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RE: Obtaining Valycte for our patient

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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.

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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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