Access

It’s Easier Than Ever To Access DIACOMIT

DIACOMIT is available exclusively through PANTHERx Rare Pharmacy, a national specialty pharmacy that manages the prescription process and provides you and your patients/caregivers with concierge customer service.

No REMS
required

With no REMS required, DIACOMIT can be delivered in as little as one week.

PANTHERx Services and Programs To Support Your Patients

With brand-name DIACOMIT, you and your patients/caregivers will maintain access to personalized, exclusive services through our specialty pharmacy partner.

For healthcare professionals, the Biocodex By Your Side Support Team at PANTHERx will:

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Help you navigate prior authorization/reauthorization and appeals processes

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Conduct full benefit investigations and confirm patient eligibility for savings

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Proactively contact you for additional refills once the final prescription has been filled

Exclusive concierge services for your patients and their caregivers:

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A dedicated team that understands Dravet syndrome and treatment with DIACOMIT

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Pharmacists on call 24/7 and translation services in 100+ languages

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A Rapid Refill program to help patients conveniently schedule refills online or via mobile (opt-in required)

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Shipment tracking and vacation planning, so your patients/caregivers know when to expect delivery and do not miss a dose

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Dosing supplies by request (10 mL and 35 mL oral syringes as well as 100 mL dosing cups)

$0

Eligible patients with commercial insurance may pay as little as $0 for DIACOMIT.

Biocodex Is Putting Patients First

No matter the circumstances, Biocodex has your patients with Dravet covered. There are four patient access programs in place to help ensure that your patients can easily access treatment, regardless of their financial status or insurance coverage.

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Copay Program
  • $0 copay per prescription
  • For eligible patients with commercial insurance
  • Not available for government plans such as Medicare or Medicaid
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Quick Start Program
  • Up to 60-day fulfillment of DIACOMIT at no cost to the patient
  • For newly eligible patients experiencing delays in gaining access to treatment
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Bridge Program
  • Up to 60-day fulfillment of DIACOMIT at no cost to the patient
  • For patients on DIACOMIT with changes or lapses in their insurance coverage
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Long-Term Patient Assistance Program
  • Prescription of DIACOMIT at no cost to the patient
  • For eligible patients who are uninsured or underinsured

If your patient’s family has concerns about affordability or experiences a change in insurance coverage, ask them to contact the Biocodex By Your Side Support Team at PANTHERx.

Two Ways to Get Started

Option 1

Send a Completed Patient Enrollment Form via Fax to PANTHERx at 833-871-4137

Option 2

Send an e-prescription to PANTHERx via an Electronic Health Record (EHR)*

1120 Stevenson Mill Road, Suite 400, Coraopolis, PA 15108

*Remember to add DIACOMIT as a “Favorite Medication” within your EHR to simplify the ordering process

To avoid medication delays please:

  • Remember to include:
    • Diagnosis code(s) and patient’s weight
    • Formulation, with clear dosing/titration instructions, and quantity (eg, number of capsules)
    • A copy of your patient’s prescription and medical benefit cards (front and back), if utilizing the enrollment form
    • List of your patient’s current, discontinued or failed medications, including clobazam use and dosage
    • Your patient’s medical records
    • An office contact name and phone number
  • Request or sign that brand-name DIACOMIT must be dispensed and no generic substitution is allowed

DIACOMIT Access and Coverage Guide

Save this resource to learn how you can get patients started and help them save.

Download Guide