NS SUPPORT + RESOURCES
NS SUPPORT
Providing personalized access support and customized resources
Our experienced, knowledgeable team at NS Support is dedicated to assisting patients, their caregivers, and healthcare professionals throughout the patient journey to create a smooth path to treatment. We’re committed to being here for you every step of the way.
833-NSSUPRT (833-677-8778)
Monday–Friday, 8 AM-8 PM ET
FOR HEALTHCARE PROFESSIONALS
- Enroll patients in NS Support using our Patient Start Form
- Rapid benefits investigation and verification
- Ongoing, highly responsive reimbursement support and follow-up calls
- Insights about infusion site options for your patients
- Streamlined product acquisition options
STARTING YOUR PATIENT ON VILTEPSO?
Here’s what to do:
1.
Download and save the editable Patient Start Form
2.
Submit a completed and signed form to NS Support
- Via Fax: 888-212-0482
- Via Mail: NS Support Program, PO Box 29203, Phoenix, AZ 85038-9203
Your completed Patient Start Form with a valid prescriber signature will allow NS Support to start a benefits investigation for your patient. A signed Patient Authorization Form is needed to complete NS Support enrollment, receive program offerings, and enroll in cost support programs if eligible.
More support for physicians and their practices:
FOR PATIENTS AND THEIR CAREGIVERS
- Individualized, caring support and resources throughout the patient journey
- Help with understanding insurance coverage for VILTEPSO
- Co-pay Assistance Program—eligible patients may qualify for savings on their deductible, co-pay, and coinsurance for their medication costs for VILTEPSO*
- Patient Assistance Program—help for uninsured patients in financial need
Support for patients and their caregivers:
Patient Authorization Form Patient Assistance Program ApplicationCo-pay Program Reimbursement Form
Stay informed—sign up to receive additional information and updates >
PATIENT SUPPORT WITH A PERSONAL TOUCH
*
Program covers the cost of the medication only and does not cover the costs to administer the infusion. See full Eligibility Requirements & Terms and Conditions on back of brochure.
RESOURCES
Here are resources that you may find helpful
For Healthcare Providers:
Summarizes the clinical evidence of the efficacy and safety of VILTEPSO and other product features
Provides you with information on how to prescribe, dose, and administer VILTEPSO as infusion therapy
Watch a video overview about how to administer a VILTEPSO infusion
Provides information on initiating therapy and helping patients afford their treatment
A simple step-by-step guide on how to administer an IV infusion for VILTEPSO
Provides coding and billing information and sample claim forms for home infusion, physician offices, and hospital outpatient departments (HOPD) to process claims for VILTEPSO
For Patients and Caregivers:
Explains the features of VILTEPSO in treating DMD, including efficacy and safety
Answers common questions about what VILTEPSO does, how it works, and other concerns you may have
Introduces patients and caregivers to their NS Pharma and NS Support teams and explains their journey to treatment
Helps you better understand the weekly infusion process and address questions with your child in advance of their first session
Helps commercially insured patients with their medication costs
Provides information about government-funded health insurance and financial assistance
Includes a list of foundations and advocacy groups that may be able to provide assistance to patients with DMD
