I have trouble affording Amevive. Does Astellas have any resources that can help me?
Astellas is dedicated to helping all patients afford their medication, regardless of ability to pay.
If you are uninsured OR if you have insurance (Medicare Part B, Part D, or private insurance), but you cannot afford your cost share obligations, deductibles, or co-insurance for medication, you may be eligible to receive Amevive at no cost through the Astellas Access ProgramSM. The eligibility criteria are clear and the application process is fast and easy.
What are the eligibility criteria?
You must meet the following eligibility in order to qualify for assistance:
- You are uninsured or you have insurance but have difficulty affording your co-payments for Amevive
- Amevive has been prescribed to you for an FDA-approved diagnosis or a diagnosis listed in authorized compendia
- You have a verifiable shipping address within the United States to receive your Amevive
- Your annual income is less than 3X the Federal Poverty Level (FPL) adjusted to household size
How can Astellas Reimbursement ServicesSM help me access Amevive?
If you have insurance, but you are not sure whether your plan covers Amevive, ARS can help you understand your insurance benefit and financial responsibilities for Amevive.
If you would like to learn more about how the Astellas Access ProgramSM can help uninsured or underinsured patients access Amevive therapy, please call Astellas Reimbursement ServicesSM (ARS) at 1-800-477-6472 to speak with a reimbursement specialist. You can also work with your healthcare provider to complete an AAP application.
When you call ARS, you will be asked to share some information that will help ARS verify your insurance coverage and determine whether you meet the eligibility criteria for the Astellas Access ProgramSM. It will be helpful to have the following information with you when you make the call:
- The name of your physician or case manager and their contact information (phone number, address, and fax number)
- Amevive prescription information
- Your annual income
- Your insurance information (if you have insurance)
For insured patients, it is a good idea to have all of your insurance cards, including your medical insurance card and your prescription drug card, when you call. You will be asked for the following insurance-related information:
- Your name, date of birth, address, and phone number
- Your policy number and group number
- The phone number for your insurer’s member services or customer service department (usually, this number is listed somewhere on your insurance card)
- The name and birth date of the policy holder (if your spouse or another relative is the primary policy holder)
How do I apply once I am determined to be eligible?
Astellas Reimbursement ServicesSM will partially fill out an application for you based on the information you provided over the phone. We will then send this form to you and your healthcare provider, and it is up to you to work with them to complete the application process.
Can I apply without calling ARS first?
Yes. If you would like to apply, you and your healthcare provider will need to complete a program application and fax it to ARS at 1-866-317-6235. You can request an application from your healthcare provider, or you can download an AAP application.
