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.
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:
Help you navigate prior authorization/reauthorization and appeals processes
Conduct full benefit investigations and confirm patient eligibility for savings
Proactively contact you for additional refills once the final prescription has been filled
Exclusive concierge services for your patients and their caregivers:
A dedicated team that understands Dravet syndrome and treatment with DIACOMIT
Pharmacists on call 24/7 and translation services in 100+ languages
A Rapid Refill program to help patients conveniently schedule refills online or via mobile (opt-in required)
Shipment tracking and vacation planning, so your patients/caregivers know when to expect delivery and do not miss a dose
Dosing supplies by request (10 mL and 35 mL oral syringes as well as 100 mL dosing cups)
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.
Copay Program
- $0 copay per prescription
- For eligible patients with commercial insurance
- Not available for government plans such as Medicare or Medicaid
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
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
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.