RE: Obtaining Valycte for our patient

[Guest guest]

I have learned, you need to apply to a co-pay assistance program and have written denial before applying to Genentech. HealthWell has a program that is good. Have the patient call them at , HealthWell will send them paperwork to complete and you will have a physician statement to complete. The processing time is about 4 weeks. (sometimes less). Your Genentech rep may have a 14 day voucher to use during this process. Amellia Gay, TFC and WhiteTemple, TXfax >>> "Robin" 3/12/2012 9:04 AM >>> I have a patient who needs Valcyte. I requested assistance through Genentech and was denied because our patient has Medicare part D plan but the cost is $975.20 per month for the medication. Genentech told me to get a denial from Healthwell Foundation or Patient Access or Chronic Disease Funding. I checked all three websites and they only cover Kidney Transplant Immunotherapy (which Valcyte is not an Immuno).Any suggestions about what to do next? Thanks.

[Guest guest]

I have learned, you need to apply to a co-pay assistance program and have written denial before applying to Genentech. HealthWell has a program that is good. Have the patient call them at , HealthWell will send them paperwork to complete and you will have a physician statement to complete. The processing time is about 4 weeks. (sometimes less). Your Genentech rep may have a 14 day voucher to use during this process. Amellia Gay, TFC and WhiteTemple, TXfax >>> "Robin" 3/12/2012 9:04 AM >>> I have a patient who needs Valcyte. I requested assistance through Genentech and was denied because our patient has Medicare part D plan but the cost is $975.20 per month for the medication. Genentech told me to get a denial from Healthwell Foundation or Patient Access or Chronic Disease Funding. I checked all three websites and they only cover Kidney Transplant Immunotherapy (which Valcyte is not an Immuno).Any suggestions about what to do next? Thanks.

[Guest guest]

I imagine your center is using the Valcyte for CMV? That is what you need to check for on the Healthwell site. I checked a couple weeks ago and the program was still open for CMV. Please feel free to let me know if you need any further assistance. Best of luck! J M. Christiansen, BAS, RNTransplant Financial Case Manager DeVos Heart and Lung Transplant Program100 Michigan NEMC 231Grand Rapids, MI 49503Phone: Pager: Fax: lisa.christiansen@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of RobinSent: Monday, March 12, 2012 10:05 AMTo: TxFinancialCoordinators Subject: Obtaining Valycte for our patient I have a patient who needs Valcyte. I requested assistance through Genentech and was denied because our patient has Medicare part D plan but the cost is $975.20 per month for the medication. Genentech told me to get a denial from Healthwell Foundation or Patient Access or Chronic Disease Funding. I checked all three websites and they only cover Kidney Transplant Immunotherapy (which Valcyte is not an Immuno).Any suggestions about what to do next? Thanks.

[Guest guest]

I was told by a rep at the Genentech assistance program last week that if a patient qualifies for Healthwell, then they would not qualify for Genetech assistance.

Healthwell will only cover up to $2000 per year, so that is only a drop in the bucket towards what our part D population are facing for Valcyte expense.

Does this sound right? Have others experienced this? I am meeting with our Genentech rep this week, so I hope to get further clarification on this.

Deidra M. Simano

Transplant Operations Analyst

Department of Transplant Surgery

Dartmouth-Hitchcock Lebanon

Phone: (603) 653.3689 / Fax: (603) 676.4287

Transplant Secretary (603) 653.3931

Dartmouth-Hitchcock.org

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of lisa.christiansen@...

Sent: Monday, March 12, 2012 10:21 AM

To: txfinancialcoordinators

Subject: RE: Obtaining Valycte for our patient

I imagine your center is using the Valcyte for CMV? That is what you need to check for on the Healthwell site. I checked a couple weeks

ago and the program was still open for CMV. Please feel free to let me know if you need any further assistance. Best of luck!

J

M. Christiansen, BAS, RN

Transplant Financial Case Manager

DeVos Heart and Lung Transplant Program

100 Michigan NE

MC 231

Grand Rapids, MI 49503

Phone:

Pager: Fax:

lisa.christiansen@...

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Robin

Sent: Monday, March 12, 2012 10:05 AM

To: TxFinancialCoordinators

Subject: Obtaining Valycte for our patient

I have a patient who needs Valcyte. I requested assistance through Genentech and was denied because our patient has Medicare part D plan but the cost is $975.20 per month for the medication. Genentech told me to get a denial from Healthwell Foundation or

Patient Access or Chronic Disease Funding. I checked all three websites and they only cover Kidney Transplant Immunotherapy (which Valcyte is not an Immuno).

Any suggestions about what to do next? Thanks.

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[Guest guest]

