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Above MS™—Support for You and Your Patients

As you know, helping patients doesn’t have to end when their appointment is finished. That’s why Biogen is also here to help you and your practice support your patients through its Above MS services.

Above MS is a great resource which provides:

  • Specially tailored information from people who are living with relapsing MS
  • Insights from expert contributors in fields such as financial planning, cooking, exercise, and many other areas
  • Information about TECFIDERA treatment and support services
  • 24/7 phone assistance from Nurse Educators
  • A variety of financial and insurance support services, and our $0 Copay Program

 

Above MS Support Coordinators help your patients understand MS and provide helpful resources along their MS journey

Support Coordinators offer a broad range of services, including:

  • General MS information
  • One-on-one MS support by phone
  • Insurance benefits investigation and research on financial assistance options

Your patients can reach one of our Above MS Support Coordinators at
1-800-456-2255, Monday through Friday from 8:30 AM until 8:00 PM ET.

TECFIDERA Nurse Educators are available by phone 24/7 to provide extra support and to answer your patients’ questions

Nurse Educators can:

  • Answer questions about relapsing MS treatment, common symptoms, and common side effects
  • Provide support through MS education
  • Help patients plan conversations with their healthcare provider
  • Connect patients with the services and support that are available to them

Reimbursement and Financial Assistance programs

Our goal is to allow patients to focus on their treatment, not the cost. These programs provide personalized assistance to identify the best financial assistance option for each patient. The goal is to ensure that no one has to forgo treatment based solely on financial limitations.  These programs offer:

  • Insurance counseling for the uninsured and underinsured to help with obtaining adequate coverage
  • Benefits investigation
  • Prior Authorization assistance*
  • $0 Copay Program

*Prior Authorization is a process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication.
Depending on patients’ income or, in some cases, if their medication is obtained from an out-of-network provider, there may be an annual cap that limits the amount of assistance that they can receive over one year. Federal and state laws and other factors may prevent or otherwise restrict eligibility. People covered by Medicare, Medicaid, the VA/DoD, or any other federal plans are not eligible to enroll. Patients are eligible to enroll in the $0 Copay Program for as long as they are treated with a Biogen relapsing MS medication.

The $0 Copay Program allows eligible patients to pay $0 a month for their relapsing MS medication

It offers:

  • No income requirements—eligible patients can enroll in the $0 Copay Program regardless of income
  • No time limit—your patients can re-enroll every year for as long as they’re taking the medication and remain eligible
  • No waiting—your patients’ specialty pharmacies can enroll them immediately into the program so they can get their relapsing MS medication right away

$0 Copay details and eligibility:

  • Please note that the $0 Copay Program provides a monthly supply of relapsing MS medication. Your patients can stay enrolled in the program as long as they are taking the medication and remain eligible
  • Federal and state laws may prevent eligibility. People covered by Medicare, Medicaid, the VA/DoD, or any other federal plans are not eligible to enroll. In addition, some insurance providers may prevent eligibility or restrict eligibility to people with demonstrated financial need. If your patients are not eligible or not sure of their eligibility, they should call 1-800-456-2255. There are charitable programs and even a free drug program sponsored by Biogen that may be able to help your patients with the cost
  • Depending on your patients’ income or, in some cases, if their medication is obtained from an out-of-network provider, there may be an annual cap that limits the amount of assistance that your patients can receive during a year

Leading formulary access

TECFIDERA has preferred formulary coverage by many of the country’s top insurance providers for your patients with relapsing MS with no step-therapy restrictions. It is therefore available for treatment-naive patients, as well as patients converting from another product.

§Coverage may vary, and there is no guarantee of coverage.

Explore formulary access

Encourage your patients to call 1-800-456-2255 or visit the Above MS website, if they have any questions or want to learn more about Above MS support.

Reference: 1. Biogen, Data on file.