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Getting PRALUENT

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Four steps to help get your prescription filled

After your doctor prescribes PRALUENT, you may need to follow the 4 steps below to get your treatment. Your health plan (insurance) may require your doctor to submit a prior authorization (PA) form to make sure you meet the requirements to get your prescription covered by your insurance provider. If a PA is required, the following steps will be your road map to PRALUENT and can guide you throughout the process. Click on the links below or continue reading to review all the steps:

Gather your information

Before you start the process, make sure you know:

  • Your health insurance information (insurance plan, member ID, group number)
  • Your pharmacy benefit manager (PBM) information (eg, CVS Caremark, Express Scripts, OptumRx)
  • Your prescription information

Use this checklist to help you keep track of your current medication, medical history, insurance information, and more. Download now.

Plan with your doctor

When you give your doctor or pharmacy the requested medical information, your doctor will complete and submit a prior authorization form to your health plan for approval. Please note it may take several days for approval and to receive PRALUENT.

If you or your doctor receives a denial from your insurance company, you can:

  • Discuss with your doctor why the request was denied and ask if you have the ability to appeal the decision. Your doctor can submit a letter of appeal to your health plan to seek approval
  • Call your health plan directly and discuss your situation

In large health plans from July 2015-July 2016, over 35% of prescriptions that were first denied were later approved during the appeals process, so make sure you ask your doctor to appeal.

Know your rights

Some states have laws called “step therapy override legislation” that may help certain people get access to specialty medications like PRALUENT. Not sure about the drug coverage in your state? You can find your state’s National Association of Insurance Commissioners contact information here.

Healthcare laws include rights and protections to help make coverage fairer and easier to understand. Navigate the insurance and approval process for PRALUENT with this guide.

Get your medication

If your PRALUENT prescription has been approved, it will either be delivered to your home or sent to your local pharmacy. Some health plans require that you use a specialty pharmacy to provide your prescription. If that is the case, you should know which pharmacy it is and be on the lookout for any phone calls from them.

To pick up:

  • If you are eligible, apply for the MyPRALUENT® $0* copay card here. You may pay as little as $0 if eligible
  • Go to your local pharmacy and give your prescription to the pharmacist. If your doctor sent your prescription ahead of time, simply go to the pharmacy it was sent to
  • Show your pharmacist your copay card and discuss out-of-pocket cost
  • Once you receive your PRALUENT prescription, learn more about how to take it

For delivery to your home:

  • If the pharmacy calls you, make sure they have your correct address and find out when they will deliver PRALUENT so you can be home for delivery. Be sure to answer your phone so you can get their calls. Be aware that you may not recognize their number on caller ID

Please note:

  • Depending on your prescription coverage, you and your doctor may have to repeat the steps above once a year to make sure that your insurance continues to cover your prescription
  • If you change your health insurance plan, please let your doctor know. You will have to complete the steps above again to make sure that your new insurance covers PRALUENT

*Subject to a maximum copay assistance amount from MyPRALUENT® of $5,500 a year.

Eligible patients with commercial insurance not funded through a government healthcare program such as Medicare, Medicaid, or TRICARE subject to program terms and restrictions.

MYPRALUENT® Patient Support Program can help you with some of your prescription needs, from injection training to follow-up appointment reminders and reapprovals. Learn more.

Questions about PRALUENT?

Call 1-844-PRALUENT (1-844-772-5836) and press 1 to speak to a care specialist.

Available 7 days a week, Monday to Friday 8:00 AM to 11:00 PM EST and Saturday to Sunday 8:00 AM to 8:00 PM EST.

What is PRALUENT® (alirocumab)?

PRALUENT is an injectable prescription medicine used:

  • in adults with cardiovascular disease to reduce the risk of heart attack, stroke, and certain types of chest pain conditions (unstable angina) requiring hospitalization.
  • along with diet, alone or together with other cholesterol-lowering medicines in adults with high blood cholesterol levels called primary hyperlipidemia (including a type of high cholesterol called heterozygous familial hypercholesterolemia), to reduce low-density lipoprotein cholesterol (LDL-C) or bad cholesterol.

It is not known if PRALUENT is safe and effective in children.

Important Safety Information

Do not use PRALUENT if you are allergic to alirocumab or to any of the ingredients in PRALUENT.

Before you start using PRALUENT, tell your healthcare provider about all your medical conditions, including allergies, and if you are pregnant or plan to become pregnant or if you are breastfeeding or plan to breastfeed.

Tell your healthcare provider or pharmacist about any prescription and over-the-counter medicines you are taking or plan to take, including natural or herbal remedies.

PRALUENT can cause serious side effects, including allergic reactions that can be severe and require treatment in a hospital. Call your healthcare provider or go to the nearest hospital emergency room right away if you have any symptoms of an allergic reaction including a severe rash, redness, severe itching, a swollen face, or trouble breathing.

The most common side effects of PRALUENT include: redness, itching, swelling, or pain/tenderness at the injection site, symptoms of the common cold, and flu or flu-like symptoms. Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

Talk to your doctor about the right way to prepare and give yourself a PRALUENT injection and follow the "Instructions for Use" that comes with PRALUENT.

You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Click here for Full Prescribing Information for PRALUENT.

Click here to learn more about Sanofi's commitment to fighting counterfeit drugs.

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Important Safety Information

Do not use PRALUENT if you are allergic to alirocumab or to any of the ingredients in PRALUENT.

Before you start using PRALUENT, tell your healthcare provider about all your medical conditions, including allergies, and if you are pregnant or plan to become pregnant or if you are breastfeeding or plan to breastfeed.

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