This section provides valuable information for healthcare professionals.
Downloadable Professional Resources
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The AXIS Center Reimbursement and Treatment Support
Helping patients access Serostim® [somatropin (rDNA origin) for injection] is a team effort. The AXIS Center
offers support services for patients.
For over a decade, EMD Serono has been dedicated to addressing the evolving needs
of the entire HIV community. Through the AXIS Center, EMD Serono works with physicians,
nurses, payors, and pharmacists to help navigate the process for a patient to access
Serostim®.
Reimbursement: Serostim® is reimbursable by the
majority of commercial health plans, Medicare Part D health plans, and state Medicaid
programs. That said, each payor takes a different approach with respect to managing
reimbursement for the drug.
Once Serostim® is prescribed, EMD Serono recommends following these
3 steps to facilitate the reimbursement process:
- Obtain patient’s insurance information
- Organize key clinical documents. Use the Statement of Medical Necessity (SMN) as a resource to collect
and capture clinical information
- Submit the prescription and clinical information to the AXIS Center, or
to a pharmacy that participates in the EMD Serono Serostim® Secured Distribution
Program (SDP) (PDF), and work with this organization throughout the reimbursement
process
In some instances, after following these steps, a health plan may deny coverage
of Serostim® for a variety of reasons. In response, physicians can
then appeal the denial. Physicians can continue working with the AXIS Center
or the pharmacy to submit an appeal letter when appropriate.
Secured Distribution Program (SDP): Through the
AXIS Center, EMD Serono offers secure distribution and fulfillment of Serostim®
by providing:
- A contracted network of pharmacies
EMD Serono contracts with a limited network of pharmacies—only these pharmacies
can dispense Serostim®. Contracted pharmacies offer expertise with
specialty patient populations. Additionally, many offer courier service and patient
education programs.
- Elimination of wholesalers from Serostim® distribution
EMD Serono drop ships all Serostim® orders directly to the dispensing
pharmacy, thereby allowing for closer tracking
- Tracking of each Serostim® box
- EMD Serono tracks the unique identifier on each box of Serostim®
- At any point in the fulfillment process, EMD Serono can locate each
box of Serostim®
The AXIS Center also provides
support services for patients, including:
- Reimbursement assistance
- Product support specialists 24/7/365
- Patient Assistance Program (PAP) (for eligible patients)
- Dedicated case manager
- In-home/office injection training
- Serostim® Patient Injection Brochure/CD
- Copay Assistance Program (for eligible patients)
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Serostim® is a prescription-only medication. Once
you have determined that Serostim® is right for your patient, a prescription
can be filled through a network of pharmacies called the Secured Distribution Program (SDP).
If you or your patients have questions about the services that are offered by the
AXIS Center, please contact us at 1-877-714-AXIS (2947).
Serostim® is eligible to be reimbursed by Medicare and can be found
on many plan formularies. Because different plans cover different HIV drugs, it
is important to compare drugs patients take, or may be taking, to the coverage each
plan offers.
Locate a pharmacy
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Professional Journals and Organizations
These are some of the prominent organizations and agencies where healthcare professionals
can refer to for more information about treating HIV/AIDS.
AIDS
AIDS Patient Care and STDs
AIDS Research and Human Retroviruses
Clinical Infections Diseases
Conference on Retroviruses and Opportunistic Infections
International AIDS Society
International Conference on Antimicrobial Agents and Chemotherapy (ICAAC)
Infectious Diseases Society of America
Journal of Acquired Immune Deficiency Syndrome
Journal of Infectious Diseases
Journal of the Association of Nurses in AIDS Care
The AIDS Reader
The Lancet Infectious Diseases
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