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We understand that as a caregiver or an individual living with spinal muscular atrophy (SMA), life can be challenging. SMA360° is a support service from Biogen created to help families navigate various areas of the treatment process with SPINRAZA.*

The SMA360° team is made up of some important people: the Family Access Manager (FAM) and the Lead Case Manager (LCM). Read on to learn more about the roles they can play in your SPINRAZA experience.

TREATMENT LOGISTICS

TREATMENT LOGISTICS

Once a completed Start Form has been submitted to Biogen, your FAM will reach out to begin helping you with the logistics surrounding your treatment. The FAM will be your go-to person whenever you have a question or concern related to the logistics of your treatment journey while on SPINRAZA. Please remember that your/your child’s healthcare provider should be the primary resource for any questions related to SMA and SPINRAZA. The FAM can provide information on SMA360° support services and how you may be eligible for programs tailored to your needs.

Your FAM can:

  • Coordinate the logistics of getting started with treatment
  • Prepare you for the treatment journey by educating you on what to expect
  • Connect with you at the treatment center, if you choose, to help with logistics as necessary

The relationship you have with your FAM should be one that’s comfortable for you and your family.

Click here for a step-by-step guide to starting SPINRAZA treatment, and how the SMA360° team can help.

INSURANCE AND FINANCIAL ASSISTANCE

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Today’s ever-changing insurance landscape can be overwhelming. SMA360° Insurance and Financial Assistance Programs are designed to help you understand your insurance benefits for SPINRAZA and find an affordable way to start treatment and continue as prescribed by your healthcare provider.

To help you make informed decisions, an LCM can:

  • Investigate your insurance benefits to help you understand your current coverage
  • Collaborate with healthcare providers so that they can obtain prior authorization for treatment
  • Provide support in the event of denied insurance claims
  • Educate you on the eligibility details of the $0 Copay Program from Biogen, which can potentially cover both the cost of your SPINRAZA prescription and the treatment procedure
  • Supply background and resources to refer you to third-party charity organizations
  • Counsel you and your family on the possibility of adding or changing insurance coverage

You can contact an LCM at 1-844-4SPINRAZA (1-844-477-4672), Monday through Friday, from 8:30 AM – 8:00 PM ET, to get more information about these services. 

Click here for information about available health insurance options and support services from Biogen.

 

Getting affordable access to treatment

There are 2 ways in which you may be eligible for financial assistance from Biogen’s $0 Copay Program: for SPINRAZA itself and for the treatment procedure.

Please note that these are 2 different programs, and you must enroll separately as needed.

$0 Drug Copay Program and $0 Procedure Copay Program
Generally, all individuals on non-government insurance are eligible, regardless of income, and there is no annual maximum on the amount Biogen will cover as part of the program. Insurance will be billed first, and must pay before copay assistance will be applicable.

Individuals receiving coverage from Medicare, Medicaid, the VA/DoD, TRICARE®, or any other governmental or pharmaceutical assistance may not be eligible. Contact an LCM for more information.

$0 Procedure Copay Program
In addition to the above criteria, you are eligible for this program if you meet the following requirements:

  • You are not a resident of Massachusetts, Michigan, Minnesota, or Rhode Island
  • Your healthcare provider submits a request for treatment using an approved procedure code for Anesthesia, Imaging procedures, and/or Surgical procedure/drug administration. Only codes approved by Biogen shall be eligible under the program

Third-party funding assistance
If it is determined that you are not eligible for the $0 Copay Program, an LCM can help you find charitable organizations that may provide third-party assistance.

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

*SMA360° services from Biogen are available only to those who have been prescribed SPINRAZA. SMA360° is intended for US residents only.

IMPORTANT SAFETY INFORMATION

Increased risk of bleeding complications has been observed after administration of similar medicines. Your healthcare provider should perform blood tests before you start treatment with SPINRAZA and before each dose to monitor for signs of these risks. Seek medical attention if unexpected bleeding occurs.

Increased risk of kidney damage, including potentially fatal acute inflammation of the kidney, has been observed after administration of similar medicines. Your healthcare provider should perform urine testing before you start treatment with SPINRAZA and before each dose to monitor for signs of this risk.

The most common side effects of SPINRAZA include lower and upper respiratory infections, constipation, headache, back pain, and post-lumbar puncture syndrome.

These are not all of the possible side effects of SPINRAZA. Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

This information is not intended to replace discussions with your healthcare provider.

Please see full Prescribing Information for additional Important Safety Information.

As a courtesy, our full Prescribing Information is also available en Español. For prescribing decisions, please refer to official approved labeling.


INDICATION

SPINRAZA is a prescription medicine used to treat spinal muscular atrophy (SMA) in pediatric and adult patients.