For up to 4 patches per month and a yearly maximum benefit of $3,180.
If commercial prescription coverage for the Sancuso patch is denied by insurance, the patient will pay the initial $20 for 1 Sancuso Patch/month. Any remaining drug cost will be reduced by Kyowa Kirin, Inc., marketers of Sancuso, up to a total of $530 per month. In no case will the annual benefit exceed $3,180.
Whether its co-insurance, co-pay, high deductible or some other limit, Patient Rx Solutions will work with insurers, prescribers, and you to provide access to the maximum number of medically necessary prescribed patches that you are eligible to receive for $20 out-of-pocket cost.
†This offer is not valid for prescriptions under Medicare (including Medicare Advantage, Part A, B and D Plans), Medicaid, VA, DOD, TRICARE, CHAMPUS, or other federal or state healthcare programs. This offer is not valid for prescriptions in Massachusetts or in any other state that does not permit copay reimbursement consistent with this program. Patients without commercial insurance are not eligible for this program. Unless otherwise indicated on submission form, Sancuso will be dispensed through select ASPN network pharmacy partners; available at participating pharmacies. Kyowa Kirin, Inc., reserves the right to cancel or modify the program at any time. Offer expires January 31, 2019.
IMPORTANT SAFETY INFORMATION FOR PATIENTS
What is Sancuso® (granisetron transdermal system)?
Sancuso is a prescription medicine used to prevent nausea and vomiting in people receiving some types of chemotherapy treatment. Sancuso is a skin patch that slowly releases the medicine contained in the adhesive (glue), through clean and intact skin areas into your bloodstream while you wear the patch. Sancuso is for skin use only.
Who should not use Sancuso?
Do not use Sancuso if you are allergic to granisetron or any of the other ingredients in Sancuso.
What should I tell my healthcare provider before using Sancuso?
What should I avoid while using Sancuso?
What are the possible side effects of Sancuso?
The most common side effect of Sancuso is constipation.
These are not all the possible side effects of Sancuso. Tell your healthcare provider if you have any side effect that bothers you or that does not go away.
For more information, ask your healthcare provider or pharmacist.
To report suspected side effects, contact Kyowa Kirin, Inc. at 1-800-SANCUSO or FDA at 1-800-FDA-1088 or WWW.FDA.GOV/MEDWATCH.
References: 1. Sancuso [prescribing information], Bedminister, NJ; Kyowa Kirin.
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