Sandoz

Featured Drug Company Program


Sandoz One Source

844-726-3691
www.sandozonesource.com

Sandoz, through Sandoz One Source, offers a comprehensive patient support program designed to help simplify patient access to Zarxio (filgrastim-sndz).

Zarxio (Table) is indicated for the treatment of patients with cancer receiving myelosuppressive chemotherapy; patients with acute myeloid leukemia receiving induction or consolidation chemotherapy; patients with cancer undergoing bone marrow transplantation or those undergoing autologous peripheral blood progenitor cell collection and therapy; and patients with severe chronic neutropenia.

Table Sandoz Oncology Supportive Care Drugs
Drug Indications Patient support programs Contact information
Zarxio
(filgrastim-sndz)
Reduce febrile neutropenia in patients using myelosuppressive anticancer drugs; reduce time to neutrophil recovery in patients with acute myeloid leukemia; reduce duration of neutropenia and neutropenia-related sequelae in patients receiving myeloablative chemotherapy; mobilize autologous hematopoietic progenitor cells; reduce severe neutropenia in symptomatic patients with congenital‚ cyclic‚ or idiopathic neutropenia Sandoz One Source www.sandozonesource.com
www.zarxio.com/info/pharmacy-director/reimbursement-information.jsp
Novartis Patient Assistance Foundation www.patientassistancenow.com

Sandoz One Source

The Sandoz One Source program offers customized support services for patients who are prescribed Zarxio, including:

  • Comprehensive insurance verifi­cations
  • Prior authorization support when required by the insurance company
  • Billing and coding information
  • Information on claims tracking, denials, and appeals
  • Payer policy research.
In addition, Sandoz One Source offers financial assistance to eligible patients.

Co-Pay Program

The Sandoz One Source Co-Pay Program assists commercially insured patients with reducing their out-of-pocket prescription costs.

There is no income eligibility requirement. Patients pay $0 for the first dose, and $10 for subsequent doses for up to 12 months. The maximum annual benefit is $10,000.

Patient Assistance Program

This program provides access to medicines for those most in need. Patients may be eligible to receive Zarxio at no cost if they are experiencing financial hardship and have no third-party insurance coverage for their medicine.

Eligibility

Sandoz One Source Co-Pay Program

To be eligible for this program, the following requirements must be met:

  • The patient must be insured
  • The patient’s prescription must be for an approved indication
  • Patients who are paying cash or are uninsured are not eligible
  • The prescriptions must not be paid, in whole or in part, by any state or federally funded programs, including, but not limited to, Medicare (including Part D, even in the coverage gap), Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE, a private indemnity, or HMO insurance plans that reimburse the patient for the entire cost of prescription drugs, or where prohibited by law
  • Patients can participate for a maximum of 12 months
  • The Sandoz One Source Co-Pay Program may not be combined with any other rebate, coupon, or offer.

Patient Assistance Program

To be eligible for the Patient Assistance Program, patients must meet Novartis Patient Assistance Foundation eligibility criteria, including:
  • Patients must be US residents
  • Provide proof of income within program guidelines
  • Not have public or private prescription coverage.
For more information about this program and its eligibility requirements, patients and their physicians can call Sandoz One Source at 844-726-3691 or visit www.patientassistancenow.com.

Application & Enrollment

Enrollment to the Sandoz One Source program, which includes the Sandoz One Source Co-Pay Program and the Patient Assistance Program, requires the completion of the Sandoz One Source enrollment form (available at www.sandozonesource.com) and faxing it to the number provided on the form (844-726-3695) or mailing it to the address on the form.

Physicians must complete the appropriate sections, sign the form, and attach the brand name prescription; patients must submit the required documents with their completed sections.

Receiving Zarxio

Zarxio is distributed through several specialty pharmacies, including ASD Healthcare, a division of Amerisource­Bergen Specialty Group; Cardinal Health Specialty Solutions; FFF Enterprises; McKesson Specialty Care Distribution Corporation; McKesson Plasma & Biologics; Smith Medical Partners; and Oncology Supply, a division of AmerisourceBergen Specialty Group.