Alnylam Assist™ Services Overview
Upon receipt of the Start Form, an Alnylam Case Manager dedicated to your patient’s needs will reach out to you and your patient within 1-2 business days. Your patient’s Case Manager will help with the following:
Help determine patient-specific coverage requirements, which include the following:
•Initiate a benefit verification for your patient and provide you and your patient with a benefit verification summary
•Provide information about patient financial assistance programs for eligible patients,a if necessary
Explain the requirements and processes for prior authorizations, claims, and appeals, which include the following:
•Research the payer requirements as part of the benefit verification process
•Discuss the standard process for submitting a prior authorization and reimbursement claims
•Investigate reasons for denied or rejected prior authorizations, claims, and/or appeals
Review financial assistance programs your patient may qualify for based on his or her eligibility. Select patients may qualify for the following financial assistance programsa b:
•Patient Assistance Program (PAP): Provides GIVLAARI at no cost to eligible patients
•Commercial Copay Program: Covers out-of-pocket medication costs for eligible patients
Disease and Product Education
Provide information to your patients:
•A Patient Starter Kit, including educational materials designed to help patients understand GIVLAARI and Alnylam Assist™
•Education for your patients from a designated Alnylam Patient Education Liaison (PEL) to help them gain a better understanding of acute hepatic porphyria and treatment with GIVLAARI. PELs are employees of Alnylam Pharmaceuticals and do not provide medical advice.
Facilitation of Product Orders
a Alnylam reserves the right to make eligibility determinations and to modify or discontinue any program at any time.
b Patients with Medicare, Medicaid, or other government-sponsored insurance are not eligible for the Alnylam Assist™ Commercial Copay Program. Out-of-pocket costs for the administration of GIVLAARI will not be covered for patients residing where it is prohibited by law or where otherwise restricted.
Alnylam Field Reimbursement Directors
Alnylam Field Reimbursement Directors (FRDs) are available to provide education about the GIVLAARI reimbursement process. FRDs will share their knowledge of:
•GIVLAARI billing and coding requirements
•Chart documentation requirements
Where can I find the necessary forms and documents to enroll patients in Alnylam Assist™?
Alnylam Assist™ provides all the required forms and documents to enroll your patients, as well as downloadable educational resources. View the associated GIVLAARI forms and documents ›