Wednesday, May 8, 2024

Is Ingrezza Covered By Medicare

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Ingrezza Savings Card Faq

How do I use this ingrezza discount card?

Print this page and show it at the pharmacy counter when you pay for your medication.

Can I use this ingrezza savings card with Medicare or my insurance?

No. This discount cannot be used together with insurance. However, sometimes the discounted price is less than your co-pay, in which case you may choose to use the discount instead of your insurance. If you have Medicare and are enrolled in a Medicare Part D plan, use this discount to save on any prescriptions that are excluded from coverage.

What if the pharmacy wont accept the discount card?

The price displayed on the ScriptSave WellRx website is contracted with the pharmacy. Please contact and our customer care specialists will help to resolve the issue.

Can I re-use my ingrezza coupon?

Yes you can! However, we recommend getting a savings card as we think they are better looking. For an even better option, why not download our app so your card is always with you.

Ingrezza May Cause Serious Side Effects Including:

  • Sleepiness . Do not drive, operate heavy machinery, or do other dangerous activities until you know how INGREZZA affects you.
  • Heart rhythm problems . INGREZZA may cause a heart problem known as QT prolongation.
  • Symptoms of QT prolongation may include:
  • fast, slow, or irregular heartbeat
  • shortness of breath
  • dizziness or fainting
  • Tell your healthcare provider right away if you have a change in your heartbeat , or if you faint.
  • Abnormal movements . Symptoms include: shaking, body stiffness, trouble moving or walking, or keeping your balance.
  • Before taking INGREZZA, tell your healthcare provider about all of your medical conditions including if you: have liver or heart problems, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed.

    Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

    The most common side effect of INGREZZA is sleepiness . Other side effects include changes in balance or an increased risk of falls, headache, feelings of restlessness, dry mouth, constipation, and blurred vision.

    These are not all of the possible side effects of INGREZZA. Call your doctor for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch at or call 1-800-FDA-1088.

    Please see accompanying INGREZZA fullProduct Information

    Ready To Talk About Tardive Dyskinesia Treatment Find A Specialist

    Whether your uncontrollable body movements are mild, moderate, or severe, connecting with a psychiatry or neurology healthcare provider who may be able to help you diagnose and treat tardive dyskinesia is important.

    Enter your ZIP code to find a specialist near you and ask about reducing TD movements with INGREZZA® capsules.a

    aNeurocrine Biosciences, Inc. is providing this service to help patients find healthcare professionals in their area who have experience with tardive dyskinesia .

    No fees have been received by or paid to healthcare professionals for inclusion in this locator directory. Inclusion of a healthcare professional in this directory does not represent an endorsement by or a recommendation from Neurocrine Biosciences, nor does it imply that the healthcare professional on the list will determine that a Neurocrine Biosciences product is right for you. Neurocrine Biosciences makes no warranty as to the credentials, skill, or outcomes of the listed professional.

    Information posted to this site is provided for educational and informational purposes only. You are ultimately responsible for the selection of a healthcare professional and it is an important decision that you should consider carefully. This healthcare professional locator tool is just one source of information available to you.

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    Can Prescription Hope Get My Ingrezza If I Have Health Insurance Coverage

    Because Prescription Hope is not a health insurance plan, our program works alongside any coverage you may currently have to obtain your Ingrezza medication at an affordable price. Our national advocacy program does not have medication tiers, copays, or deductibles.

    Every year, Prescription Hope works with some of the most prominent insurance organizations across the United States. This includes Anthem Blue Cross Blue Shield, United Healthcare, and Humana.

    When adding Prescription Hope, insurance organizations can provide a better level of care for their clients. Contact us today and learn more about how Prescription Hope can help individuals obtain affordable prescription medication.

    Do I Qualify For Ingrezza Patient Assistance With Prescription Hope

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    Prescription Hope works with thousands of Americans every month, obtaining prescription medications on their behalf for the set price of $50.00 per month per medication.

    The income guidelines to qualify for Prescription Hope are as follows

    • An individual earning up to or around $30,000 per year
    • Households with a combined income of up to $50,000 per year
    • Guidelines can increase in families making up to $100,000 per year

    Keep in mind, if our advocates cannot obtain your Ingrezza medication for you, we will never charge a fee for that medication.

    Once you apply for Prescription Hope, our knowledgeable advocates start to work for you. Within the first 48 hours, we will determine whether or not you are eligible for any patient assistance programs for the medications you applied for. If we find a program that will work for you, we will reach out to you for any additional information needed, and reach out to your doctor for the prescription. Once we receive this information back, we immediately order your medication for you. After that, we work to manage, track and refill your medications on time, maintain up-to-date records, and renew your prescription medications every year. Once your application is approved, the first shipment of prescription medication typically arrives within four to six weeks. We also place refills to come in on a regular schedule.

