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  • Kepivance®
    (palifermin)
  • Using Reimbursement Connection®

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Using Reimbursement Connection®

Understanding Your Questions

The Reimbursement Connection® from Amgen provides a broad range of coverage and reimbursement assistance to help you avoid and resolve billing-related problems. Insurance coverage can vary greatly, as can insurer billing requirements. The Reimbursement Connection® is designed to assist you in navigating through the insurance maze.

How Can the Reimbursement Connection® Help You?
  • Review coverage requirements for Amgen Products
  • Provide coding and billing-related assistance
  • Explain payor reimbursement policies
  • Provide prior authorization support
  • Provide information regarding claims appeal procedures
  • Help identify alternative funding sources
  • Provide information regarding the SAFETY NET® Foundation for medically needy patients

The Reimbursement Connection® has more than fifteen years of experience providing personalized support regarding reimbursement policies, coding and billing procedures, insurance verifications, prior authorization and claims appeals for Amgen products. Our reimbursement experts can answer questions about Medicare, Medicaid, and private insurers, including managed care. One call helps you resolve issues and obtain reimbursement results.

The information provided in this section is of a general nature and for informational purposes only. Coding and coverage policies change periodically and often without warning. The responsibility to determine coverage and reimbursement parameters and appropriate coding for a particular patient and/or procedure is always the responsibility of the provider or physician. The information provided in this section should in no way be considered a guarantee of coverage or reimbursement for any product or service.

© 2006 Amgen All Rights Reserved. Prescribing Information for Aranesp® | Reimbursement Connection®

 

Kepivance® is indicated to decrease the incidence and duration of severe oral mucositis in patients with hematologic malignancies receiving myelotoxic therapy requiring hematopoietic stem cell support. The safety and efficacy of Kepivance® have not been established in patients with non-hematologic malignancies.

Important Safety Information

In patients with hematologic malignancies, the most common serious adverse reaction in clinical trials attributed to Kepivance® was skin rash reported in less than 1% of patients. Other serious adverse reactions occurred at a similar rate in patients who received Kepivance® or placebo with the most frequent being fever, gastrointestinal events, and respiratory events. The most commonly reported adverse reactions attributed to Kepivance® were rash, erythema, edema, pruritus, dysesthesia, mouth/tongue thickness/discoloration, and taste alteration.

* Results from a randomized, double-blind, placebo-controlled, phase 3 study (N = 212) in which patients with hematologic malignancies who were undergoing hematopoietic stem cell transplantation (HSCT) after myelotoxic therapy received either Kepivance® or placebo.1,2
† Analyses were performed in the overall patient population (patients who did not experience the event were assigned a duration of 0 days), and in a subset of patients who developed Grade 3/4 oral mucositis. Oral assessments were based on the World Health Organization (WHO) oral toxicity scale.2
‡ Mouth and throat soreness (MTS) and functional activity scores were collected with the use of a daily questionnaire and measured using a 5-point scale. MTS was a prespecified endpoint. Other functional activities were planned analyses.2

References

  1. Kepivance® (palifermin) prescribing information, Amgen.
  2. Spielberger R, Stiff P, Bensinger W, et al. Palifermin for oral mucositis after intensive therapy for hematologic cancers. N Engl J Med.2004;351:2590-2598.
  3. Rubenstein EB, Peterson DE, Schubert M, et al. Clinical practice guidelines for the prevention and treatment of cancer therapy-induced oral and gastrointestinal mucositis. Cancer. 2004;100(suppl 9):2026-2046.
  4. Spielberger R, Emmanouilides C, Stiff P, et al. Use of recombinant human keratinocyte growth factor (palifermin) can reduce severe oral mucositis in patients with hematologic malignancies undergoing autologous peripheral blood progenitor cell transplantation after radiationbased conditioning. J Support Oncol.2004;2(suppl 2):73-74.

© 2006 Amgen All Rights Reserved. Prescribing Information for Kepivance®

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