SUPPORT FOR YOUR PATIENTS AND YOUR PRACTICE

ILUMYA SUPPORT™ offers comprehensive programs and services to help patients start and stay on therapy.

You can get patients started by enrolling them in ILUMYA SUPPORT™ or sending their prescription directly to any specialty pharmacy provider (SPP).

View Downloadable Resources That Are Critical to Obtaining ILUMYA™ for Your Patients >

ILUMYA SUPPORT™ ENROLLMENT

ILUMYA SUPPORT™ is available every step of the way to help your patients and your practice.

How ILUMYA SUPPORT™ works

Enroll

Step 1

Start by submitting a completed ILUMYA SUPPORT™ Patient Services Enrollment Form*

PROCESS

Step 2

ILUMYA SUPPORT™ will process the form and begin a benefits investigation (BI). At the same time, ILUMYA SUPPORT™ will assess the patient’s eligibility for financial assistance

DISTRIBUTE

Step 3

ILUMYA SUPPORT™ will then triage the prescription to the appropriate SPP or Early Access Program distributor

Ship

Step 4

ILUMYA™ will be shipped directly to the healthcare professional’s (HCP’s) office

ILUMYA SUPPORT™ can provide:

  • Dedicated Field Reimbursement Managers to support your practice
  • Regionally based ILUMYA SUPPORT™ Case Managers to support your patients and your practice
  • Details about plan-specific prior authorization (PA) requirements and assistance with the appeals process for PAs
  • Comprehensive patient services, including financial assistance options
  • Ongoing support for your practice through status updates and next steps

ILUMYA SUPPORT™ makes it easy to use your preferred SPP

  • Our open access network does not restrict your choice of SPP
    • Please note ILUMYA™ may be covered under a patient’s medical or pharmacy benefit. Submit information on both at the time of initiating a BI
  • Indicate your preferred SPP when completing the ILUMYA SUPPORT™ Patient Services Enrollment Form

    • If not specified on the enrollment form, SPP referrals will be made according to the payer’s mandate or sent to an SPP in our network

*HCPs can also enroll patients through the ILUMYA™ Provider Portal at www.ILUMYASUPPORT.com.

ILUMYA SUPPORT™ PATIENT ACCESS PROGRAMS AND SERVICES

Early Access Program†

  • Commercial patients who receive a PA may be eligible to receive free medication
  • Patients will be automatically enrolled in the Early Access Program after ILUMYA SUPPORT™ confirms that the completed medical and/or pharmacy PA is submitted to the payer if selected at the time of ILUMYA SUPPORT™ Patient Services Enrollment Form submission.
  • Patients can receive ILUMYA™ free for up to 2 years or until they receive insurance coverage approval, whichever occurs earlier.

Co-pay Program

  • Patients pay no more than $5 per dose‡
  • Available to eligible patients with commercial insurance

Patient Assistance Program†

  • Patients who are underinsured or uninsured may be eligible to receive free medication§

Foundation support†

  • ILUMYA SUPPORT™ can refer eligible patients to independent third-party foundations to receive other financial assistance
  • Financial disclosures may be required

ILUMYA SUPPORT Lighting the Way™ Patient Program‡

  • Dedicated patient program helps patients along their ILUMYA™ journey

Download the ILUMYA SUPPORT™
Patient Services Enrollment Form

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National Infusion Center Association

  • Sun Pharma has partnered with the National Infusion Center Association (NICA) to help your qualified ILUMYA™ patients and your practice find alternative sites of care in your area

NICA Infusion Center Locator


†Subject to terms and conditions. Must be enrolled in ILUMYA SUPPORT™ to qualify.
‡$16,000 maximum program benefit per calendar year. Not valid for patients without commercial insurance coverage or if prescription is paid for by any state or federally funded healthcare program, including but not limited to Medicare, Medicaid, VA, DOD, or TRICARE.
§Income documentation is required. Subject to terms and conditions. Available to US, Guam, Virgin Islands, or Puerto Rico residents only.

Click here for Early Access Program and Co-pay Program full Terms and Conditions >

ILUMYA™ BILLING AND CODING

Use the permanent J-code for ILUMYA™ issued by CMS for administrative and billing purposes.