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    For Patients With No Prescription Coverage

    If you do not have prescription coverage for INGREZZA and lack the financial resources to pay for the medicine, you may be able to receive your prescription at no cost through the INGREZZA Patient Assistance Program. Your healthcare provider can help you apply for the program or call 1-84-INGREZZA to learn more.

    Additional terms and conditions apply.

    Pharmacy Utilization Management Programs

    • Responsible Quantity Responsible Quantity is an initiative to ensure that prescription drug coverage reflects drug manufacturers’ and FDA dosing guidelines.
    • Quantity Limit Authorization Form Authorization requests for use of over 4,000 mg of acetaminophen per day cannot be approved.

    To request a prior authorization for a medication included in the Responsible Quantity program, download the Quantity Limit Authorization form, complete and fax to 1-877-480-8130.

    You can also use CoverMyMeds to request authorization.

    • Responsible Steps Responsible Steps is an initiative to ensure the use of a designated or prerequisite drug prior to providing coverage of the drug listed as a target in the program.

    To request a prior authorization for a medication included in the Step Therapy program, download the appropriate Step Therapy Prior Authorization Request form, complete and fax to 1-877-480-8130.

    You can also use CoverMyMeds to request authorization.

    • Prior Authorization Prior Authorization assures that specific clinical criteria are met in order for coverage of the drug included in the Prior Authorization program.

    To request a prior authorization for a medication included in this program, download the appropriate form, complete and fax to the number at the bottom of the form.

    You can also use CoverMyMeds to request authorization.

    • Medications Not Covered

    Your pharmacy benefit may not cover select medications. Some of the reasons a medication may not be covered are:

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    Ingrezza: Prescribed As Part Of A Treatment For Tardive Dyskinesia

    Ingrezza is a prescription medication that is used to treat uncontrolled movements of the face, tongue, or other body parts in adults. This condition is known as tardive dyskinesia . It is believed that Ingrezza works in the brain to reduce abnormal dopamine signaling.

    Important Safety Information & Side Effects:

    • It is not known if Ingrezza is safe for children.
    • The most common side effect was sleepiness.
    • Other side effects may include coordination problems, headache, restlessness, dry mouth, constipation, and blurred vision.
    • Serious side effects may include heart rhythm problems and Parkinson-like symptoms.
    • Ingrezza contains valbenazine and other ingredients. Do not take it if you are allergic to any of the ingredients.
    • Talk to your doctor if you are pregnant, may become pregnant, or are nursing before taking Ingrezza.
    • Talk to your doctor about your medical history, especially if you have a history of conditions including heart or liver problems.
    • Let your doctor know if you are taking any other medications including over-the-counter medications and vitamins.

    Is there an Ingrezza generic available?

    • There is currently no Ingrezza generic available in the United States. Please note: Fraudulent online pharmacies may try to sell you an illegal Ingrezza generic medication. Do not purchase medications from these pharmacies as they could be harmful. Ask your doctor for advice when it comes to purchasing your medications.

    Sign Up For Your Free Wellrx Account Today

    Keep your medication information safe & organized.
    • Track, store and manage your medication information

    • Set pill and refill reminders

    • Quickly reprice your medications

    • Import medication data from your pharmacy

    • Set your preferred pharmacy for searches

    Prescription prices may vary from pharmacy to pharmacy and are subject to change. The pricing estimates given are based on the most recent information and may change based on when you actually fill your prescription at the pharmacy.

    < b> DISCOUNT ONLY NOT INSURANCE< /b> . Discounts are available exclusively through participating pharmacies. The range of the discounts will vary depending on the type of prescription and the pharmacy chosen. This program does not make payments directly to pharmacies. Members are required to pay for all prescription purchases. Cannot be used in conjunction with insurance. You may contact customer care anytime with questions or concerns, to cancel your registration, or to obtain further information. This program is administered by Medical Security Card Company, LLC, Tucson, AZ.


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    How To Use Ingrezza

    Read the Patient Information Leaflet if available from your pharmacist before you start using valbenazine and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

    Take this medication by mouth with or without food as directed by your doctor, usually once daily. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor’s instructions carefully.

    The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use .

    Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.

    Tell your doctor if your condition does not get better or if it gets worse.

    Applied Behavior Analysis Medical Necessity Guide

    The Applied Behavior Analysis Medical Necessity Guide helps determine appropriate levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The ABA Medical Necessity Guide does not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider.

    Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member’s benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply.

    The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered for a particular member. The member’s benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary.

    Please note also that the ABA Medical Necessity Guide may be updated and are, therefore, subject to change.

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    Is Prescription Hope An Ingrezza Coupon Card Generic Or Insurance Product

    Prescription Hope is not an Ingrezza coupon card or insurance policy. Our program is also not an Ingrezza Generic. Prescription Hope is a national advocacy program that works with any coverage you may already have. Although Prescription Hope is not an Ingrezza coupon, individuals looking for an Ingrezza coupon can find more savings through Prescription Hope!

