Ask your doctor if you are not sure if you need to be revaccinated. It is important to show this card to any doctor or nurse to help them diagnose and treat you quickly. If you have not been vaccinated and SOLIRIS therapy must be initiated immediately, you should also receive 2 weeks of antibiotics with your vaccinations. 1 A drug like Soliris may launch with label approval to treat one condition. Paroxysmal nocturnal hemoglobinuria (PNH) to reduce hemolysis Launched in 2007, the FDA approved Soliris to treat paroxysmal nocturnal hemoglobinuria (PNH). SOLIRIS ® (eculizumab) is the first and only approved medication for NMOSD in Europe-- 98% of adult anti-aquaporin-4 (AQP4) antibody-positive patients treated with SOLIRIS were relapse free compared to 63% receiving placebo at 48 weeks -. The data from the new clinical trials in the NDA helps … You must receive meningococcal vaccines at least 2 weeks before your first dose of SOLIRIS if you are not vaccinated. Tell your doctor about any side effect that bothers you or that does not go away. Drugs covered under the medical benefit often bypass the tools used to manage appropriate use of prescription drug costs under the pharmacy benefit. It is not known if SOLIRIS is safe and effective in children with gMG. Prime found patients using Soliris at a higher than appropriate dose for the patient’s diagnosis (PNH and aHUS). • Soliris is the first FDA-approved treatment for NMOSD. *Required fields. Visit MedWatch, or call 1-800-FDA-1088. Copyright © 2020, Alexion Pharmaceuticals, Inc. All rights reserved. And in quarterly meetings with our Blue Plan clients, we share information, to shape and optimize the most effective medical drug management strategies. Then the manufacturer applies to the FDA for approval for to treat new indications with a new drug application (NDA). If you had a meningococcal vaccine in the past, you might need additional vaccination. A drug like Soliris may launch with label approval to treat one condition. Moving to appropriate dosing saved $100,000 per patient per year. The individual was previously approved for eculizumab (Soliris) ... Soliris new indications for neuromyelitis optica spectrum disorder, dx codes and references updated. Soliris (eculizumab) will also be approved when the following are met: 1. Prime’s strategy for managing medical drug spend has evolved over two decades of working with our clients’ medical benefit data. This site is intended for patients and caregivers. FDA-approved Indications Soliris is … It keeps the patient at the center of the decision-making process. We use cookies to give you the best online experience. 3 items, List with It’s a different UM strategy for PNH and aHUS. Check back later. SOLIRIS® (eculizumab) Receives Approval in Japan for the Prevention of Relapse in Patients with Neuromyelitis Optica Spectrum Disorder (NMOSD) - SOLIRIS^® (eculizumab) is … OneSource™ provides information to help you understand your insurance plan and your coverage options for Soliris. SOLIRIS may also increase the risk of other types of serious infections. The FDA based its approval of the extended indication for Soliris on comprehensive clinical data from the Phase 3, randomized, double-blind, placebo-controlled, multicenter REGAIN study (ECU-MG-301). A lot of drugs are effective at treating more than one condition. Soliris—far and away Alexion’s bestselling therapy—is also approved in PNH and generalized myasthenia gravis. Soliris ® (eculizumab) is the FIRST AND ONLY FDA-approved complement inhibitor indicated for the treatment of adults with anti-aquaporin-4 (AQP4) antibody-positive neuromyelitis optica spectrum disorder (NMOSD). SOLIRIS is a medicine that affects your immune system and can lower the ability of your immune system to fight infections. The data from the new clinical trials in the NDA helps us understand more about what the drug can do. SOLIRIS … Poster Presentation at AMCP meeting; April 2018; Boston, MA. ABOUT SOLIRIS Soliris is the first treatment to be approved to treat adults with anti-AChR Ab+ gMG in more than 60 years . FDA-Approved Indications. Eculizumab, sold under the brand name Soliris among others, is a medication used to treat paroxysmal nocturnal hemoglobinuria (PNH), atypical hemolytic uremic syndrome (aHUS), and neuromyelitis optica.In people with PNH, it reduces both the destruction of red blood cells and need for blood transfusion, but does not appear to affect the risk of death. But when hospital-based infusion isn’t