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Aimovig™ Financial Assistance Guide

CHAMP has created the financial assistance guide below for anyone who has been prescribed Aimovig™  by their healthcare provider. Aimovig™ is one of three new CGRP inhibitors that were approved for the prevention of migraine in adults. If you or someone you know requires help with paying for treatment, please review the details provided below to see if you qualify for the manufacturer’s financial assistance programs and how best to access Aimovig™.

Please note: This guide has not been produced or approved by the manufacturer of Aimovig™. CHAMP does not endorse the use of any CGRP inhibitor over another, nor promote the use of this new class of preventive medications for everyone with migraine disease. Please consult your healthcare provider to determine if CGRP inhibitors are right for you.

Piggy Bank

Most insurance companies have added at least one or two of these CGRP inhibitors to the list of medicines they cover, but individual patients are still struggling to get the insurers to approve coverage of their prescribed CGRP inhibitor. If you are prescribed a CGRP inhibitor, each pharmaceutical company is offering financial assistance programs to help cover the costs. Each program is different and various programs exist to support patients with private or public insurance, as well as the uninsured.

Speech Bubble

To help patients understand each program, the Coalition For Headache And Migraine Patients (CHAMP) has created Financial Assistance Guides for the three CGRP inhibitors. These guides have not been produced or approved by the medication manufacturers. CHAMP is not endorsing the use of any CGRP inhibitor over another, nor promoting the use of this new class of preventive medications for everyone with migraine disease. Every patient needs to consult their healthcare provider to determine if CGRP inhibitors are right for you.

I Have Been Prescribed Aimovig™. What Financial Assistance Programs Exits To Help Me?

Private Insurance

I Have a Private/Commercial Insurance Plan

Savings card

This category includes insurance plans provided through an employer, purchased with subsidy support from the Affordable Care Act (Obamacare) or purchased privately.

Highlights of Aimovig Ally™ Access Card

If your health plan covers Aimovig™, you will pay as little as $5 per month up to a $3500 annual cap. This applies to your out-of-pocket costs, including deductible, co-insurance and copayments for Aimovig™. You are responsible for costs above the $3500 annual maximum. Offer expires after 12 months at which time you must re-enroll in the program to receive this benefit. You will be notified at 60 days and again 10 days prior to the end of the 12 month offer. However, if you do not receive that notification, you can re-enroll online by visiting www.aimovigaccesscard.com/ or by calling 833-AIMOVIG (833-246-6844).

If your health plan does not cover Aimovig™, or requires a Prior Authorization, you can qualify for the Bridge to Commercial Coverage Offer. Under this offer, you will receive Aimovig™ at no cost for up to 12 doses over the course of 24 months while insurance coverage is pursued.

Steps To Get Your Savings Card

  • 1 Your doctor writes you a prescription for Aimovig™.
  • 2 Enroll in the Aimovig Ally™ Access Card program online at aimovigaccesscard.com/enroll or by calling 833-Aimovig (833-246-6844).
  • 3 Take your prescription (if your doctor did not call it in to your pharmacy) and Access Card to your regular retail pharmacy to be filled. The Access Card includes pharmacists instructions that you should provide the pharmacist to connect your prescription to the appropriate Bridge or Copay program.
  • 4 If your pharmacy has Aimovig™ in stock, they will provide it immediately. If the pharmacy needs to order Aimovig™, they should receive it within 24-48 hours. Some pharmacies may direct you to their specialty pharmacy service to arrange home delivery.
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Congratulations on accessing your first dose of Aimovig™! Amgen will now be working behind the scenes to get your doctor to complete a prior authorization form and to get your insurance company to cover your Aimovig™ prescription. To be a proactive and engaged patient, you should contact your doctor's office to see if they have completed the Aimovig™ prior authorization form on your behalf and your insurance company to see if they will be covering your prescribed medicine. If you have questions or encounter problems, contact the Aimovig Ally team at 1-833-246-6844.

Medicare/Medicaid

I Have Medicare, Medicaid or other Government Insurance Plan

The Aimovig™ Access Card is not available to patients whose medical insurance is provided by state or federal programs, like Medicare and Medicaid. This restriction is true for all three CGRP inhibitor medications.

