How To Enroll
Accessing the KabiCare Patient Support Program or ONLY the Copay program for TYENNE® (tocilizumab-aazg)
We understand how complicated, costly, and overwhelming treatment can be for your patients. The KabiCare Program provides a potential solution for eligible patients to receive financial support for TYENNE® (tocilizumab-aazg).
Enrollment into KabiCare patient support program
If eligible, a patient will automatically be enrolled into copay as part of full enrollment into the KabiCare Patient Support Program.
- For enrolling a patient on-line, click here to access the KabiCare provider portal (Opens in a New Window) and create an account.
- OR access the full program enrollment form here (PDF Opens in a New Window) and fax to the number on the form. To avoid delays, please be sure to include both your and your patient’s signatures on the completed form.
Enrollment into KabiCare Copay Support Only
Patients with commercial or private insurance may be eligible* for the copay program, which may lower their out-of-pocket costs to as little as $0/month for treatment with an annual maximum.*Eligibility criteria apply. Patients are not eligible for commercial copay assistance if the prescription is eligible to be reimbursed, in whole or in part, by any state or federal healthcare program.
- Enroll Patients Online (Opens in a New Window)
- Your patient’s Copay enrollment form can be submitted to KabiCare online or by calling 1-833-KABICARE (1-833-522-4227).
Claim submission and reimbursement
TYENNE may be covered under the patient’s pharmacy or medical benefit.
1 Pharmacy Benefit Adjudication
- The pharmacy will submit a secondary claim to PDMI by TrialCard using the information below:
- Copay Program Member ID
- Group Number: 77770214
- RxBin: 610852
- RxPCN: (if applicable) 2001
- The pharmacy will receive real-time notification of the paid benefit amount.
- The pharmacy will collect the remaining patient responsibility, if any.
In the event TYENNE is covered under the patient’s medical benefit plan, please review the following for claims submission and reimbursement guidelines:
2 Medical Benefit Copay Claims
- Claims can be faxed to 833-966-3050
- Claims can also be mailed to the following address:
KabiCare Copay Program
2250 Perimeter Park Dr., Suite 300
Morrisville, NC 27560You will need to include:
- Completed Claim form (UB-40 or CMS-1500 Claim form)
- Primary Explanation of Benefits (EOB) showing itemized Claim form with National Drug
- Codes (NDCs) listed from the patient’s private insurance company with the cost for the drug listed separately.
- Your office will receive reimbursement of the patient’s applicable copay or coinsurance. Please allow 7-10 days for receipt of payment.
3 Reimbursement
Healthcare Provider Reimbursement
Providers will be reimbursed either through a paper check or EFT (electronic funds transfer). If the provider is not enrolled to receive EFT, the provider will receive a notification that includes directions for how to enroll.
If treatment has already been provided and copay benefits for prescribed Fresenius Kabi products were not explored prior to administration, your patient may still potentially qualify for copay reimbursement.
- Ensure the patient is enrolled in the copay program.
- Request an itemized receipt w/ NDC details and drug name
- Mail or fax these documents to the following:
KabiCare Copay Program
2250 Perimeter Park Dr., Suite 300
Morrisville, NC 27560
Fax number: 833-966-3050 - Patient will receive a paper check in 7-14 business days.
- There is a 180-day lookback period for submitted claims from when the patient was enrolled.
Click here to view the KabiCare Copay Assistance Program TERMS & CONDITIONS