needed, using other locations can save money. We’re here to help. Indications and Usage (1.3) 10/2017 Dosage and Administration (2.4, 2.5) 10/2017 Dosage and Administration (2.5, 2.6, 2.7) 07/2018 Warnings and Precautions (5.1, 5. You are now leaving SolirisgMG.com, a website provided by Alexion Pharmaceuticals, Inc. These new indications are good news for people with rare conditions with few or no treatment options. • The approval of Soliris for the new indication was based on a double -blind study in 143 patients with NMOSD who were anti-AQP4 antibody positive. INDICATIONS AND USAG E . SOLIRIS and gMG. The indications below including FDA-approved indications and compendial uses are considered covered benefits provided that all the approval The FDA approved Soliris on Friday as a first-of-its-kind therapy to treat adult anti-aquaporin-4 antibody-positive patients with neuromyelitis optica spectrum disorder (NMOSD), a … Starner CI, Vande Valle SE, Gunderson BW, Gleason PP. What more can Soliris do? SOLIRIS can cause serious side effects including serious infusion-related reactions. If your doctor decided that urgent treatment with SOLIRIS is needed, you should receive meningococcal vaccination as soon as possible. Soliris FDA Approval History. In the main clinical trial of Soliris, 61 patients in the Soliris treatment arm (98%) and 62 patients in the placebo arm (98%) were receiving 2 or more treatments prior to the start of the clinical trial. Certain people may be at risk of serious infections with gonorrhea. J Manag Care Spec Pharm 2018;24(4-a Suppl):S65. Please see the full Prescribing Information and Medication Guide for SOLIRIS, including Boxed WARNING regarding serious and life-threatening meningococcal infections. A treatment option for adults with anti-acetylcholine receptor antibody-positive (AChR Ab+) generalized Myasthenia Gravis (gMG), It may be time to talk to your doctor about Soliris. SOLIRIS is the first and only complement inhibitor approved for adults with anti-acetylcholine receptor antibody-positive (AChR+) generalized Myasthenia Gravis (gMG), a chronic and debilitating neuromuscular disorder. Please enter your information below to receive updates on anti-AChR Ab+ gMG. It is not known if SOLIRIS will harm your unborn baby or if it passes into your breast milk. Administer Soliris at the recommended dosage regimen time points, or within two days of these time points. The clinical trial for the new MG indication tested Soliris only for efficacy on 5 to 10 percent of the population with MG. There are several other treatments available that treat MG, but not all treatments work for all people with MG. Under the Soliris REMS, prescribers must enroll in the program (5.2). with clinical symptom(s) Your doctor will decide if you need additional vaccination. 4.1 Therapeutic indication Soliris is indicated in adults and children for the treatment of: - Paroxysmal nocturnal haemoglobinuria (PNH). Enrollment in the Soliris REMS program and additional information are available by telephone: 1-888-SOLIRIS (1-888-765-4747). In patients with PNH, aHUS, myasthenia gravis and NMOSD, the complement proteins are over-active and damage the patients’ own cells. 2) 07/2018 . It is the first FDA-approved treatment for the autoimmune disease and the fourth indication for Soliris, which carries a list price of approximately $500,000 per year. With Soliris, A future with fewer relapses is possible. Patients were randomized to receive Soliris or placebo. Soliris is, thus, expected to become the first FDA approved drug in NMOSD indication. Sold under the trade name Soliris® among others, it is a medication approved by the FDA in 2007, gathering 4 indications along the way accumulating in $3.5 billion in sales in 2018. Before you can receive SOLIRIS, your doctor must enroll in the SOLIRIS REMS program; counsel you about the risk of meningococcal infection; give you information and a Patient Safety Card about the symptoms and your risk of meningococcal infection (as discussed above); and make sure that you are vaccinated with the meningococcal vaccine and, if needed, get revaccinated with the meningococcal vaccine. Under the medical benefit, we use medical claim edits. © 2021 Prime Therapeutics LLC, All Rights Reserved. IMPORTANT SAFETY INFORMATION INCLUDING BOXED WARNING. Sign up to get the latest news and information about anti-AChR Ab+ gMG and Soliris to help you make the most of your treatment. Oops ! Put simply—the sales should be associated with approved indications associated with FDA-associated randomized controlled trials. Source: Alexion Pharmaceuticals, 2019a. RELATED: With pivot to less-rare … It was the first ever treatment for either of these rare, orphan conditions. We study the market. 