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About Acthar Patient Support

What is Acthar Patient Support?

Acthar Patient Support is a team of professionals who work together to help a patient obtain the medicine their doctor prescribed and provide comprehensive support from the time the prescription is written throughout the patient’s journey. Acthar Patient Support also provides support for the doctors who prescribe Acthar and the office staff who assist them.

Have a question? Call us!
Acthar Patient Support is available at 1-888-435-2284
Monday through Friday, 8 AM to 9 PM ET Saturday, 9 AM to 2 PM ET

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How do I sign up/enroll in Acthar Patient Support?

You are automatically enrolled in Acthar Patient Support when you are prescribed Acthar.

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Why is there a Consent Form if I am already enrolled in Acthar Patient Support?

To ensure that you receive our complete level of support during the approval process for Acthar, your Case Manager or Nurse Navigator may request that you complete the Acthar Consent Form. There are two ways to do it:

  • Visit www.ActharConsent.com to fill out and sign the Consent Form using a home computer, tablet, or smartphone
  • Download, print, and sign the Patient Authorization Form to bring to your doctor’s office

Need a form? We’ll mail you one! Call your Case Manager at 1-888-435-2284 and we’ll send it out immediately.

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Which form do I sign, the Patient Authorization Form or the Acthar Consent Form?

You can submit either one. Both forms ensure that you receive our complete level of support during the approval process for Acthar.

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What happens after I submit the Acthar Consent Form?

Your involvement is important!

After we receive the Acthar Consent Form, we will call you so we can help you try to get your medicine. Please be on the lookout and answer calls from 1-800 numbers.

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Getting Acthar

What is a Specialty Pharmacy?

A Specialty Pharmacy coordinates the delivery of specialty medicines that have specific shipping requirements, like the refrigeration that is required for Acthar.

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How will Acthar be delivered?

After insurance approval, someone from your Specialty Pharmacy will contact you to set up your delivery of Acthar.

The delivery process:

  • Your Case Manager will let you know when your prescription is approved for coverage
  • Your Specialty Pharmacy will call you to arrange a shipment for a delivery time when someone will be able to sign for, receive, and immediately refrigerate the medicine
  • It is important that you answer any calls from 1-800, 1-888, 1-877, 1-844, 1-855, or blocked callers because your Specialty Pharmacy may call from those types of numbers If you miss the call, call back as soon as possible to ensure your medicine will be sent to you
  • Acthar is shipped to your home in a refrigerated container A signature is required for delivery because someone must be available to put the medicine in the refrigerator as soon as it is received
  • The package arriving from your Specialty Pharmacy will contain prescribing information for Acthar, Acthar vial(s), syringes and needles, disposal instructions, and contact information for the Specialty Pharmacy

For more information, visit the How to Start Acthar section.

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Can I get help starting Acthar?

YES! Acthar Patient Support can tailor free, one-on-one injection training based on your comfort level.

While your prescription is in the approval process, we’ll contact you to discuss your training needs and how best to accomplish them—in your home, online, or by phone. Then we will coordinate training with a nurse educator to help you get started.

Free training will be provided by a licensed nurse educator in your area who will:

  • Review the materials needed—needles, syringes, alcohol wipes, etc
  • Show you or your care partner how and where to inject Acthar
  • Explain how to store Acthar and dispose of used needles and syringes
  • Answer any questions about administering Acthar
  • Come back to make sure your injections are going well. The nurse will come to visit you up to 3 times so that you have full confidence in taking Acthar.

Want training? Your Nurse Navigator will be happy to assist.

Call 1-888-435-2284

Monday through Friday, 8 AM to 9 PM ET.

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Working with insurance

What is prior authorization?

A prior authorization is a way insurance companies make sure that the medicine your doctor prescribed is medically necessary for your condition.

Prior authorizations are very common. There are millions of prior authorization requests each year, and many of them get denied initially and approved on appeal.

Your doctor and Acthar Patient Support will work together to submit the necessary information to try to get your medicine approved. Your Case Manager will provide updates on the status of the approval process.

For more information, visit the How to Start Acthar section.

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Why was my prescription denied?

There are many reasons why your medicine may be denied, from paperwork errors to insurance coverage. Some insurance companies will automatically decline specialty medicines and require patients and providers to go through the appeals process.

If you haven’t already received it, you can request a denial letter from your insurance provider. This will explain the reason for the denial of coverage and the process to follow for making an appeal.

For more information, visit the How to Start Acthar section.

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What happens during an appeal?

