Whether you and your doctor have decided on RADICAVA ORS® or RADICAVA® IV, or you’re considering treatment options, the first step is to complete a BIF with your doctor.
Starting RADICAVA ORS® or RADICAVA® IV
It begins with talking to your doctor about treatment options
When you speak to your doctor about, RADICAVA ORS® (edaravone) or RADICAVA® (edaravone) IV, it may be helpful to ask:
Can RADICAVA® help slow the loss of physical function?
If you have just been diagnosed, when can treatment with RADICAVA ORS® or RADICAVA® IV begin?
If switching from one option to another, how can treatment be started?
It's also helpful to know that there are clinical studies that allow patients to continue taking edaravone while on study treatment.
Have questions about starting treatment?
Call a JourneyMate Resource Specialist at 1-855-457-6968 between 9 AM and 9 PM ET, Monday through Friday.
Investigating your Benefits Coverage
Start with a Benefit Investigation and Enrollment Form (BIF)
Think of a BIF as your doctor's way of submitting a prescription and checking your insurance coverage
Once received from your doctor, a BIF lets the Insurance & Access Specialist investigate your insurance benefits
A BIF is not a commitment to start RADICAVA ORS® or RADICAVA® IV
It helps you and your doctor understand insurance coverage before you make the decision together to begin treatment
Your doctor will need to complete and sign the BIF. But you can help by filling out part of the form now. To do so, simply:
- Download the Benefit Investigation and Enrollment Form (BIF)
- Enter as much information as you can on your computer OR print out the BIF and complete it by hand
When you're finished filling out your Patient Information on the BIF:
Review the form to make sure the information is correct
Print it, if you didn't do so earlier (or save it and print later)
Sign the form (see page 3 of the BIF after you read page 4)
Bring it to your doctor
Your doctor will complete the rest of the form and send it to an Insurance and Access Specialist. Do NOT send the BIF yourself. Within a few days, an Insurance & Access Specialist will send you and your doctor a summary of your benefits.
Once your doctor has prescribed RADICAVA ORS® or RADICAVA® IV
and submitted a Benefit Investigation and Enrollment Form (BIF) to check how your health insurance covers RADICAVA ORS® or RADICAVA® IV, an Insurance & Access Specialist will reach out to help you understand the insurance and site of care selection process.
An Insurance & Access Specialist will:
Help to investigate your health insurance coverage and health plan benefits, as well as the RADICAVA ORS® or RADICAVA® IV financial support options which may be available to you
Answer questions and let you know the next step in the process of getting treatment
Help you understand site of care options if you are accessing:
RADICAVA ORS® from a specialty pharmacy
RADICAVA® IV from an infusion therapy provider
Requesting an exception from your health plan
If RADICAVA ORS® or RADICAVA® IV isn't covered, you can request an exception from your health plan. For helpful steps to submit an exception, download Requesting an Exception From Your Health Plan.
If an exception is denied, your doctor may be able to help appeal the decision. Having your doctor file an appeal may help give the insurance provider more details about why you should receive treatment. A next-level appeal may also be required if your request is denied.
Receiving RADICAVA ORS® or RADICAVA® IV
Once coverage has been established, you can receive your prescription in one of two ways, depending on the treatment option.
For RADICAVA ORS®
An Insurance & Access Specialist will help you understand your options for accessing RADICAVA ORS® from an in-network specialty pharmacy that will:
Process your RADICAVA ORS® prescription
Contact you to arrange for out-of-pocket cost payment, including applying any financial support that may be available to you, if eligible
Contact you or your caregiver to review prescription details and shipment information
Ship the medication to the mailing address you provide
For RADICAVA® IV
An Insurance & Access Specialist will help you understand site of care options for accessing RADICAVA® IV from:
An infusion therapy provider
A home infusion provider
A specialty pharmacy
Considering switching from RADICAVA® IV to RADICAVA ORS®?
If you are currently being treated with RADICAVA® IV, and you and your doctor are considering a switch to RADICAVA ORS®:
Work with your doctor to complete, sign, and submit a new Benefit Investigation and Enrollment Form (BIF) with a prescription for RADICAVA ORS®
An Insurance & Access Specialist will help investigate:
Your health insurance coverage and health plan benefits
Financial support options which may be available if you meet all the eligibility criteria
If you have questions, call a JourneyMate Support Program™ Insurance & Access Specialist for assistance at 1-844-772-4548.