1 INDICATIONS AND USAGE . Soliris works to help manage anti-acetylcholine receptor antibody-positive generalized Myasthenia Gravis (anti-AChR Ab+ gMG) by focusing on a … Call your doctor or get emergency medical care right away if you get any of these signs and symptoms of a meningococcal infection: headache with nausea or vomiting, headache and fever, headache with a stiff neck or stiff back, fever, fever and a rash, confusion, muscle aches with flu-like symptoms, and eyes sensitive to light. By using our website, you agree to our use of cookies in accordance with our. INDICATION What is SOLIRIS? SOLIRIS is a prescription medicine used to treat adults with a disease called generalized myasthenia gravis (gMG) who are anti-acetylcholine receptor (AChR) antibody positive. Soliris is a complement inhibitor indicated for: • … Most infusions occur in the three locations below, but hospital outpatient facilities may cost 2-3x more than other locations for the same drug. Soliris ® (eculizumab), a complement inhibitor, is the first and only medication approved by the FDA to treat adults with neuromyelitis optica spectrum disorder (NMOSD) who are anti-aquaporin-4 (AQP4) antibody positive. It includes: For Soliris, the focus for managing medical drug spend is in network and utilization management. Prime’s site of care policy restricts Soliris administration from hospital administration. We do the research. Exculizumab for Myasthenia Gravis: A Comprehensive Integrated Medical and Pharmacy Claims Analysis of Impact on Potential Uptake and Expenditures Among 15 million Commercially Insured Members. These are not all the possible side effects of SOLIRIS. The most common side effects in people with gMG treated with SOLIRIS include: muscle and joint (musculoskeletal) pain. Soliris® and Alexion® are registered trademarks and OneSource™ is a trademark of Alexion Pharmaceuticals, Inc. SOLIRIS (eculizumab) is a complement inhibitor indicated for: The treatment of patients with paroxysmal nocturnal hemoglobinuria (PNH) to reduce hemolysis; The treatment of patients with atypical hemolytic uremic syndrome (aHUS) to inhibit complement-mediated thrombotic microangiopathy; Carry it with you at all times during treatment and for 3 months after your last SOLIRIS dose. The intent of the Soliris (eculizumab) drug policy is to ensure appropriate selection of patients for therapy based on product labeling, clinical guidelines, and clinical studies. At Prime, we want specialty drugs to be available to those who can benefit the most from them. We apologize for the inconvenience. The active substance in Soliris, eculizumab, is a monoclonal antibody (a type of protein) that has been designed to attach to the C5 complement protein, which is a part of the body’s defence system called the ‘complement system’.. 2010 soliris-eculizumab-342875 Drugs Drugs eculizumab 2003 /viewarticle/941970 Journal Article Drug names are the property of their respective owners. Prime also revised the reimbursement equation used with providers to give them a more reasonable margin and us the savings we needed: From this:   traditional reimbursement equation ASP*+20% = $100,000 to $300,000 profit per member per year. In severe cases, Soliris has to be infused while the patient is hospitalized. In 2011, the FDA approved Soliris to treat atypical hemolytic uremic syndrome (aHUS). Certain fungal infections (Aspergillus) may occur if you take SOLIRIS and have a weak immune system or a low white blood cell count. https://www.primetherapeutics.com/content/dam/corporate/Documents/Newsroom/Pressreleases/2018/document-amcpspring18-eculizumab.pdf. The use of the target agent is for an indication that is supported by compendia. Non-FDA approved indications, which are not addressed in this policy, unless there is sufficient documentation of efficacy and safety according to the off label use policies – CP.CPA.09 for commercial, HIM.PHAR.21 for health insurance marketplace, and CP.PMN.53 for … Treatment for: Paroxysmal Nocturnal Hemoglobinuria, Hemolytic Uremic Syndrome, Myasthenia Gravis Soliris is a complement inhibitor indicated for:. The FDA granted the approval of Soliris to Alexion Pharmaceuticals. Before you receive SOLIRIS, tell your doctor about all of your medical