Ipsen

Featured Drug Company Program


IPSEN CARES: Coverage, Access, Reimbursement & Education Support

866-435-5677
www.ipsencares.com

Ipsen Biopharmaceuticals provides several patient services through its IPSEN CARES (Coverage, Access, Reimbursement & Education Support) program to patients who are prescribed Somatuline Depot (lanreo­tide) for the treatment of neuroendocrine tumors (NETs) arising from the gastrointestinal tract or the pancreas (Table).

Table Ipsen Oncology Drugs
Drug Indications Patient support programs Contact information
Somatuline Depot
(lanreotide)
Neuroendocrine tumors (NETs) arising from the gastrointestinal tract or the pancreas Somatuline Depot Copay Savings Program www.ipsencares.com/somatuline-patient-support
Somatuline Depot Patient Assistance Program 866-435-5677
Somatuline Depot Copay Program

IPSEN CARES facilitates access to Somatuline Depot to patients who are insured, underinsured, or uninsured. These services include:

Assisting in insurance verification, determination of patient out-of-pocket costs, prior authorization information, and claims appeals information.

Providing copay assistance for eligible patients through the Somatuline Depot Copay Assistance Program, Somatuline Depot Copay Savings Program, or a referral to independent nonprofit organizations.

Free medication to eligible uninsured patients through the Somatuline Depot Patient Assistance Program, avoiding delays or interruptions to therapy, coordinating the delivery of Somatuline Depot through specialty pharmacies, and home health administration for eligible patients who cannot receive their injection in their healthcare provider’s office.

Eligibility

Somatuline Depot Copay Savings Program

The Somatuline Depot Copay Savings Program assists eligible commercially insured patients by reducing out-of-pocket prescription costs. Eligible patients may receive up to an annual benefit of $20,000 with no monthly cap, with most patients being responsible for $5 of each prescription. To be eligible for this program, patients must:

  • Be receiving treatment with ­Somatuline Depot
  • Have commercial insurance that covers the medication and the associated cost of Somatuline Depot, or be uninsured and pay their entire cost out of pocket
  • Not be enrolled in a federal- or state-subsidized healthcare program that covers prescription drugs, including Medicare (such as Medicare Part D), Medicaid, TRICARE, or any other federal or state healthcare plan, including pharmaceutical assistance programs.

Somatuline Depot Patient Assistance Program

To be eligible for this program, the patient must:

  • Have no insurance coverage
  • Meet specific medical criteria
  • Be prescribed and administered Somatuline Depot
  • Have financial hardship.

Application & Enrollment

Somatuline Depot Copay Programs

IPSEN CARES will assess patient eligibility and determine whether the patient qualifies for the pharmacy benefit, the medical benefit, or both.

Enrollment in IPSEN CARES can be initiated by calling 866-435-5677 or online at www.ipsencares.com. Alternatively, the IPSEN CARES Enrollment Form (available at www.ipsencares.com) can be completed and faxed to 888-525-2416 or completed online via the website.

To determine eligibility for the 2 copay assistance programs, IPSEN CARES will verify the patient’s benefits to determine if the patient needs the pharmacy or medical benefit.

If the patient qualifies for the pharmacy benefit, he or she will be issued a copay card.

If the patient qualifies for the medical benefit, he or she will be enrolled in a virtual debit card program.

If the patient qualifies for both benefits, IPSEN CARES allows the patient and his or her physician to determine the program they will participate in.

To receive savings, the prescriber must treat the patient with Somatuline Depot and submit a claim to the patient’s insurance company. The explanation of benefits statement from the insurance company must be sent to IPSEN CARES for processing.

A virtual debit card will be faxed to the physician’s office or practice and that is loaded with the qualified amount, which the physician can use toward their patient’s medical benefit.

The card is valid for 30 days, and a new card will be issued for the next successful explanation of benefits.

Somatuline Depot Patient Assistance Program

Ipsen’s Patient Financial Support Application must be completed by the patient and the prescriber, and must be faxed to 888-525-2416 to enroll in this program.

Proof of total household income, such as a recently filed federal tax form, including supporting documents, must be submitted. The healthcare provider will be notified on completion of the eligibility review.

Receiving Somatuline Depot

Patients participating in IPSEN CARES receive Somatuline Depot from specialty pharmacies that are coordinated through the program.