Tepezza Copay Assistance and Cost Savings Options

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An elderly woman receives medication assistance at home, emphasizing home healthcare and caregiver support.
Credit: pexels.com, An elderly woman receives medication assistance at home, emphasizing home healthcare and caregiver support.

Tepezza is a medication that can be quite expensive, with a monthly cost of up to $30,000.

Fortunately, there are options available to help make Tepezza more affordable. These options include copay cards and patient assistance programs.

One such program is the Horizon Blue Cross Blue Shield of New Jersey Tepezza copay card, which can help reduce the monthly copayment to as little as $0.

Understanding Tepezza Cost

The cost of Tepezza can vary depending on several factors, including your treatment plan and insurance coverage.

Your insurance provider will play a significant role in determining the cost of Tepezza for you.

To find out what the cost of Tepezza will be for you, talk with your doctor or insurance provider.

You'll need to consider the cost of the medicine itself and the separate cost for the infusion procedures.

Your Patient Access Liaison (PAL) can help you understand the costs associated with treatment and your cost assistance options.

Credit: youtube.com, What Is Tepezza? | Tepezza Lawsuit

There is a separate cost for the infusion procedures, which your PAL can help you understand.

The cost of Tepezza can vary, and factors that may affect the price you'll pay include your treatment plan, insurance coverage, the cost of the visit to your doctor, and whether Tepezza has a savings program.

Here are some factors that may affect the price of Tepezza:

  • your treatment plan
  • your insurance coverage
  • the cost of the visit to your doctor to receive doses of Tepezza
  • whether Tepezza has a savings program

Insurance and Approval

TEPEZZA is a specialty medicine that requires additional approval from your insurance provider before you can begin treatment. This process can take up to 90 days from the time your doctor prescribes TEPEZZA until you get your first infusion.

The approval process involves your doctor, the insurance company, and the Amgen By Your Side team. The team is here to help you navigate this process and answer any questions you may have.

You may need to meet certain eligibility criteria to receive insurance coverage for TEPEZZA. These criteria include not being reimbursed in whole or in part by any government-funded program, such as Medicare or Medicaid.

Credit: youtube.com, Understanding Charitable Patient Assistance Programs: Financial Assistance for Medication Copays

If you have insurance, your insurance company may require prior authorization before it covers TEPEZZA. This means the company and your doctor will discuss TEPEZZA in regard to your treatment.

The cost of TEPEZZA may be billed through your primary health insurance instead of the prescription drug portion of your insurance. This depends on your insurance coverage and where you receive your TEPEZZA doses.

Here are some potential symptoms that may be related to TEPEZZA:

  • High blood pressure
  • Fast heartbeat
  • Redness of the face/Feeling hot

It's essential to ask your insurance company whether TEPEZZA requires prior authorization and to understand the terms and conditions of your insurance coverage.

Financial Assistance

Tepezza copay assistance is available through Amgen's program called Amgen By Your Side, which can be enrolled in by calling 833-483-7399 or visiting their website.

You may be eligible for a $0 co-pay through the Amgen Commercial Co-Pay Program, but this requires meeting certain minimum criteria.

The copay assistance program cannot be combined with other rebates or coupons, and is not valid for prescriptions reimbursed in whole or in part by government-funded programs like Medicare or Medicaid.

$0 Co-Pay

Credit: youtube.com, Drug Copay Cards How to - Patient co-pay assistance programs

Amgen's Commercial Co-Pay Program may be available to patients who meet the minimum criteria, including having commercial insurance.

This program offers a $0 co-pay for patients who qualify, which can help make the cost of Tepezza more manageable.

The program has certain terms and conditions that patients should be aware of, such as not being able to combine it with other rebates or coupons.

It's also not valid for prescriptions reimbursed in whole or in part by government-funded programs, including Medicare, Medicaid, and VA.

The program is only good for use in the United States at participating specialty pharmacies or sites of care.

Amgen reserves the right to rescind, revoke, or amend the offer without notice, so patients should stay informed about any changes.

This co-pay program is not insurance and is not intended to substitute for insurance, and eligibility age may vary depending on the product indication.

Patient Enrollment Form

To enroll in Tepezza treatment, you'll need to complete the TEPEZZA patient enrollment form. This form is a crucial step in the process.

Credit: youtube.com, Merck Patient Assistance Program Instructional Video – Enrollment Form

The form guide is available to help you navigate the enrollment process. You can find it by searching for "Patient Enrollment Form Guide" online.

Amgen By Your Side, the copay assistance program, can also help with the enrollment process. You can call them at 833-483-7399 for more information.

The approval process for specialty medicines like Tepezza can take up to 90 days. But don't worry, the Amgen By Your Side team is here to support you through this process.

Care Coordination Brochure

The TEPEZZA Care Coordination Brochure is a valuable resource for patients and healthcare providers alike. It provides information on how to co-manage patients throughout the course of treatment.

This brochure is designed to help patients stay on track with their treatment plan. The goal is to ensure that patients receive the best possible care and support throughout their journey.

The brochure offers guidance on how to navigate the treatment process, including information on medication management and monitoring for potential side effects.

Home Infusion FAQs

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For those who may be new to home infusion, it's a treatment that allows you to receive medication or nutrition directly into your body through a vein or under the skin.

Answers to common questions about home infusion for TEPEZZA are provided in the Home Infusion FAQs section, which can be a valuable resource for those navigating this treatment.

Home infusion for TEPEZZA is typically administered in the comfort of your own home, which can be a more convenient and comfortable option for many people.

The Home Infusion FAQs section explains that home infusion for TEPEZZA is a common treatment option for those with thyroid eye disease.