The Federal Government does not allow people who are receiving insurance benefits through Medicare, Medicaid, etc. to use co-pay assistance, discount or savings cards offered by pharmaceutical companies. The intent is to steer patients to lower-cost generic drugs and not to support higher-cost brand-name drugs. Unfortunately, there are no generic/biosimilar medications in the class of CGRP inhibitors and won’t be for years to come.

Certain patients with plans that cover Aimovig™ who cannot afford their out of pocket costs may be eligible to receive Aimovig™ at no cost from the Amgen Safety Net Foundation. It is required that you can demonstrate that:

  • You are unable to afford Aimovig
  • You are not eligible for Medicaid or Medicare’s Extra Help program
  • You have fulfilled all insurance carrier guidelines and Prior
    Authorization requirements prior to applying for assistance, and
  • You do not have any other financial support options

For more information on the Amgen Safety Net Foundation, please visit amgensafetynetfoundation.com or call 1-888-762-6436.

Uninsured

I Am Uninsured

The BOTOX® Savings Program is not available to those patients who are uninsured or underinsured.

You may be eligible to receive BOTOX® at no cost from the Allergan Patient Assistance Program if you meet the following requirements:

  • 1 You are uninsured or underinsured
  • 2 You are a resident of the United States or Puerto Rico
  • 3 You have income less than or equal to 500% of the Federal Poverty Level
If you have this many people in your householdYour household income must be equal to or below this much each year
1$62,450
2$84,550
3$106,650
4$128,750
5$150,850
6$172,950
5$150,850
8$217,150
Each additional personAdd $4,420

This table does not include Hawaii or Alaska which have slightly adjusted FPL. Please visit aspe.hhs.gov/2019-poverty-guidelines for more info

House

To apply, follow the simple steps below

  • 1 Call the hotline at 1-800-44-BOTOX® (1-800-442-6869). A Reimbursement Counselor can help answer questions and send you an application. Or partner with your healthcare provider to complete a Program Application online at www.botoxone.com/PatientAssistanceProgram.
  • 2 Submit the completed application and supporting documents.
  • 3 Once received and reviewed, we will send a Notification Letter and Product Request Form so you may begin your BOTOX® treatment.

Need More Help

Where do I turn if I need more help accessing this medicine?

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Patient Advocate Foundation

The Patient Advocate Foundation (a CHAMP member organization) can be a helpful resource for patients and caregivers who are experiencing access challenges. PAF provides a suite of expert tips to help navigate insurance denials, appeals and common barriers at: patientadvocate.org/migrainematters.

PAF also offers one-on-one assistance to help patients navigate insurance problems and other challenging issues (workplace accommodations, applying for disability, etc.) faced by people living with migraine disease. The best way to access these case management services is to fill out the one-on-one insurance assistance application on their website. You can also call 1-800-532-5274 to connect with support.

 

Aimovig ™ Basics

ItemDescription
Brand NameAimovig™
Biologic Nameerenumab-aooe
Pharmaceutical CompanyAmgen and Novartis
Dosing & AdministrationOption 1: 70 mg monthly injection via the SureClick® autoinjector at home.
Option 2: 140 mg monthly injection (2 separate 70 mg injections one right after the other) via the SureClick® autoinjector at home.
Your doctor will determine which option is best for you.
IndicationAdults living with either chronic migraine (15 or more headache days per month) or episodic migraine (fewer than 15 headache days per month).
Full Prescribing Informationwww.pi.amgen.com/~/media/amgen/repositorysites/pi-amgen-com/aimovig/aimovig_pi_hcp_english.ashx
WebsiteAimovig.com
HelplineAimovig Ally™ team at 1-833-AIMOVIG (1-833-246-6844).
Injection Training AvailableYes, your healthcare provider should demonstrate how to use the autoinjector prior to your first use. Detailed instructions and video are available on the Aimovig website.
Sharps Container AvailableYes
Home Delivery AvailableYou may arrange for home delivery through your local pharmacy should you choose to do so.
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