Taking each step with the Arikares Support Program
Living with this condition is not easy; neither is starting on a new treatment. The Arikares™ Support Program is here to provide you with important information and ongoing support throughout your treatment journey.
How can the Arikares Support Program help?
The Arikares Support Program is designed to help you get started on ARIKAYCE and become familiar with how to use your device. Additionally, the program provides assistance with insurance coverage and information on financial support options for eligible patients.
Who is your Arikares Support Program team?
If you sign up, you will be assigned an Arikares Coordinator. He or she will be dedicated to answering your questions and providing one-on-one support during your treatment journey.
If you sign up, you can request device training, and will be assigned an Arikares Trainer. The Arikares Trainer is a nurse or respiratory therapist who will provide in-person training to help you become familiar with how to take your treatment.
A step-by-step look at how the Arikares Support Program works
Prescription & program enrollment
After being prescribed ARIKAYCE, you can enroll in the Arikares Support Program in one of the following ways:
After enrolling in the Arikares Support Program, you will receive:
- A welcome pack in the mail
- A call from your Arikares Coordinator to answer questions you may have and explain your next steps
First shipment of ARIKAYCE arrives to your home
You will receive your medicine
- Your first 28-day supply of medicine arrives, along with your Lamira™ Nebulizer System
You can schedule an in-home training session
- About 2 days after receiving your medicine, you are eligible to receive an in-home training session with an Arikares Trainer
The role of your Arikares Coordinator
Remember, your Arikares Coordinator is here to help, so reach out if you have questions about how the program works
Arikares in-home training session
The Arikares Trainer is a nurse or respiratory therapist. When you first start treatment, he or she can conduct an in-home training session to show you how to take your first dose of medicine and make it a part of your daily routine.
The Arikares Trainer will also:
- Make sure you or your caregiver knows how to administer your treatment moving forward
- Answer questions about how to take your treatment
- Provide tips on handling your device
Be sure to enroll in the Arikares Support Program—here for you at every stage of your MAC treatment journey
Savings and financial support
Insmed is committed to providing access to ARIKAYCE
- Eligible patients using private or commercial insurance can save on out-of-pocket costs for ARIKAYCE
- Not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, Veterans Affairs (VA), Department of Defense (DoD), TRICARE or similar federal or state programs, including any state pharmaceutical assistance program
- Eligibility can be determined by calling the Arikares Support Program at 1-833-ARIKARE (1-833-274-5273) or at 1-973-437-2376
Medicare patients who have limited income and resources may qualify for extra help to pay for medication. The LIS, or "Extra Help," program from Medicare provides financial assistance for patients who may not be able to afford the costs associated with their Medicare Part D plan.
Those who are eligible for LIS may:
- Receive assistance paying their monthly minimum
- Have a reduced or no deductible
- Have a reduced or no prescription coinsurance and co-payments
- Have no gap in coverage
Some states sponsor prescription financial assistance programs, each with its own eligibility requirements.These programs are not offered by Insmed.
Most patients who are eligible pay $0 co-pay every month up to a $32,000 maximum program benefit per calendar year, and subject to a monthly program benefit limit of $8,000 per month. Patient will be responsible for any co-pay once limit is reached. Depending on the private or commercial health insurance plan, savings may apply toward co-pay, coinsurance, or deductible.Who is eligible?
Patients who have been prescribed ARIKAYCE, are at least 18 years of age, a resident of the 50 United States, the District of Columbia, or Puerto Rico, and have commercial or private health insurance may be eligible for the ARIKAYCE Co-pay Savings Program. ARIKAYCE must be covered by your commercial or private insurance. This program is not valid for cash-paying customers. This offer is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA, DoD, TRICARE or similar federal or state programs, including any state pharmaceutical assistance program.
Patients who are currently ineligible for the ARIKAYCE Co-pay Savings Program may reapply if their circumstances change.
This is not an insurance benefit, and does not cover or provide support for supplies, procedures, or any physician-related services associated with ARIKAYCE. General, non-product specific insurance deductibles above the amount set forth above are also not covered. Insmed reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms and conditions at any time without notice. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. This offer is not conditioned on any past, present, or future purchase, including refills. The co-pay card is non-transferable, limited to one per person, and cannot be combined with any other offer or discount. This program is not valid where prohibited by law, taxed, or restricted. Offer has no cash value.
For Patients: If your prescription is covered by insurance, you may need to notify the insurance carrier of redemption of this co-pay card. By redeeming this co-pay card, you are certifying that (1) you are not a beneficiary of any government-funded program as noted above; (2) should you begin receiving prescription benefits from any government-funded program, you will withdraw from this program; and (3) you acknowledge and understand that adherence to the terms and conditions of this offer is necessary to ensure compliance with laws pertaining to any government-funded program. For questions regarding your eligibility or benefits or if you wish to discontinue your participation, please call 1-833-ARIKARE (1-833-274-5273).