I have had HealthWell approve up to $4000 for Valcyte, depending on the patients copay. This does sound correct. Amellia Gay, TFC and WhiteTemple, TXfax >>> "Deidra M. Simano" 3/12/2012 9:24 AM >>> I was told by a rep at the Genentech assistance program last week that if a patient qualifies for Healthwell, then they would not qualify for Genetech assistance. Healthwell will only cover up to $2000 per year, so that is only a drop in the bucket towards what our part D population are facing for Valcyte expense. Does this sound right? Have others experienced this? I am meeting with our Genentech rep this week, so I hope to get further clarification on this.Deidra M. SimanoTransplant Operations AnalystDepartment of Transplant SurgeryDartmouth-Hitchcock LebanonPhone: (603) 653.3689 / Fax: (603) 676.4287Transplant Secretary (603) 653.3931Dartmouth-Hitchcock.org From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of lisa.christiansen@...Sent: Monday, March 12, 2012 10:21 AMTo: txfinancialcoordinators Subject: RE: Obtaining Valycte for our patient I imagine your center is using the Valcyte for CMV? That is what you need to check for on the Healthwell site. I checked a couple weeks ago and the program was still open for CMV. Please feel free to let me know if you need any further assistance. Best of luck! J M. Christiansen, BAS, RNTransplant Financial Case Manager DeVos Heart and Lung Transplant Program100 Michigan NEMC 231Grand Rapids, MI 49503Phone: Pager: Fax: lisa.christiansen@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of RobinSent: Monday, March 12, 2012 10:05 AMTo: TxFinancialCoordinators Subject: Obtaining Valycte for our patient I have a patient who needs Valcyte. I requested assistance through Genentech and was denied because our patient has Medicare part D plan but the cost is $975.20 per month for the medication. Genentech told me to get a denial from Healthwell Foundation or Patient Access or Chronic Disease Funding. I checked all three websites and they only cover Kidney Transplant Immunotherapy (which Valcyte is not an Immuno).Any suggestions about what to do next? Thanks.IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.

[Guest guest]

I have had HealthWell approve up to $4000 for Valcyte, depending on the patients copay. This does sound correct. Amellia Gay, TFC and WhiteTemple, TXfax >>> "Deidra M. Simano" 3/12/2012 9:24 AM >>> I was told by a rep at the Genentech assistance program last week that if a patient qualifies for Healthwell, then they would not qualify for Genetech assistance. Healthwell will only cover up to $2000 per year, so that is only a drop in the bucket towards what our part D population are facing for Valcyte expense. Does this sound right? Have others experienced this? I am meeting with our Genentech rep this week, so I hope to get further clarification on this.Deidra M. SimanoTransplant Operations AnalystDepartment of Transplant SurgeryDartmouth-Hitchcock LebanonPhone: (603) 653.3689 / Fax: (603) 676.4287Transplant Secretary (603) 653.3931Dartmouth-Hitchcock.org From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of lisa.christiansen@...Sent: Monday, March 12, 2012 10:21 AMTo: txfinancialcoordinators Subject: RE: Obtaining Valycte for our patient I imagine your center is using the Valcyte for CMV? That is what you need to check for on the Healthwell site. I checked a couple weeks ago and the program was still open for CMV. Please feel free to let me know if you need any further assistance. Best of luck! J M. Christiansen, BAS, RNTransplant Financial Case Manager DeVos Heart and Lung Transplant Program100 Michigan NEMC 231Grand Rapids, MI 49503Phone: Pager: Fax: lisa.christiansen@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of RobinSent: Monday, March 12, 2012 10:05 AMTo: TxFinancialCoordinators Subject: Obtaining Valycte for our patient I have a patient who needs Valcyte. I requested assistance through Genentech and was denied because our patient has Medicare part D plan but the cost is $975.20 per month for the medication. Genentech told me to get a denial from Healthwell Foundation or Patient Access or Chronic Disease Funding. I checked all three websites and they only cover Kidney Transplant Immunotherapy (which Valcyte is not an Immuno).Any suggestions about what to do next? Thanks.IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.

[Guest guest]

Hi Robin, PAN covers Valcyte to prevent or treat CMV infection which is why the patients require it. If you follow their online steps to apply, you will get to the page that says the program is closed to new enrollees. If you printscreen that page and attach it to your GATCF app along with their “GATCF Patient Attestation of Co-Pay Assistance Denial” Form, that will satisfy the proof of INO denial. They really don’t seem to care that some other program may still be open, they will accept this as proof you looked elsewhere first. Hope this helps on Transplant Financial Coordinator Legacy Good Samaritan Hospital Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 direct main office toll-free fax lmorriso@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of RobinSent: Monday, March 12, 2012 7:05 AMTo: TxFinancialCoordinators Subject: Obtaining Valycte for our patient I have a patient who needs Valcyte. I requested assistance through Genentech and was denied because our patient has Medicare part D plan but the cost is $975.20 per month for the medication. Genentech told me to get a denial from Healthwell Foundation or Patient Access or Chronic Disease Funding. I checked all three websites and they only cover Kidney Transplant Immunotherapy (which Valcyte is not an Immuno).Any suggestions about what to do next? Thanks.

[Guest guest]

Hi Robin, PAN covers Valcyte to prevent or treat CMV infection which is why the patients require it. If you follow their online steps to apply, you will get to the page that says the program is closed to new enrollees. If you printscreen that page and attach it to your GATCF app along with their “GATCF Patient Attestation of Co-Pay Assistance Denial” Form, that will satisfy the proof of INO denial. They really don’t seem to care that some other program may still be open, they will accept this as proof you looked elsewhere first. Hope this helps on Transplant Financial Coordinator Legacy Good Samaritan Hospital Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 direct main office toll-free fax lmorriso@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of RobinSent: Monday, March 12, 2012 7:05 AMTo: TxFinancialCoordinators Subject: Obtaining Valycte for our patient I have a patient who needs Valcyte. I requested assistance through Genentech and was denied because our patient has Medicare part D plan but the cost is $975.20 per month for the medication. Genentech told me to get a denial from Healthwell Foundation or Patient Access or Chronic Disease Funding. I checked all three websites and they only cover Kidney Transplant Immunotherapy (which Valcyte is not an Immuno).Any suggestions about what to do next? Thanks.