gammaCore™ Financial Assistance Guide

CHAMP has created this financial assistance guide for anyone who has been prescribed gammaCore™ by their healthcare provider. gammaCore™ is a non-drug treatment that provides vagus nerve stimulation to help block the pain signals that cause migraine and cluster attacks. It has been approved for adults living with migraine disease and cluster disease. 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 (electoCore™) financial assistance program and how best to access gammaCore™.

Many insurers have not yet decided if or how they will cover the costs of gammaCore™. If you are prescribed gammaCore™, electroCore™ is offering financial assistance programs to help cover the costs. Each program is different and various programs exist to support patients with private, government-funded insurance, as well as the uninsured.

Please note: This guide has not been produced or approved by the manufacturer of gammaCore™. CHAMP does not endorse the use of any treatment over another, nor promote the use of this treatment for everyone living with migraine or cluster disease. Please consult your healthcare providers to determine if vagus nerve stimulation is right for you.

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

Private Insurance

I Have a Private/Commercial Insurance Plan

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

Highlights of gammaCore™ Co-Pay Assist Savings Offer

Depending on your insurance coverage of gammaCore™, eligible insured patients and those paying cash will receive up to $300 of assistance for your out-of-pocket costs on your first month of treatment and up to $250 for 11 subsequent months of treatment. You may not participate in this offer while enrolled in Partners for Coverage (details below) or while receiving any additional co-pay assistance.

Highlights of gammaCore™ Partners for Coverage Savings Offer

If your health plan has not yet decided to cover gammaCore™ you may receive up to 12 months of treatment at no cost while insurance coverage is being pursued. Once insurance is approved or denied, you are no longer eligible for this program, but may be eligible for Co-Pay Assist (see above). While participating in this offer, you must agree to promptly pursue insurance coverage with your health insurance provider.

Steps to Receive Co-Pay Assist & Partners for Coverage Savings Offers

1 gammaCore™ is available by prescription only. The enrollment forms and the prescribing process can be found on gammaCore.com. On the home page is a link to an enrollment form. Please download, print, and have your prescriber fill out this form in its entirety. Then, the prescriber will fax the form to the specialty pharmacy fax number at the top of the form.
2 You receive a welcome text or call from a gammaCARE Care Specialist to discuss your insurance coverage. Be sure to answer a welcome call from 1-844-632-9264.
3 The Care Specialist will guide you through the prescription process, including insurance support and co-pay assistance for eligible patients.
4 The specialty pharmacy delivers your first 31-day prescription of gammaCore™.
5 You will receive a call from a Care Specialist to help train you on how to use gammaCore™.
6 You may be eligible to receive a gammaCore™ Refill Card in the mail before your 31-day prescription runs out. In order to receive this, each month, you must connect with a Care Specialist at 1-844-632-9264 to schedule home delivery of your gammaCore™ Refill Card.

Medicare/Medicaid

I Have Medicare, Medicaid or other Government Insurance Plan

At this time electroCore™ does not have a financial assistance program for those with Medicare, Medicaid or other government insurance plans.

Uninsured

I Am Uninsured

For those without commercial insurance, electroCore™ has a Co-pay Assist program. Through Co-pay Assist, qualified patients may be eligible to receive co-pay assistance of up to $300 on the first month and up to $250 for each following month for a maximum of 12 months. To learn more go to:

gammaCore Patient Support

Need More Help

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

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 www.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 headache 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.

gammaCore™ Basics

Item	Description
Brand Name	gammaCore™, gammaCore Shapphire™
Device Manufacturer	electroCore™
Administration	For acute treatment of migraine disease: self-administer 2, two-minute gammaCore™ (nVNS) stimulations applied at the onset of pain or symptoms. Stimulations may be placed on either side of the neck at the correct treatment location and positioning on the neck to activate the vagus nerve. This treatment can be repeated at 20-minutes and 2-hours from start of first treatment if symptoms remain. For adjunctive use for the preventive treatment of cluster disease: two self-administered treatments (morning and night) consisting of 3, consecutive two-minute stimulations should be applied daily. For acute treatment of episodic cluster disease: self-administered, 3, two-minute stimulations applied consecutively at the onset of cluster disease pain or symptoms followed by an additional 3, two-minute stimulations if pain persists. Your doctor can help you with the proper administration and positioning. Additional details on administration can be found on the full prescribing information at https://www.gammacore.com/wp-content/themes/gammacore-p2/pdf/gammacore_IFU.pdf or by speaking with a gammaCARE Specialist at 1-844-632-9264, Monday-Friday, 8 AM – 8 PM ET.
Indication	Adults living with either chronic migraine disease (15 or more headache days per month) or episodic migraine disease (fewer than 15 headache days per month) for acute treatment. Adults living with cluster headache for preventive treatment and adults living with episodic cluster headache disease for acute treatment.
Full Prescribing Information	https://www.gammacore.com/wp-content/themes/gammacore-p2/pdf/gammacore_IFU.pdf
Website	gammacore.com
Helpline	The gammaCARE team can be reached at 1-844-632-9264, Monday-Friday, 8 am-8 pm ET or text JOIN to 75686 to receive information about migraine disease, gammaCore™, insurance support, refill reminders and more.
Administration Training Available	Yes, training on how to use gammaCore™ from a trained Care Specialist is available at 1-844-632-9264, Monday – Friday, 8 am-8 pm ET
Home Delivery Available	Yes, your prescription is sent to a specialty pharmacy partner that schedules direct delivery to your home.