FOR US HEALTHCARE
PROFESSIONALS ONLY
FOR US HEALTHCARE
PROFESSIONALS ONLY
If you’ve prescribed your patient an Amicus Therapeutic product, we can help streamline the next steps. Count on AMICUS ASSIST® to provide the education and support your patients may need to get the most of their care.
Monday–Friday, 8 AM–8 PM ET
Hablamos español. Administradores de casos de habla hispana están disponibles. Llamanos a +1-833-AMICUS-A (+1-833-264-2872)
Lunes–Viernes de 8 AM–8 PM ET
Once you complete the Patient Referral Form (PRF), send it to AMICUS ASSIST®.
Fax number: 1-833-264-2873 Email: assist@amicusrx.com
Ready to get your patient started?
FABRY Referral Form Download
Your office will be informed about whether prior authorization (PA) is required, and the steps for obtaining PA. A Case Manager will then contact your patient and tell them when to expect a Welcome Kit, and provide answers to any questions regarding access to treatment.
Once they confirm the PA (if required), the specialty pharmacy will coordinate the delivery of the prescription and refer your patient to a patient assistance program, if needed.
The Case Manager will continue to provide ongoing support, such as support for refills and reauthorizations.
Once you’ve prescribed treatment and the patient has consented, an Amicus Patient Education Liaison (PEL) and Case Manager will be assigned to your patient.
Dedicated PELs can offer education and support to patients by:
Educating about Fabry disease and your patient’s Amicus medication
Providing tips to help patients establish a treatment routine
Helping patients have more productive conversations with their care team
PELs do not give medical advice or take the place of the patient’s healthcare provider.
Case Managers can help patients navigate treatment access and financial assistance by:
Helping navigate their insurance coverage
Helping to coordinate prescription delivery
Identifying possible sources of financial assistance
With the combined knowledge and expertise of a PEL and a Case Manager, AMICUS ASSIST provides a two-pronged approach to ensure that your Fabry patients have access to the information and support they need.
We are committed to identifying possible sources of financial assistance for your patients, including:
Eligible, commercially insured patients may pay as little as $0 per month for treatment
For eligible, uninsured, or underinsured patients†
AMICUS ASSIST can help identify independent charitable foundations who may be able to provide support. These foundations exist independently of Amicus and have their own eligibility criteria and application processes. Availability of support from the foundations is determined solely by the foundations.
*Co-pay assistance is only available for patients with commercial (private) prescription drug insurance. Patients are not eligible for co-pay assistance if they are enrolled in a state or federally-funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, VA, DOD, or a state prescription drug assistance program or where prohibited by law. Offer is subject to program maximum limits. Offer is only available for U.S. residents who have a valid prescription for an approved use of an Amicus product. Amicus reserves the right to rescind, revoke, or amend this offer without notice.
†The Amicus Patient Assistance Program provides free product to those who qualify. Contact AMICUS ASSIST for details.
Amicus makes no representation or guarantee concerning reimbursement or coverage for any service or item. Information provided through the AMICUS ASSIST program does not constitute medical advice and is not intended to be a substitute for a consultation with a licensed healthcare provider or applicable third-party payer(s). Amicus reserves the right to modify the program at any time without notice.
All patients who have been prescribed an Amicus Therapeutics medication for an approved use are eligible for AMICUS ASSIST once a referral form has been submitted on their behalf. To get your patient started, simply complete and submit the Patient Referral Form, and then make sure your patient provides consent via the Patient Authorization form.
Dedicated Case Managers are assigned to your patients to help them navigate the financial and insurance-related aspects of their treatment, in addition to coordinating prescription deliveries and providing general support.
Once you’ve submitted the Patient Referral Form, a Case Manager will contact your office about whether prior authorization (PA) is required, and the steps for obtaining authorization. For questions, please contact a Case Manager anytime Monday–Friday, 8 –8 PM ET.
AMICUS ASSIST is pleased to help identify possible sources of financial assistance for your patients, including co-pay assistance, the Amicus Patient Assistance Program, and independent charitable foundations. For more information, please contact a Case Manager anytime Monday–Friday, 8 AM–8 PM ET.
Take the first step to enroll your patient in AMICUS ASSIST.
Fabry Referral Form Download