conditions, including if you: have an infection or fever, are pregnant or plan to become pregnant, and are breastfeeding or plan to breastfeed. By checking this box and submitting this form, I give Alexion permission to contact me for commercial purposes or otherwise provide me with information about Alexion’s products, services, programs, market research, or other topics of interest that Alexion thinks may interest me. But with drugs that can cost hundreds of thousands of dollars a year per patient, it’s our job to make sure that the right drug gets to the right patient. It doesn’t have to be that way. 2 items. INDICATIONS What is SOLIRIS? FDA Approved: Yes (First approved March 16, 2007) Brand name: Soliris Generic name: eculizumab Dosage form: Injection Company: Alexion Pharmaceuticals, Inc. Ultomiris can prove to be a major revenue growth driver for Alexion Pharmaceuticals in future years. Privacy Policies | Terms of Use | Subrogation services, Thought leadership | Controlled substances, By Kyle Skiermont, PharmD | Senior Vice President, Specialty Pharmacy and Home Delivery Services, List with Tell your doctor or nurse right away if you get any of these symptoms during your SOLIRIS infusion: chest pain; trouble breathing or shortness of breath; swelling of your face, tongue, or throat; and feel faint or pass out. You can get in touch with us by using our contact form. Call your doctor for medical advice about side effects. 1.1 Paroxysmal Nocturnal Hemoglobinuria (PNH) Soliris is indicated for the treatment of patients with paroxysmal nocturnal This service is not available at the moment. SOLIRIS is only available through a program called the SOLIRIS REMS. It is not known if SOLIRIS is safe and effective in children with gMG. This link will take you to a different site that is owned and operated by an independent third party to which this Privacy Policy does not apply. Accessed at: https://www.primetherapeutics.com/content/dam/corporate/Documents/Newsroom/Pressreleases/2018/document-amcpspring18-eculizumab.pdf. You are encouraged to report negative side effects of prescription drugs to the FDA. If you are a Healthcare Professional, click OK to continue; if not, click cancel to go back. The first complement inhibitor approved by the FDA, Soliris has been studied in 51 clinical trials and is approved for 4 indications, with 50,000 patient-years of data, and 13 years of postmarket experience. 8 items, List with If you have an infusion-related reaction to SOLIRIS, your doctor may need to infuse SOLIRIS more slowly, or stop SOLIRIS. In December 2016, Soliris received FDA approval to treat adult patients with generalized myasthenia gravis (MG). Background U.S. Food and Drug Administration (FDA)-Approved Indications. For more information, ask your doctor or pharmacist. Soliris® (eculizumab) When requestingSoliris® (eculizumab), the individual requiring treatment must be diagnosed with an FDA-approved indicationand meet the specific coverage guidelines and applicable safety criteria for the covered indication. This information is intended for U.S. Healthcare Professionals. Then the manufacturer applies to the FDA for approval for to treat new indications with a new drug application (NDA). To this:   Prime’s reimbursement solution ASP + flat rate of $300 to $500 = $300 to $500 profit per member per year. Soliris is indicated for the treatment of patients with paroxysmal nocturnal hemoglobinuria (PNH) to reduce hemolysis. (NCCN Compendium™[ level of evidence 1, 2A], AHFS, DrugDex [FDA approved Class I or Class IIa]), or It is important that you have all recommended vaccinations before you start SOLIRIS, receive 2 weeks of antibiotics if you immediately start SOLIRIS, and stay up-to-date with all recommended vaccinations during treatment with SOLIRIS. That’s a book of business savings of $52.5 million for Soliris. Do not receive SOLIRIS if you have a meningococcal infection or have not been vaccinated against meningitis infection unless your doctor decides that urgent treatment with SOLIRIS is needed. This saved Prime’s plans $281,000 per member annually. Use the locator to find a gMG event for patients and caregivers near you, or webinars to connect with others from the comfort of your own home. Meningococcal vaccines reduce but do not prevent all meningococcal infections. 1,2 SOLIRIS is the first and only complement inhibitor approved for the treatment of adult patients with gMG who are AChR+.

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