Determining your out-of-pocket costs
How you receive your treatment and how it is covered can determine your out-of-pocket costs. If you have been prescribed RADICAVA ORS® or RADICAVA® IV, it may be important to understand health plan coverage benefits.
Financial support options for treatment may be available to you.
ALS Care Locator
The ALS Care Locator is designed for the ALS community to help locate services for the treatment of ALS. It can help you:
Find neurologists and other doctors who treat ALS
Search for infusion services capable of administering RADICAVA® IV, including home infusion, based on your preferences; for example:
Type of facility, location, insurance accepted, including Medicare
Languages spoken, hours of operation, amenities
Find doctors who treat ALS closest to you.
Visit the ALS Care Locator
The ALS Care Locator is an informational resource only regarding available treatment providers. The providers listed in the directory are under no obligation to provide treatment.
The ALS Care Locator is a directory with a number of functions, including a directory of providers that treat ALS and which have opted-in to participate in the directory. This submission information is updated on a monthly basis.
Providers listed in the directory are not affiliated with Mitsubishi Tanabe Pharma America, Inc. and do not pay to be on the list. No fees or remuneration of any kind have been or will be exchanged for participation in the ALS Care Locator. Inclusion of a provider in the ALS Care Locator does not constitute a referral, recommendation, endorsement, or verification of credentials, qualifications, or abilities of the provider listed. Similarly, the absence of a provider's name and information should not be construed as a negative comment from Mitsubishi Tanabe Pharma America, Inc. about the provider's credentials, qualifications, or abilities.
Mitsubishi Tanabe Pharma America, Inc., as well as its employees or agents, shall not be held liable for any damages or harm resulting from any use or reliance on information contained in the ALS Care Locator, and may modify, amend, remove or cancel the ALS Care Locator at any time without notice.
If you are an HCP who treats ALS, including a neurologist and those at a multidisciplinary center, and would like to be added to the ALS Care Locator, please contact LocatorQuestions@mt-pharma-us.com, or if you would like to be removed from the ALS Care Locator, please contact LocatorOptOut@mt-pharma-us.com.
If you are an infusion service provider who has experience administering RADICAVA® IV and would like to be added to the ALS Care Locator, or if you are listed in the ALS Care Locator and would like to be removed, please contact the JourneyMate Support Program™ Insurance & Access Specialist at 1-844-772-4548.
Here for you, throughout your RADICAVA ORS® or RADICAVA® IV Journey
A dedicated ALS Clinical Educator can help you get familiar with treatment once you’re prescribed RADICAVA ORS® or RADICAVA® IV. Based on your personal preference, your ALS Clinical Educator meets in person or on the phone to educate you and your family about RADICAVA ORS® or RADICAVA® IV.
An ALS Clinical Educator provides:
General information about ALS
Written materials to support the understanding of RADICAVA ORS® or RADICAVA® IV
Additional educational resources
Working with your ALS Clinical Educator can help ensure you stay on track with treatment and get the information you need to have informed discussions with your doctor.
A JourneyMate Support Program™ Insurance & Access Specialist is provided by UBC on behalf of Mitsubishi Tanabe Pharma America, Inc. (MTPA). A JourneyMate Support Program™ Insurance & Access Specialist may provide information obtained from outside sources about a patient's insurance coverage, financial support options, and whether treatment is covered by their health plan. This information does not require a patient or their doctor to use any MTPA product. Because the information provided comes from outside sources, a JourneyMate Support Program™ Insurance & Access Specialist cannot guarantee the information will be accurate or complete.
An ALS Clinical Educator is an educational resource for patients who have been prescribed RADICAVA ORS® or RADICAVA® IV. An ALS Clinical Educator is provided by Mitsubishi Tanabe Pharma America, Inc. and VMS and is not affiliated with or provided by a doctor. An ALS Clinical Educator does not provide medical advice. All questions about a condition, diagnosis, or treatment should be referred to a patient’s doctor.