Physician office, hospital outpatient center,freestanding infusion centerSite of serviceInjection, tildrakizumab-asmn, 1 mgDescriptionJ3245HCPCS10-digit NDC for ordering: 47335-177-9511-digit NDC for billing: 47335-0177-95ILUMYA™ single-dose prefilled syringe with 1 mL of a 100 mg/mL solution
10-digit NDC for ordering: 47335-177-9511-digit NDC for billing: 47335-0177-95Physician office, hospital outpatient center, freestanding infusion centerSite of serviceInjection, tildrakizumab-asmn, 1 mgDescriptionJ3245HCPCSILUMYA™ single-doseprefilled syringe with1 mL of a 100 mg/mL solution
10-digit NDC for ordering: 47335-177-9511-digit NDC for billing: 47335-0177-95Physician office, hospitaloutpatient center,freestanding infusion centerSite of serviceInjection, tildrakizumab-asmn, 1 mgDescriptionJ3245HCPCSILUMYA™ single-dose prefilled syringe with 1 mL of a 100 mg/mL solution

For specific coding policies and questions, please contact your local payer or Dedicated Field Reimbursement Manager.

ILUMYA SUPPORT™ is available every step of the way to help your patients and your practice. For assistance, please call 855-4ILUMYA (855-445-8692)855-4ILUMYA (855-445-8692), Monday through Friday, 8 AM to 8 PM ET.

CMS=Centers for Medicare & Medicaid Services; HCPCS=Healthcare Common Procedure Coding System; NDC=National Drug Code.

ILUMYA™ BUY AND BILL PROGRAM

Follow these simple steps to register:

Step 1

Create an account with
Besse® Medical
at www.besse.com
to order ILUMYA™

Step 2

Complete the ILUMYA™ Purchasing Enrollment Form here or by calling Sun Pharma directly at 877-533-3872

Step 3

Send the completed form
to Sun Pharma by
one of the following ways:
Email: cs-inbox@sunpharma.com
Fax: 877-909-3872

To learn more, contact your Field Reimbursement Manager

DOWNLOADABLE RESOURCES

View all downloadable resources >

  If you have questions, please contact ILUMYA SUPPORT™ at 855-4ILUMYA (855-445-8692), Monday through Friday, 8 AM to 8 PM ET.

ILUMYA SUPPORT™ is here to help your patients start and stay on therapy

ILUMYA SUPPORT™

INDICATION AND IMPORTANT SAFETY INFORMATION

ILUMYA™ (tildrakizumab-asmn) is indicated for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy.

CONTRAINDICATIONS

ILUMYA™ is contraindicated in patients with a previous serious hypersensitivity reaction to tildrakizumab or to any of the excipients.

WARNINGS AND PRECAUTIONS

Hypersensitivity

Cases of angioedema and urticaria occurred in ILUMYA™-treated subjects in clinical trials. If a serious allergic reaction occurs, discontinue ILUMYA™ immediately and initiate appropriate therapy.

Infections

ILUMYA™ may increase the risk of infection. Treatment with ILUMYA™ should not be initiated in patients with a clinically important active infection until the infection resolves or is adequately treated.

Consider the risks and benefits of treatment prior to prescribing ILUMYA™ in patients with a chronic infection or a history of recurrent infection. Instruct patients receiving ILUMYA™ to seek medical help if signs or symptoms of clinically important chronic or acute infection occur. If a patient develops a clinically important or serious infection, or is not responding to standard therapy, closely monitor and consider discontinuation of ILUMYA™ until the infection resolves.

Pretreatment Evaluation for Tuberculosis

Evaluate patients for tuberculosis (TB) infection prior to initiating treatment with ILUMYA™. Do not administer ILUMYA™ to patients with active TB infection. Initiate treatment of latent TB prior to administering ILUMYA™. Consider anti-TB therapy prior to initiation of ILUMYA™ in patients with a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed. Patients receiving ILUMYA™ should be monitored closely for signs and symptoms of active TB during and after treatment.

Immunizations

Prior to initiating therapy with ILUMYA™, consider completion of all age-appropriate immunizations according to current immunization guidelines. Patients treated with ILUMYA™ should not receive live vaccines.

Adverse Reactions

The most common (≥1%) adverse reactions associated with ILUMYA™ treatment that were more frequent than in the placebo group are upper respiratory infections, injection-site reactions, and diarrhea.

Please see full Prescribing Information.