Support when you need it
IPSEN CARES™
Helping patients get access to their prescribed medications with the information and support they need.
IPSEN CARES (Coverage, Access, Reimbursement & Education Support) serves as a central point of contact between patients/caregivers, healthcare providers (HCPs), insurance companies, and specialty pharmacies.
Patient support for eligible* and enrolled patients prescribed Dysport®
Once the provider has prescribed Dysport for injection, the IPSEN CARES Patient Access Specialists are fully dedicated to:
- Facilitating patients’ access to their prescribed medications
- Providing information and support for the interactions among offices, patients, and insurance companies for Ipsen medications
IPSEN CARES Enrollment Is Quick and Easy
Patients must be enrolled to access all IPSEN CARES support offerings.
Patient and HCP download the IPSEN CARES Enrollment Form and complete it at the office. The form is submitted electronically or by printing and faxing it to IPSEN CARES. The patient can also self-enroll.
Once a completed Enrollment Form is received, an IPSEN CARES Patient Access Specialist will conduct a benefits verification to review the patient’s out-of-pocket costs associated with the Ipsen medication. Additional support offerings for which the patient may be eligible will be discussed at that time.
Patient Authorization
Patients/caregivers are required to sign the Dysport Patient Authorization Form every 3 years, or sooner if required by state law, to give the Patient Access Specialists at IPSEN CARES permission to access the patient’s personal health information in order to help with treatment. The form can be signed and submitted online, or by downloadable PDF, which must be printed, filled out, signed, and faxed.
Help With Copays?
Check for copay coverage. Considering that some patients need financial assistance, our copay assistance programs may help eligible* patients with the cost of their treatment. The Dysport Copay Program for eligible* commercially insured and uninsured patients is available by enrolling in IPSEN CARES. Here is the key information:
- Patients may pay as little as $0 per prescription
- For patients utilizing the Pharmacy Benefit, we will provide the virtual pharmacy copay card information on behalf of the patient directly to the specialty pharmacy being utilized
- For patients utilizing the Medical Benefit, we will send details for claims processing on behalf of the patient directly to the doctor’s office
- For patients who are eligible for government health benefits (e.g., Medicare, Medicaid, TRICARE), IPSEN CARES may be able to offer the contact information for independent nonprofit foundations that may be able to offer financial assistance
To learn more about IPSEN CARES, visit www.ipsencares.com
National Dysport Coverage Overview*
For patients with spasticity, Dysport has national coverage without restrictions for:
For adult patients with cervical dystonia, Dysport has national coverage without restrictions for:
*Data provided by Breakaway Partners Essentials and current as of February 2021
+Includes Managed and State Medicaid
Patient Resources
IPSEN CARES Dysport Copay Assistance Program Video
This video will walk you through the copay assistance enrollment process and the steps required for reimbursement of claims
Additional Support
Support from those who understand your conditions, because you’re not alone.
The CD community: Connect with others in similar situations for support, information or just an understanding friend. Sometimes, people who don’t have CD just aren’t able to understand what it feels like. Remind yourself that you are not alone and reach out. Through these organizations, you and your whole family can find helpful information about living with CD and connect with others having similar experiences.
Learn more about Cervical Dystonia
Patients are not eligible for copay assistance through IPSEN CARES if they are enrolled in any state or federally funded programs for which drug prescriptions or coverage could be paid in part or in full, including, but not limited to, Medicare Part B, Medicare Part D, Medicaid, Medigap, VA, DoD, or TRICARE (collectively, “Government Programs”), or where prohibited by law. Patients residing in Massachusetts, Minnesota, Michigan, or Rhode Island can only receive assistance with the cost of Ipsen products but not the cost of related medical services (injection). Patients receiving assistance through another assistance program or foundation, free trial, or other similar offer or program, are not eligible for the copay assistance program during the current enrollment year.
Cash-pay patients are eligible to participate. “Cash-pay” patients are defined for purposes of this program as patients without insurance coverage or who have commercial insurance that does not cover Dysport. Medicare Part D enrollees who are in the prescription drug coverage gap (the “donut hole”) are not considered cash-pay patients and are not eligible for copay assistance through IPSEN CARES. For patients with commercial insurance who are not considered to be cash-pay patients, the maximum copay benefit amount per prescription is an amount equal to the difference between the annual maximum copay benefit of $5,000 and the total amount of copay benefit provided to the patient in the Dysport Copay Program. In any calendar year commencing January 1, the maximum copay benefit amount paid by Ipsen Biopharmaceuticals, Inc. will be $5,000, covering no more than four (4) Dysport treatments. For cash-pay patients, the maximum copay benefit amount per eligible Dysport treatment is $1,250, subject to the annual maximum of $5,000 in total. There could be additional financial responsibility depending on the patient’s insurance plan.
Patient or guardian is responsible for reporting receipt of copay savings benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled through the program, as may be required. Additionally, patients may not submit any benefit provided by this program for reimbursement through a Flexible Spending Account, Health Savings Account, or Health Reimbursement Account. Ipsen reserves the right to rescind, revoke, or amend these offers without notice at any time. Ipsen and/or RxCrossroads by McKesson are not responsible for any transactions processed under this program where Medicaid, Medicare, or Medigap payment in part or full has been applied. Data related to patient participation may be collected, analyzed, and shared with Ipsen for market research and other purposes related to assessing the program. Data shared with Ipsen will be de-identified, meaning it will not identify the patient. Void outside of the United States and its territories or where prohibited by law, taxed, or restricted. This program is not health insurance. No other purchase is necessary.
