Loading ...If this drug is revelant to her this is what she and her doctor can do.
Here’s how you might navigate potential access issues for Brinsupri:
- Prior Authorization: Your insurance company may require prior authorization before covering Brinsupri. This means your doctor or provider needs to get approval from your health plan beforehand. According to the NAIC, “Without prior authorization, your health plan may not pay for your treatment or medication”.
- Exceptions Process: If your insurance plan doesn’t initially cover Brinsupri or has a preferred drug on a different tier, your prescriber can request an exception. To do this, the prescriber needs to provide a statement explaining why Brinsupri is medically necessary and why other drugs on the formulary are not as effective or would cause adverse effects.
- Patient Assistance Programs: Insmed, the manufacturer of Brinsupri, offers a program called “inLighten Patient Support” to help eligible patients with financial assistance options and ongoing education and support. You can explore this program for potential cost reduction or support with accessing the medication.
- Contact Specialty Pharmacies: Brinsupri is dispensed through a specialty pharmacy network. PANTHERx Rare and Amber Specialty Pharmacy are part of this network and can assist with referrals and access.