Commercial Patient Savings For Soolantra® (ivermectin) Cream

Question 1

Will all my patients pay the same copay amount?

Accepted Answer

No, copay amounts are based on patients' insurance coverage. There are two categories of copay amounts - commercially unrestricted and uninsured payments.

Question 2

What does commercially unrestricted mean?

Accepted Answer

Commercially Unrestricted refers to a payment by a patient that has commercial coverage (excludes all government programs) through a pharmaceutical benefit plan and a specific product that has no restrictions (e.g. no PA, Step Edit, NDC block, HDHP). These patients are eligible for the copay for as little as $0 or $35, depending on the Galderma product you prescribe.

Question 3

What does uninsured payment mean?

Accepted Answer

Uninsured Payment refers to a payment by a patient with a commercial pharmaceutical benefit plan that restricts or denies (e.g. imposes aPA, Step Edit, NDC Block, HDHP) access to a specific product OR to a patient that has no commercial coverage nor pharmaceutical benefit plan. For generic-only plans or when patients encounter plan exclusions, the pharmacy will either receive a notice of step edit required or prior authorization required message. If the pharmacy does not receive either one of these notices and the drug is not covered, the prescription will process at the uninsured payment rate. The uninsured patient rate is $75 or $125, depending on the Galderma product you prescribe.

Question 4

What about my Medicare patients? Are they covered?

Accepted Answer

Patients covered by government-run or government-sponsored plans (e.g. Medicare, Medicaid, VA, DOD, TriCare) cannot gain access to Galderma products through the Galderma CareConnect program.

Question 5

Can a patient take their prescription and Galderma CareConnect Patient Savings Card to any pharmacy?

Accepted Answer

Yes, the Galderma CareConnect Patient Savings Card may be used at any participating pharmacy located in the United States. Based on reimbursement policies of some major retail chains, a patient may be asked to pay more than the quoted copay at those pharmacies. Note: If the patient uses a pharmacy in our independent network, they will not need a physical copay card with their prescription.

Question 6

What happens if the patient needs a prior authorization or step edit?

Accepted Answer

A prior authorization requires paperwork to be completed and submitted to the pharmaceutical benefit plan. A step edit usually requires documentation in the patient's file of previous failures on specific medications. The prescriber and staff can work with the pharmacist to process the applicable requirements of a step edit or prior authorization. When this is done, and if the prior authorization has been approved or the step edit is cleared, the patient should be eligible for the Commercially Unrestricted benefit ($0 or $35). The Galderma CareConnect program will not remove the need to process prior authorizations or step edits to obtain the $0 or $35 benefit. Galderma encourages the processing of step edits or prior authorizations because this helps utilize a patient's insurance benefit and helps Galderma negotiate for future coverage with managed care plans

Question 7

What can you do to help the Galderma CareConnect Program run smoothly for your patients?

Accepted Answer

Galderma CareConnect is only available for commercially insured or uninsured patients. Patients who are enrolled in a government-run or government-sponsored healthcare plan with a pharmacy benefit are not eligible to use the Galderma CareConnect Patient Savings Card. Restrictions apply. Please see Galderma CareConnect Patient Savings Card for details.

Commercial Patient
Savings

Eligible Patients May Save with Galderma CAREConnect^*

Important Safety Information

Commercial Patient Savings

Eligible Patients May Save with Galderma CAREConnect*

Important Safety Information

IMPORTANT SAFETY INFORMATION

Commercial Patient
Savings

Eligible Patients May Save with Galderma CAREConnect^*