administering KEVZARA

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


  • *All Nurse Educators are Registered Nurses (RNs).
  • Subject to additional terms and conditions.

KevzaraConnect® QUICK START PROGRAM

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:

  • Delays in prior authorizations
  • Waiting for exceptions and appeal determinations
  • Reinitiation of prior authorizations due to transitions to new health insurers
Eligibility

Patients may be eligible for Quick Start if they:

  • Have commercial insurance and are not covered through any government healthcare program
  • Have failed at least 1 previous biologic therapy or a Janus Kinase (JAK) inhibitor
  • Have a prescription for KEVZARA for an indication approved by the US Food and Drug Administration

Other eligibility criteria apply

Enrollment
  • The patient's healthcare provider must send the prescription for Quick Start to KevzaraConnect (as indicated on the enrollment form)
  • Once coverage has been obtained, KevzaraConnect will transition the patient to the referring specialty pharmacy for commercial product

Eligible patients may receive up to 12 months of KEVZARA; in certain circumstances eligibility may be extended.

For more information, please call 1-844-KEVZARA (1-844-538-9272)

Quick Start does not interfere with the referring specialty pharmacy’s ability to fulfill commercial product

KevzaraConnect® COPAY PROGRAM

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.*

Eligibility
  • KEVZARA has been prescribed for an indication approved by the FDA
  • Patient is a resident of the 50 United States, the District of Columbia, or Puerto Rico
  • Patient is aged ≥18 years
  • Patient has commercial insurance and is not covered under any government healthcare program
Enrollment
There are flexible options for enrollment and adjudication in the Copay Card Program

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

  • *This program is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, Veterans Affairs, Department of Defense, TRICARE, or similar federal or state programs, including any state pharmaceutical assistance program. See full program terms and conditions at KEVZARA.com.

PRIOR AUTHORIZATION AND COVERAGE SUPPORT

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:

  • Benefits verification
  • Prior authorization support
  • Appeals support
  • Specialty pharmacy triage for KEVZARA prescriptions

KevzaraConnect® PATIENT ASSISTANCE PROGRAM

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.

Enrollment

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)

KevzaraConnect® ENROLLMENT

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:

Option 1

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

Option 2

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

Option 3

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:

  • Access to Nurse Educators who can provide product and disease education, as well as supplemental injection training
  • Assessment of Quick Start eligibility and enrollment
  • Assessment of Copay Card eligibility and enrollment
  • Access to a Patient Starter Kit and travel support
  • Access to Benefit Verification, Prior Authorization, and Coverage Support

For more information, call KevzaraConnect at 1-844-KEVZARA (1-844-538-9272) Option 1, Monday-Friday, 8 am-9 pm Eastern

ESSENTIAL FORMS AND TEMPLATES FOR KevzaraConnect®

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.



  • Sample Letter Template: Medical Necessity
  • Download
  • Sample Letter Template: Appeals
  • Download

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.

KevzaraConnect® TOOLS

  • Patient Support Program Brochure
  • Download
  • Prior Authorization Checklist
  • Download