You may be eligible for home infusion for TEPEZZA if your doctor determines it's the best course of treatment for your thyroid eye disease.

The Home Infusion FAQs section also notes that home infusion for TEPEZZA is typically covered by insurance, which can help reduce the financial burden of treatment.

Tepezza and Insurance

Credit: youtube.com, Unveiling the Rise of Tepezza: How Horizon Therapeutics Revolutionized Thyroid Eye Disease Treatment

The insurance approval process for Tepezza can take up to 90 days, but don't worry, the Amgen By Your Side team is here to help. You can expect additional approval from your insurance provider before you can begin treatment.

The approval process may vary depending on your insurance provider, but the team will be there to support you every step of the way. For some people, the process may be shorter or longer, but the team will keep you informed.

If you have insurance, your insurance company may require prior authorization before it covers Tepezza. This means the company and your doctor will discuss Tepezza in regard to your treatment. The insurance company will then determine whether the medication is covered. If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication.

Insurance Considerations

If you have insurance, the approval process for Tepezza can take up to 90 days. This is because specialty medicines like Tepezza require additional approval from your insurance provider before you can begin treatment.

Credit: youtube.com, Tepezza Lawsuits

The approval process can vary depending on your insurance provider, but the Amgen By Your Side team is here to help guide you through it.

Prior authorization is often required for Tepezza, which means your insurance company and doctor will discuss the medication in relation to your treatment. If your insurance company doesn't approve the medication, you could end up paying the full cost.

The type of insurance coverage you have can also affect how your Tepezza doses are billed. If you receive your doses at a doctor's office, infusion clinic, or hospital, the price may be billed through your primary health insurance instead of the prescription drug portion of your insurance.

If you have Medicare, you can find more information about the cost of Tepezza in the "Next steps" section.

Here are some potential reasons your insurance might deny Tepezza coverage:

  • High blood pressure
  • Fast heartbeat
  • Redness of the face/Feeling hot

Brand-Name vs. Biosimilars

Tepezza is a brand-name biologic drug that contains the active ingredient teprotumumab-trbw. It's not available in a biosimilar version.

Credit: youtube.com, Ben Thrower, MD: Brand vs. Generics vs. Biosimilars vs. Bioequivalence: January 2023

The reason for the "-trbw" suffix is to show that the drug is distinct from similar medications that may be created in the future.

Biologic drugs like Tepezza can be expensive due to the research needed to test their safety and effectiveness. This research can take up to 12 years, giving the manufacturer a long time to sell the drug at a higher price.

Biosimilars, on the other hand, are similar to brand-name biologic drugs but tend to be less expensive. They don't require the same costly testing as brand-name medications because they're very similar to the original drug.

Preparation and Next Steps

To get started with Tepezza, it's a good idea to watch a video that gives an overview of the treatment journey. This will help you understand the steps involved.

You'll also need to talk with your doctor or pharmacist to get personalized guidance on cost issues related to Tepezza. If you have health insurance, you'll need to contact your insurance provider to learn the actual cost you would pay.

Credit: youtube.com, TEPEZZA x Horizon Therapeutics

Here are some additional resources that may be helpful:

  • Medicare drug coverage: You can learn about Medicare coverage for drugs by reading articles about Medicare Prescription Drug Plans, drug coupons and Medicare, and the Medicare drug list.
  • Side effects: You can learn about side effects of Tepezza by reading this article, which includes the Tepezza prescribing information.
  • More details: For more information about other aspects of Tepezza, refer to this article.
  • Information for your condition: For more information about eye health, see our eye health hub.

Preparation

Before you start your treatment journey, it's essential to get ready. Watch a video to get an overview of the steps involved in your TEPEZZA treatment journey.

To prepare, take the time to understand what to expect. This will help you feel more confident and in control.

Getting familiar with your treatment plan is crucial. It will help you stay on track and ensure you're taking the right steps.

You should also watch a video to get an overview of the steps in your TEPEZZA treatment journey.

Next Steps

Now that you've learned about the importance of preparation and next steps, it's time to take action. You may still have some questions, so don't hesitate to talk with your doctor or pharmacist for personalized guidance.

To get a clear picture of the actual cost of Tepezza, you'll need to talk with your insurance provider. This will help you understand the out-of-pocket expenses you'll be responsible for.

Elderly woman in wheelchair receiving help with medication from caregiver in modern kitchen.
Credit: pexels.com, Elderly woman in wheelchair receiving help with medication from caregiver in modern kitchen.

Medicare drug coverage can also play a significant role in the cost of Tepezza. For more information, you can check out articles about Medicare Prescription Drug Plans, drug coupons and Medicare, and the Medicare drug list.

If you're concerned about side effects, be sure to read the article about side effects of Tepezza. You can also refer to the Tepezza prescribing information for more details.

Here are some other resources you may find helpful:

  • Medicare drug coverage: To learn about Medicare coverage for drugs, see these articles about Medicare Prescription Drug Plans, drug coupons and Medicare, and the Medicare drug list.
  • Side effects: To learn about side effects of Tepezza, read this article. You can see the Tepezza prescribing information.
  • More details: For details about other aspects of Tepezza, refer to this article.
  • Information for your condition: For more information about eye health, see our eye health hub.

Doyle Macejkovic-Becker

Copy Editor

Doyle Macejkovic-Becker is a meticulous and detail-oriented copy editor with a passion for refining written content. With a keen eye for grammar, syntax, and clarity, Doyle has honed their skills across a range of article categories, including Retirement Planning. Their expertise lies in distilling complex ideas into concise, engaging prose that resonates with readers.

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