SUPPORT PROGRAMS AND SERVICES
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.
ILUMYA SUPPORT Lighting the Way®
Dedicated patient program helps patients along their ILUMYA® journey*
Download Patient Services
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.†
Eligible patients with commercial insurance may pay
as low as $0 per dose with the ILUMYA® Copay Card†,‡
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
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.
Use the permanent J-code for ILUMYA® issued by CMS for administrative and billing purposes.
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:
Call to Enroll:
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
of patient case status
ILUMYA SUPPORT® services
Monitor patient copay
Case update notifications
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.
ILUMYA is contraindicated in patients with a previous serious hypersensitivity reaction to tildrakizumab or to any of the excipients.
WARNINGS AND PRECAUTIONS
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.
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.
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.
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.