    When you obtain your medications from Prescription Hope, it will never cost more than $50.00 per month for each medication. If we cannot help you obtain your prescription medication, we will never charge a fee for that medication.

    Can Prescription Hope Help Me Obtain My Other Medications

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    According to the Centers for Disease Control, nearly one in five Americans regularly takes three prescription medications. Our advocates work on your behalf to obtain all your medications for the set price of $50.00 per month for each medication. Prescription Hope works directly with over 180 U.S. based pharmaceutical manufacturers patient assistance programs to obtain over 1,500 FDA-approved prescription medications. Visit our website to see our full list of medications and fill out an application.

    Privacy Policy | Terms of Service | 2022 ©Prescription Hope, Inc.

    DISCLAIMER: Prescription Hope, Inc. is a Florida corporation providing a conduit between customers in need of prescription medication from certain drug manufacturers. PHI is not contracted with any of the drug companies or products illustrated on this page, nor is PHI compensated in any way by any of the product manufacturers. Any information about prescription medication contained on this page has not been provided to PHI by the manufacturer.

    *Prescription Hope reserves the right to change its price at any time, with or without notice. $50 a month for each medication is an introductory service fee offering, as of October 1, 2021, good for 12 months.

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    No Insurance Or No Prescription Coverage For Ingrezza

    Eligible patients who do not have prescription drug coverage for INGREZZA and who lack the financial resources to pay for their medicine may be able to receive their prescription at no cost through the INGREZZA Patient Assistance Program.

    Additional terms and conditions apply.

    To apply, download the Patient Assistance Program Application.

    Looking For Help Talking To Your Healthcare Provider About Your Td Movements View Our Discussion Guide

    You can use our discussion guide to have a more productive conversation with your healthcare provider about tardive dyskinesia and INGREZZA. Ask your healthcare provider about staying on your current dose of most mental health medicines while treating your TD.

    Indication and Important Safety Information

    Do not take INGREZZA if you are allergic to valbenazine, or any of the ingredients in INGREZZA.

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    Why You May Need Approval

    Here are some reasons you may need approval for your medication:

    • The state or federal government requires Humana to review certain prescription requests
    • A lower-cost alternative medication may treat the same condition
    • The medication may have side effects or require special monitoring
    • The medication may be dangerous if taken with another medication youre taking
    • The medication should only be taken for certain health conditions
    • The medication is a controlled substance or is more likely to be abused or misused

    What Medicare Part D Drug Plans Cover

    All plans must cover a wide range of prescription drugs that people with Medicare take, including most drugs in certain protected classes, like drugs to treat cancer or HIV/AIDS. A plans list of covered drugs is called a formulary, and each plan has its own formulary. Many plans place drugs into different levels, called tiers, on their formularies. Drugs in each tier have a different cost. For example, a drug in a lower tier will generally cost you less than a drug in a higher tier.

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    How To Receive Approval

    To receive coverage for a medication requiring prior authorization, you can:

  • Ask your healthcare provider to submit the request. Your healthcare provider can submit the request online, by fax or phone by accessing our provider’s prior authorization information. Once your request has been processed, your healthcare provider will be notified. If you are a Medicare member, you will also receive a determination letter in the mail.
  • Submit your own prior authorization request. You can complete your own request in 3 ways:
  • Who Is Prescription Hope

    Prescription Hope is a nationally recognized prescription medication access program, headquartered in Columbus, Ohio. Prescription Hope offers access to over 1,500 brand-name medications through patient assistance programs. All you pay is a set service fee of $50 for each medication per month. This includes 100% of the medication cost, no matter the retail price.

    Prescription Hope is NOT a prescription discount card or an insurance plan.

    Prescription Hope works with over 180 U.S.-based pharmaceutical manufacturers patient assistance programs to access over 1,500 FDA-approved medications. Our medication list includes the top-100 prescribed medications in the United States offered by big-name medication companies. There are no additional costs or hidden fees associated with the medications obtained through Prescription Hope. We will never charge a fee for any medication that we cannot access for you.

    Create your account to fill out a free application! Contact Prescription Hope today and begin receiving your prescription medications for the set price of $50 per month for each medication.

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    What To Expect

    INGREZZA is available through a select network of specialty and local affiliated pharmacies. A specialty pharmacy provides medicines that aren’t typically available at your local retail pharmacy. Once coverage has been authorized, INGREZZA will be shipped directly to you via overnight mail.

    In some cases, your healthcare provider may send your prescription to a local affiliated pharmacy. This pharmacy will work with you and your provider to fill your INGREZZA prescription.

    The specialty pharmacy will call you to discuss delivery and other important details about INGREZZA. Each time your prescription needs to be refilled, the specialty pharmacy may call to verify your information. These calls may come from an unidentified toll-free number, so be sure to answer your phone.

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