OK, I’m curious. But what does coverage look like?

Understanding the insurance process can make a difference.

Benefits verification

The first step in the process is for your doctor’s office to do a benefits verification on your behalf. They will work with your insurance company to determine if CUVITRU is covered under your health plan, how much insurance will pay, what your deductible will be, and how much you will pay out of pocket. Once the office receives information, ask the office manager to review your benefits verification results with you. This will help you fully understand what you are responsible for.

Prior authorization

Next, your doctor has to show your health plan that CUVITRU is the appropriate treatment for you based on your medical profile. This is called a prior authorization. Your doctor’s office will send the necessary forms and documents. Once your insurance company reviews the prior authorization, you and your doctor’s office will be notified if you are approved for therapy.

Sometimes, these processes will be managed by a specialty pharmacy provider (SPP). Your SPP may contact you to coordinate these steps.

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Working with your specialty pharmacy to get CUVITRU

CUVITRU is a specialty drug, which means you can’t pick up your prescription at the local pharmacy. Specialty pharmacy providers (SPPs) carry drugs for rare conditions such as primary immunodeficiency and make sure they are stored and handled appropriately before they are shipped. Your doctor will order CUVITRU through an SPP, and it will be delivered to your preferred location.

Here’s what to expect when working with an SPP:

Specialty pharmacies are able to support you by working directly with your insurance company to find out how your health plan covers CUVITRU. They can assist with steps in the approval process, such as benefits verification, prior authorization, financial assistance, and treatment education
- You can expect an SPP to contact you after a physician prescribes you CUVITRU
SPPs will coordinate delivery of CUVITRU. Depending on your discussion with your doctor, you will have CUVITRU delivered to your home or an infusion center
Some insurance companies may only work with certain specialty pharmacies. Currently, only the below SPPs have CUVITRU in stock. Work with your doctor’s office or an insurance representative to determine which SPP is available to you

The following SPPs are currently authorized to dispense CUVITRU:

Accredo Specialty Pharmacy
Advanced Infusion Care
AllianceRx Walgreens Pharmacy
AOM Infusion
Amerita
Avevo RX, LLC
Axiva Health Solutions
BioMatrix
BioPlus
BioTek Remedys
Coastal Infusion Services
ContinuumRx
CSI Pharmacy
CVS Health
InfuCare Rx
Intramed Plus

KabaFusion
Kroger Specialty Infusion
Nufactor
Option Care Health
Optum Infusion Pharmacy
Paragon Healthcare
Promptcare
Realo Specialty Care Pharmacy
Soleo Health
Superior Biologics
TwelveStone Health Partners
Upstate HomeCare
Vital Care

Inquire with specific SPPs for current status.

Making the most of your training with a nurse

Here are a few tips that can help training with your nurse be the most beneficial.

Allow your vials to reach room temperature. This could take up to 90 minutes
Do not apply heat or microwave
Have a clean, open workspace, such as a counter or table, where you can lay out your supplies
Gather your box of supplies from the specialty pharmacy and your CUVITRU starter kit (if you received a kit)
Ensure the manufacturer’s instructions for your pump are handy
Write down any questions you may have for the nurse. With so much new information, these questions can easily be forgotten. If you received the CUVITRU starter kit, there’s a Wellness Journal included, and it has space to jot down questions and notes

Extra supplies you may want to have on hand:

Antihistamines or epinephrine
Antibacterial wipes for cleaning surfaces
Antibacterial soap

Most importantly, try to relax and know that the nurse is here to help you. You’ll feel more familiar with your supplies and the infusion process after your training. You can do this!

Know what to expect.

Watching our infusion video before your training will help you prepare for your nurse visit.

Watch now

Contact a Rep

IMPORTANT SAFETY INFORMATION and serious warnings regarding blood clots

What is CUVITRU?

CUVITRU is a ready-to-use liquid medicine that is given under the skin (subcutaneously) to treat primary immunodeficiency (PI) in people 2 years and older.

IMPORTANT SAFETY INFORMATION

What is the most important information that I should know about CUVITRU?

CUVITRU can cause the following serious reactions: severe allergic reactions causing difficulty in breathing or skin rashes; decreased kidney function or kidney failure; blood clots in the heart, brain, lungs, or elsewhere in the body; severe headache, drowsiness, fever, painful eye movements, or nausea and vomiting; dark colored urine, swelling, fatigue, or difficulty breathing.

What is the most important information I need to know about CUVITRU?

CUVITRU can cause the following serious reactions:

Severe allergic reactions causing difficulty in breathing or skin rashes
Decreased kidney function or kidney failure
Blood clots in the heart, brain, lungs, or elsewhere in the body
Severe headache, drowsiness, fever, painful eye movements, or nausea and vomiting
Dark colored urine, swelling, fatigue, or difficulty breathing

Who should not use CUVITRU?

Do not use CUVITRU if you:

Have had a severe allergic reaction to immune globulin or other blood products.
Have a condition called selective (or severe) immunoglobulin A (IgA) deficiency.

What should I avoid while taking CUVITRU?

CUVITRU can make vaccines (like measles/mumps/rubella or chickenpox vaccines) not work as well for you. Before you get any vaccines, tell your healthcare provider (HCP) that you take CUVITRU.
Tell your HCP if you are pregnant, or plan to become pregnant, or if you are nursing.

What are the possible or reasonably likely side effects of CUVITRU?

CUVITRU can cause serious side effects. If any of the following problems occur after starting CUVITRU, stop the infusion immediately and contact your HCP or call emergency services:

Hives, swelling in the mouth or throat, itching, trouble breathing, wheezing, fainting or dizziness. These could be signs of a serious allergic reaction.
Bad headache with nausea, vomiting, stiff neck, fever, and sensitivity to light. These could be signs of irritation and swelling of the lining around your brain.
Reduced urination, sudden weight gain, or swelling in your legs. These could be signs of a kidney problem.
Pain, swelling, warmth, redness, or a lump in your legs or arms. These could be signs of a blood clot.
Brown or red urine, fast heart rate, yellow skin or eyes. These could be signs of a liver or blood problem.
Chest pain or trouble breathing, or blue lips or extremities. These could be signs of a serious heart or lung problem.
Fever over 100°F. This could be sign of an infection.

The following one or more possible side effects may occur at the site of infusion. These generally go away within a few hours, and are less likely after the first few infusions.

Mild or moderate pain
Redness
Itching

The most common side effects that may occur are:

Headache
Nausea
Fatigue
Diarrhea
Vomiting

These are not all the possible side effects. Talk to your HCP about any side effect that bothers you or that does not go away.

For additional safety information, including Warning about Blood Clots, click for Information For Patients and discuss with your HCP.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.