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  • Evolocumab ( ) Injectable Medication Precertification Request. Evolocumab ( )

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Evolocumab () Injectable Medication Precertification Request Aetna Precertification Notification 503 Sunport Lane, Orlando, FL 32809 Phone: 18665030857 FAX: 18882673277 Page 1 of 2 (All fields.

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â„¢ is indicated as an adjunct to diet and maximally tolerated statin therapy for the treatment of adults with heterozygous familial hypercholesterolemia (HeFH) or clinical atheroscl cardiovascular disease (CVD), who require additional lowering of low density lipoprotein cholesterol (LDL-C).

Paying for . The majority of commercial and Medicare plans cover ®. The list price for ® is $550.48*,† per month. Most patients do not pay the list price.

It's used to reduce low-density lipoprotein (LDL) cholesterol levels in people with certain types of high cholesterol. Your doctor will likely prescribe along with certain dietary changes or other cholesterol medications to treat this condition.

Do Medicare prescription drug plans cover ? Yes. 79% of Medicare prescription drug plans cover this drug.

is indicated as an adjunct to diet, alone or in combination with other lipid-lowering therapies (e.g., statins, ), for the treatment of adults with primary hyperlipidemia to reduce low-density lipoprotein cholesterol (LDL-C).

® (evolocumab) prescribing information, Amgen. INDICATIONSRepatha ® is indicated: In adults with established cardiovascular disease to reduce the risk of myocardial infarction, stroke, and coronary revascularization.

If you do not have prescription drug coverage or cannot afford medication, you may be able to receive Amgen medications at no cost from the Amgen Safety Net Foundation. Call a RepathaReady® counselor at 1-844- (1-844-737-2842) Monday - Friday, 8AM - 9PM ET to learn about potential options for financial support.

Eligibility Criteria: Subject to program limitations and terms and conditions, the ® Copay Card is open to patients who have a ® prescription and who have commercial or private insurance, including plans available through state and federal healthcare exchanges.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232