Your doctor will be notified by your insurance company that your prescription was denied. In turn, your doctor can work with Acthar Patient Support to write a Letter of Medical Necessity to the insurance company that will outline the reasons why you need the medicine. In the meantime, you can work with your doctor to write your own appeals letter. Your Case Manager can help you get started writing the letter.

Learn about becoming an advocate for your own health.

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How long before I get Acthar?

Every case is different. Check in with Acthar Patient Support and your doctor if you have any questions or need a status update during the process.

Once your prescription is approved:

  • Your Case Manager will let you know when your prescription is approved
  • Your Specialty Pharmacy will call you to arrange a shipment for a delivery time when someone will be able to sign for, receive, and immediately refrigerate the medicine
  • It is important that you answer any calls from 1-800, 1-888, 1-877, 1-844, 1-855, or blocked callers because your Specialty Pharmacy may call from those types of numbers If you miss the call, call back as soon as possible to ensure your medicine will be sent to you
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What if the appeals process doesn’t work?

Acthar Patient Support can tell you about your options if the appeal of your insurance company’s decision is denied. You may go back to the insurance company and repeat your appeal of the insurance company's decision. You can also have an independent third party review the appeal. No 2 cases are the same, so be in contact with Acthar Patient Support and keep pushing! There are also programs to help you try to get the medicine your doctor prescribed, even if your insurance will not pay for it.

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Paying for Acthar

I didn’t expect a co-pay from my insurance company. What can I do?

Depending on the type of insurance you have and your financial situation, there may be different options to help. Acthar Patient Support can work with you and see what programs or assistance you may qualify for.

Visit the Assistance Options section

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I don’t have insurance. What can I do?

Depending on your financial situation, there may be different options to help. Acthar Patient Support can work with you and see what programs or assistance you may qualify for.

Visit the Assistance Options section

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What is Acthar Gel?

Acthar® Gel (repository corticotropin injection) is used for:

  • The reduction of proteinuria in people with nephrotic syndrome of the idiopathic type (unknown origin) without uremia (accumulation of urea in the blood due to malfunctioning kidneys) or that due to lupus erythematosus (lupus)
  • Treatment of infantile spasms in infants and children under 2 years of age
  • Treatment for adults with acute relapses or flares of multiple sclerosis (MS). Studies have shown Acthar Gel to be effective in speeding recovery from an MS relapse. However, there is no evidence that Acthar affects the ultimate outcome or natural history of the disease
  • Treatment of severe acute and chronic allergic and inflammatory conditions affecting different parts of the eye. This can include the front part of the eye such as the cornea and iris, or the back part of the eye such as the optic nerve and retina
  • Treatment for people with symptoms of sarcoidosis
  • Treatment for flares or on a regular basis (maintenance) in people with systemic lupus erythematosus (lupus)
  • Treatment for flares or on a regular basis (maintenance) in people with systemic dermatomyositis or polymyositis (DM-PM)
  • Adjunctive therapy for short-term administration (to tide patients over an acute episode or exacerbation) in: psoriatic arthritis (PsA); rheumatoid arthritis, including juvenile rheumatoid arthritis (selected cases may require low-dose maintenance therapy); ankylosing spondylitis

Acthar is injected beneath the skin or into the muscle.

IMPORTANT SAFETY INFORMATION

DO NOT take Acthar until you have talked to your doctor if you have any of the following conditions:

  • A skin condition called scleroderma
  • Bone density loss or osteoporosis
  • Any infections, including fungal, bacterial, or viral
  • Eye infections, such as ocular herpes simplex
  • Had recent surgery
  • Stomach ulcers or a history of stomach ulcers
  • Heart failure
  • Uncontrolled high blood pressure
  • Allergies to pig-derived proteins
  • Have been given or are about to receive a live or live attenuated vaccine
  • Suspected congenital infections (in children under 2 years of age)
  • If you have been told that you have Cushing’s syndrome or Addison’s disease

Tell your doctor about any other health problems that you have. Give your doctor a complete list of medicines you are taking. Include all nonprescription medicines, vitamins, and herbal supplements that you are taking.

What is Acthar Gel?

