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?
This program is designed to help you get started on treatment and become comfortable with taking it. Additionally, the Arikares Program provides information about insurance coverage and 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 your point person to help answer your questions 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
Being prescribed your medicine
After receiving your prescription, you can enroll in the Arikares Support Program in one of the following ways:
Welcome to the program
After enrolling in the Arikares Support Program, you will receive:
- A Welcome Pack in the mail
- A call from your Arikares Coordinator to welcome you to the program
Receiving your medication
Your medicine is delivered directly to your home
- Your medicine arrives at your home, along with a device to help you take it
Voluntary device training (about 2 days after you receive your medication)
You can schedule an in-home or virtual training session
- You’ll be eligible to receive in-home or virtual training from an Arikares Trainer to help you take your medication
The role of your Arikares Coordinator
Your Arikares Coordinator will:
- Collaborate with your doctor
- Schedule an optional device training with your Arikares Trainer
- Coordinate medication shipments with your specialty pharmacy
- Work with your specialty pharmacy to verify insurance coverage
Remember, your Arikares Coordinator is here to help, so reach out anytime to share your concerns or ask questions
Getting to know your Arikares Trainer
You can request an Arikares Trainer who is a trained nurse or therapist. When you first start treatment, your Arikares Trainer can conduct an in-home training session to show you how to take your first dose of medication and make it a part of your daily routine.
Your Arikares Trainer will also:
- Make sure you and your caregiver know how to administer your treatment moving forward
- Answer questions related to 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
Insurance covers ARIKAYCE for most patients. To learn more about potential savings and financial support options, Arikares Coordinators are available to answer your questions at 1-833-ARIKARE (1-833-274-5273) or at 1-973-437-2376.
- Eligible patients using private or commercial insurance may pay as little as a $0 co-pay 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 as little as a $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) or 1-973-437-2376.