ILUMYA SUPPORT® FOR YOUR PATIENTS AND YOUR PRACTICE

SUPPORT AND RESOURCES FOR YOUR PATIENTS AND YOUR PRACTICE

SUPPORT PROGRAMS AND SERVICES

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Lean on ILUMYA SUPPORT® to help your 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).
Connect with a field reimbursement manager (FRM) to guide you through enrollment.

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ILUMYA SUPPORT Lighting the Way®

Dedicated patient program helps patients along their ILUMYA® journey*
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Enrollment FormDownload Arrow
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Early Access Program

Available for commercially insured patients under 65, the Early Access Program assists patients awaiting coverage determination or PA.

After the provider submits a completed ILUMYA SUPPORT® Patient Services Enrollment Form, ILUMYA SUPPORT® processes the enrollment form, sends the provider a benefits summary, and automatically adds the commercially insured patient to the Early Access Program without the need for an initial prior authorization (PA).

Patient continuation in the Early Access Program is contingent on provider submission of a medical and/or pharmacy PA before the patient’s third dose of ILUMYA®.† Once the medical and/or pharmacy PA is received, patients can receive ILUMYA® (tildrakizumab-asmn) free for up to 2 years or until they obtain insurance coverage approval, whichever occurs earlier.†

Click here for Early Access Program
full Terms and Conditions >
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Copay Program

Eligible patients with commercial insurance may pay
as low as $0 per dose with the ILUMYA® Copay Card†,‡

Click here for Copay Program
full Terms and Conditions >

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Alternate Site of Care (ASOC) Partner

Sun Pharma has partnered with the National Infusion Center Association (NICA)
to help you and qualified ILUMYA® patients find ASOCs for additional access support


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Patient Assistance Program

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

*$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.

†Subject to Terms and Conditions. Must be enrolled in ILUMYA SUPPORT® to qualify.

‡Income documentation is required. Subject to Terms and Conditions. Available to US, Guam, Virgin Islands, or Puerto Rico residents only.

ILUMYA SUPPORT® is available every step of the way to help your patients and your practice. Contact a Field Reimbursement Manager
to help you throughout the enrollment process by clicking the “Connect with an FRM” button at the top of this page.

How ILUMYA SUPPORT® works

Enroll

Step 1

Start enrollment through the ILUMYA® Provider Portal or by completing an ILUMYA SUPPORT® Patient Services Enrollment Form

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PROCESS

Step 2

ILUMYA SUPPORT® will begin a benefits investigation and determine patient eligibility for financial assistance

DISTRIBUTE

Step 3

Then ILUMYA SUPPORT® will route the prescription to the appropriate Specialty Pharmacy Provider (SPP) or Early Access Program distributor

Ship

Step 4

ILUMYA® (tildrakizumab-asmn) will be shipped directly to the healthcare professional’s (HCP’s) office

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 during patient enrollment through the ILUMYA® Provider Portal or when completing the ILUMYA SUPPORT® 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

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.

Purchase ILUMYA® using an existing, reactivated, or new account via any of the 5 preferred specialty distributors below:

Enroll Online:

Besse® Medical
Cardinal Specialty
Metro® Medical

Call to Enroll:

CuraScript SD®
877-599-7748
McKesson Specialty Health
855-477-9800

To learn more, contact your Field Reimbursement Manager

For more details on reimbursement, click here.

The ILUMYA® Provider Portal offers a fast and simple way to help monitor the status of your patients’ ILUMYA® prescriptions in real time. The design of the ILUMYA® Provider Portal was guided by the needs of busy office staff, with the goal of improving patient access to ILUMYA®.

Overview of the ILUMYA® Provider Portal capabilities

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Real-time monitoring
of patient case status

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Electronic patient
enrollment for
ILUMYA SUPPORT® services

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Monitor patient copay
enrollment/activity for
eligible patients

Case update notifications

Visit ILUMYASUPPORT.com
to register or log in

Phone IconIf you have questions, please contact ILUMYA SUPPORT® at 855-4ILUMYA (855-445-8692), Monday through Friday, 8 am to 8 pm ET.

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.