Acthar® Gel (repository corticotropin injection) is used for:

  • The reduction of proteinuria in people with nephrotic syndrome of the idiopathic type (unknown origin) without uremia (accumulation of urea in the blood due to malfunctioning kidneys) or that due to lupus erythematosus (lupus)
  • Treatment of infantile spasms in infants and children under 2 years of age
  • Treatment for adults with acute relapses or flares of multiple sclerosis (MS). Studies have shown Acthar Gel to be effective in speeding recovery from an MS relapse. However, there is no evidence that Acthar affects the ultimate outcome or natural history of the disease
  • Treatment of severe acute and chronic allergic and inflammatory conditions affecting different parts of the eye. This can include the front part of the eye such as the cornea and iris, or the back part of the eye such as the optic nerve and retina
  • Treatment for people with symptoms of sarcoidosis
  • Treatment for flares or on a regular basis (maintenance) in people with systemic lupus erythematosus (lupus)
  • Treatment for flares or on a regular basis (maintenance) in people with systemic dermatomyositis or polymyositis (DM-PM)
  • Adjunctive therapy for short-term administration (to tide patients over an acute episode or exacerbation) in: psoriatic arthritis (PsA); rheumatoid arthritis, including juvenile rheumatoid arthritis (selected cases may require low-dose maintenance therapy); ankylosing spondylitis

Acthar is injected beneath the skin or into the muscle.

What is the most important information I should know about Acthar?

  • Never inject Acthar directly into a vein
  • Always inject Acthar beneath the skin or into the muscle
  • Follow your doctor’s instructions for injecting Acthar
  • Never stop treatment suddenly unless your doctor tells you to do so
  • Try not to miss any scheduled doctor’s appointments. It is important for the doctor to monitor you while taking Acthar

Acthar and corticosteroids have similar side effects.

  • You may be more likely to get new infections. Also, old infections may become active. Tell your doctor if you see any signs of an infection. Contact your doctor at the first sign of an infection or fever. Signs of infection are fever, cough, vomiting, or diarrhea. Other signs may be flu or any open cuts or sores
  • When taking Acthar long term, your adrenal gland may produce too much of a hormone called cortisol. This can result in symptoms of Cushing’s syndrome. This may cause increased upper body fat, a rounded “moon” face, bruising easily, or muscle weakness
  • Sometimes when you stop taking Acthar long term, your body may not produce enough natural cortisol. This is called “adrenal insufficiency.” Your doctor may prescribe a steroid medicine to protect you until the adrenal gland recovers
  • You might develop high blood pressure, or retain too much fluid. As a result of this, your doctor may recommend some changes to your diet, such as eating less salt and taking certain supplements
  • Vaccines may not work well when you are on Acthar. Talk to your doctor about which vaccines are safe to use when you are taking Acthar
  • Acthar may hide symptoms of other diseases. This can make it more difficult for your doctor to make a diagnosis if something else is going on
  • Stomach or intestinal problems. Acthar may increase the risk of bleeding stomach ulcers. Tell your doctor if you have stomach pains, bloody vomit, bloody or black stools, excessive tiredness, increased thirst, difficulty breathing, or increased heart rate
  • Taking Acthar can make you feel irritable or depressed. You may also have mood swings or trouble sleeping
  • If you have other conditions, such as diabetes or muscle weakness, you may find they get worse
  • You might develop certain eye conditions, such as cataracts, glaucoma, or optic nerve damage
  • Your body may develop allergies to Acthar. Signs of allergic reaction are:
    • Skin rash and itching
    • Swelling of the face, tongue, lips, or throat
    • Trouble breathing
  • Long-term Acthar use can affect growth and physical development in children. This can be reversed when Acthar is no longer needed
  • Acthar may cause osteoporosis (weak bones)
  • Acthar might harm an unborn baby. Therefore, tell your doctor if you are pregnant or plan on becoming pregnant

What are the most common side effects of Acthar?

The most common side effects of Acthar are similar to those of steroids. They include:

  • Fluid retention
  • High blood sugar
  • High blood pressure
  • Behavior and mood changes
  • Changes in appetite and weight

Specific side effects in children under 2 years of age include:

  • Increased risk of infections
  • High blood pressure
  • Irritability
  • Symptoms of Cushing’s syndrome
  • Thickening of the heart muscle (cardiac hypertrophy)
  • Weight gain

The above side effects may also be seen in adults and children over 2 years of age.

These are not all of the possible side effects of Acthar.

Tell your doctor about any side effect that bothers you, or that does not go away. Call your doctor or pharmacist for medical advice about side effects. You may report side effects to the FDA. Call 1-800-FDA-1088 or visit www.fda.gov/medwatch. You may also report side effects by calling 1-800-844-2830.

Please see full Prescribing Information for additional Important Safety Information.

For parents and caregivers of IS patients, please also see Medication Guide.