Boehringer Ingelheim Gilotrif Patient Services

Patient Support Services Guide 2018


Gilotrif Solutions Plus
877-814-3915

Boehringer Ingelheim’s Gilotrif Patient Services includes a range of programs and services offered through the company’s Solutions Plus program. This program provides support, education, and reimbursement services to patients who are prescribed Gilotrif (afatinib) as well as to their providers.

A list of available programs for Gilotrif is provided in the Table.

Gilotrif Solutions Plus

Gilotrif’s Solutions Plus program offers a comprehensive set of services, including the Co-pay Assistance Program, Gilotrif Bridge Program, Gilotrif Dose Exchange, and the Boehringer Ingelheim Cares Foundation, as well as the Nurse Support Program and the Reimbursement and Access Managers. These programs may offer patients access to Gilotrif through help with insurance coverage and reimbursement solutions, copay assistance, and free medication.

The Reimbursement and Access Managers program offers reimbursement specialists who can investigate and verify coverage for patients within 2 business days, communicate prior authorization requirements, and assist with the reimbursement process for Gilotrif.

Patients enrolled in Solutions Plus can also sign up for the Nurse Support Program to have dedicated oncology-trained nurses call the patient and help with the first weeks of ­Gilotrif treatment.

The Solutions Plus assistance programs differ in structure and eligibility based on the patient’s insurance and offer assistance for commercially insured, government-insured, and uninsured patients.

Boehringer Ingelheim Cares Foundation

For government-insured patients, Gilotrif Solutions Plus connects patients with alternative independent funding support programs to help offset the cost of copays, coinsurance, or other treatment-related expenses.

For uninsured or underinsured patients with Medicare, the Boehringer Ingelheim Cares Foundation can provide free medication if financial assistance from other foundations is denied.

Eligibility

Co-pay Assistance Program

Eligible, commercially insured patients who are enrolled in this program pay no more than a $25 copay monthly for Gilotrif. There are no income eligibility or benefit limit requirements for this program.

Gilotrif Bridge Program

This program provides a 15-day supply of Gilotrif to eligible patients with commercial or public insurance who experience a payer approval delay of ≥5 days, allowing patients to start therapy without delay.

Gilotrif Dose Exchange

This program facilitates the transition to a new dose, and eliminates additional copays and payer payments for the drug within 1 month for eligible patients. The exchange is offered for ≤2 dose adjustments for patients serviced through the Gilotrif Dispensing Network who have ≥9 tablets to exchange.

Boehringer Ingelheim Cares Foundation Patient Assistance Program

This program offers free Gilotrif to patients who meet the eligibility criteria. To qualify for this program, patients must:

  • Be a US resident aged ≥18 years
  • Not be eligible for prescription drug assistance through Medicare, Medicaid, Medicare Part D, or private insurance. Patients under Medicare Part D who cannot afford Gilotrif may be eligible to enroll, as long as they meet other eligibility criteria and do not have any other prescription drug coverage.

Application & Enrollment

Solutions Plus

A completed enrollment form must be faxed to 866-240-4556. A prescription for Gilotrif and a signed patient authorization form must also be submitted for processing. For more information on the enrollment process, call Solutions Plus at 877-814-3915. Solutions Plus contacts the patient to confirm enrollment and insurance benefits and to determine financial support needs.

Boehringer Ingelheim Cares Foundation Patient Assistance Program

Applications must be faxed to 866-851-2827 from a prescriber’s facility. An original valid prescription for Gilotrif signed by a physician must be submitted for processing with the application form, documentation of the patient’s income, and any other applicable documents.

For more information on this program, call 800-556-8317.

Table Boehringer Ingelheim Oncology Drug

Drug
Indications
Patient support programs

Drug
Gilotrif (afatinib)
Indication
Metastatic NSCLC with EGFR mutation; metastatic squamous NSCLC progressing after platinum-based chemotherapy

EGFR indicates epidermal growth factor receptor; NSCLC, non–small-cell lung cancer.