Working Together For Your Patients

Practice resources

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Patient Referral Form

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Patient Referral Form
Instruction Guide

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Ordering Information

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Billing & Coding Guide

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Nurse FAQ

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Administration &
Reconstitution Guide

See POMBILITI + OPFOLDA in action

Mechanism of Action

Dosing & Administration

Clinical Trial Data

Patient resources

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Product Brochure

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Treatment Day Guide

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LOPD Discussion Guide

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Insurance 101 Document

Support at every step

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Start the conversation with the Pompe Discussion Driver

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Connect with a Patient Education Liaison and Case Manager

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Help patients navigate treatment day

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Meet patients sharing their LOPD stories

Financial support

We are committed to helping your patients get access to treatment

AMICUS ASSIST® is proud to help identify possible sources of financial assistance including:

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Co-Pay Assistance

Eligible commercially or privately insured patients may pay as little as $0 per month for treatment*

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Amicus Patient Assistance Program

For eligible uninsured or underinsured patients

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Support from Independent Charitable Foundations

AMICUS ASSIST can help identify groups that might be able to offer support

*Co-pay assistance is only valid for patients using commercial or private insurance for their Amicus medication. It is not valid for prescriptions reimbursed in whole or in part by Medicare, Medicaid, Veterans Administration, TRICARE, Department of Defense, similar federal or state programs, or where prohibited by law. Offer is only available for adult US residents who have a valid prescription for an Amicus product. In accordance with state law, infusion-related costs are not covered for individuals residing in RI. Co-pay assistance is subject to annual maximum limits. Additionally, patients cannot seek reimbursement from their health insurance or other patient assistance programs for their co-pay. Amicus reserves the right to rescind, revoke, or amend this offer without notice.

The Amicus Patient Assistance Program provides free product to those who qualify. Contact AMICUS ASSIST for details. Charitable foundations exist independently of Amicus and have their own eligibility criteria and application processes. Availability of support from the foundations is determined solely by the foundations.

Amicus makes no representation or guarantee concerning reimbursement or coverage for any service or item. Information provided through the AMICUS ASSIST program does not constitute medical advice and is not intended to be a substitute for a consultation with a licensed healthcare provider or applicable third-party payer(s). Amicus reserves the right to modify the program at any time without notice.

AMICUS ASSIST offers individualized support

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AMICUS ASSIST is a program that provides dedicated support to individuals who have been prescribed an Amicus medication. We strive to help patients navigate the financial and insurance-related aspects of their treatment while providing personalized assistance every step of the way. Call us toll-free at:

1-833-AMICUS-A (1-833-264-2872), Monday – Friday, 8AM – 8PM ET

Start a patient

Simple steps from prescription to delivery

Once you’re ready to switch a patient to POMBILITI + OPFOLDA, here’s what happens:

1

Complete the Patient Referral Form (PRF) and send it to AMICUS ASSIST®

Fax: 1-833-264-2873

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Patient Referral Form
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Patient Referral Form Instruction Guide

2

A Case Manager will reach out to you after you prescribe POMBILITI + OPFOLDA and will also contact your patient

AMICUS ASSIST will:

  • Confirm if a Prior Authorization is required
  • Provide an explanation of the patient’s eligibility and potential financial assistance options
  • Provide additional reimbursement support

3

Depending on the treatment setting, AMICUS ASSIST will do one of the following:

  • Triage the Patient Referral Form to the Specialty Pharmacy (SP). The SP will work directly with the prescriber’s office to confirm the prescription and fill requests for ancillary supplies
  • Contact the prescriber to review the ordering process for Direct Purchase orders

4

AMICUS ASSIST will help manage the POMBILITI + OPFOLDA delivery based on site of care

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START A PATIENT

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ERT, enzyme replacement therapy; CLcr, creatinine clearance; IARs, infusion-associated reactions.