ByMySide  

Comprehensive support for your patients on MYALEPT

Tap into insurance support as soon as you prescribe MYALEPT metreleptin

Our team is committed to helping your patients get access to MYALEPT. ByMySide Coordinators are available to provide the information you may need to help get your patients started.

Benefits investigation assistance

  • We will verify if your patient’s insurance covers MYALEPT
  • You will be notified if additional steps are required for coverage (i.e., prior authorization)

Prior authorization support

  • We can walk you through the prior authorization process, ensure that your office understands what information and forms are needed, and follow up on the status of existing submissions
  • We can also provide a sample letter of medical necessity to help with the process
  • We can review all reimbursement materials to help before you submit to your patient’s insurance

Information about coverage appeals

  • If coverage is denied, we’ll help you understand the steps involved to appeal an initial coverage denial and follow up on the status of existing appeals
  • We can also provide a sample letter of appeal for a denied claim to help with the process

Help your patients cover the cost of MYALEPT

We aim to help make MYALEPT affordable for patients by offering financial assistance to eligible patients. A ByMySide Coordinator will help determine which programs are best suited for your patients based on eligibility.

Co-pay assistanceaa,b

Help your eligible, commercially insured patients obtain 100% coverage of their monthly out-of-pocket costs (up to an annual maximum) for MYALEPT regardless of their financial status and whether your patients are new to MYALEPT or already on therapy. There are no income requirements.

Free drug assistancea,b

Help your patients access MYALEPT for free if they are uninsured or underinsured (e.g., have reached their insurance cap or have insurance that will not cover their MYALEPT treatment).c We can also help your uninsured patients explore other insurance plan options.

  • Third-party assistance programs
    Are your patients insured through Medicare or Medicaid or any other state government insurance? We can refer them to alternative independent financial assistance programs. These types of programs may be able to provide financial assistance to eligible patients

a, b, c Applicants with federal and state government insurance such as Medicare, Medicaid, VA/DoD, and TRICARE are not eligible. bThis program is operated by Aegerion Pharmaceuticals, Inc. and can be modified at any time without notice. cSubject to other eligibility criteria.

Start your patients off right and help keep them motivated to stay on track Injection support and nurse educators

A ByMySide registered nurse can provide one-on-one training and supervision of MYALEPT reconstitution and self-injection—at no cost—at a location chosen by you and your patient.

  • Step-by-step training and supervision of MYALEPT reconstitution and self-injection
  • Helpful tips for staying on track with MYALEPT and maintaining a regular dosing schedule
  • Distribution of MYALEPT resources—including the Medication Guide and Instructions for Use

Adherence support

  • Your patients can request a sharps disposal container to properly dispose of their used syringes and needles the steps involved to appeal an initial coverage denial and follow up on the status of existing appeals
  • Patients who need to use MYALEPT away from home can request information and counseling to help ensure medication stability
  • Check-in, follow-up, and refill reminder calls are available to help patients stay on MYALEPT therapy as prescribed/directed by their health care provider

Personalized nutrition consultations

  • A dedicated ByMySide dietitian can consult with your patients to personalize an eating plan
  • This education can take place in person or by phone and includes guidance, tips and tools

In-person generalized lipodystrophy and MYALEPT education

  • A ByMySide clinical educator can provide one-on-one disease education, information on how MYALEPT works, and steps to get started
  • This education can take place in person or by phone and includes guidance, tips, and tools to help your patients be successful on their treatment plan

Utilize key pharmacy services to fulfill your patient’s prescription

You and your patients have access to key pharmacy services so your patients can start—and stay on track—with MYALEPT.

The specialty pharmacy provides:

  • Direct-to-patient medication and supplies shipments
  • Assistance with medication replacement if it is lost or damaged
  • Help with MYALEPT refills
  • 24/7 pharmacist and nurse hotline in the event of an emergency

Become Certified in the MYALEPT REMS Program

Because of the risks associated with the development of anti-metreleptin antibodies that neutralize endogenous leptin and/or MYALEPT and the risk for lymphoma, MYALEPT is available only through a restricted program under a Risk Evaluation and Mitigation Strategy (REMS) called the MYALEPT REMS Program.

The MYALEPT REMS Program was developed with the FDA to educate prescribers about:

  • the development of anti-metreleptin antibodies that neutralize endogenous leptin and/or MYALEPT and the serious adverse events that may result from these antibodies
  • the risk of lymphoma, and
  • appropriate patient selection

Healthcare providers who prescribe MYALEPT must review the prescriber training materials to enroll in the MYALEPT REMS Program:

Steps to Prescriber Certification:

  1. Review the Prescriber Education Materials
  2. Review the Prescriber Education Materials
  • Review the Prescriber Education Materials
  • Prescriber Training Module
  • Complete and submit the MYALEPT REMS Program Prescriber Enrollment Form
    • Print and sign the Prescriber Enrollment Form or request a copy by calling 1-855-669-2537
    • Submit the form via fax to 1-877-328-9682
    • A confirmation of your certification in the MYALEPT REMS program will be sent to you so you can begin to prescribe MYALEPT