RIGEL ONECARE Provides Support to Patients Taking REZLIDHIA
Nurses at RIGEL ONECARE are fully trained to support patients prescribed REZLIDHIA, whether their REZLIDHIA is fulfilled through integrated, in-office dispensing or specialty pharmacies
RIGEL ONECARE Programs*
Free Drug Supply
- For insurance coverage delays longer than 5 business days
- Up to 60 days supply and/or insurance coverage determination
- Any patient, 18 years or older, is eligible if criteria are met
Nurse Navigator
- Will identify the applicable support resources for patients taking REZLIDHIA
- Will provide patients taking REZLIDHIA with adherence and product education calls that are personalized to their desired frequency
- Will assist with access needs for REZLIDHIA such as benefit investigations, prior authorizations, and appeal processes, if needed
Copay or Coinsurance Assistance
- Pay as little as $15 per prescription fill
- Annual benefit of $25,000
- Must have commercial insurance (Medicare, Medicaid or other government programs are not eligible for copay assistance through RIGEL ONECARE)
- Covered by most commercial insurance plans
Patient Assistance Program (PAP)
- ≤ 500% of federal poverty level
- Any patient, 18 years or older, is eligible if criteria are met
Enroll your patients today via this form
Download the RIGEL ONECARE Enrollment Form - including the embedded prescription
Enrollment FormAll RIGEL ONECARE programs are subject to eligibility requirements and changes. Criteria above do not represent all criteria for each program.
Must be U.S. resident or U.S. territory resident. Restrictions apply.
You and your patients can choose the fulfillment that works best through Rigel's dedicated pharmacy network
Specialty Pharmacy &Distributor Guide
With REZLIDHIA financial assistance, eligible patients pay as little as $15†
The REZLIDHIA copay assistance program can help eligible patients with commercial insurance pay as little as $15 per prescription fill. Enroll your patients now by answering a few eligibility questions.
Sign up!Eligible patients, age 18 or older and with a valid prescription, may receive REZLIDHIA at a $15 per prescription fill, if they pay through commercial insurance. Full program criteria are not displayed and can be found at REZLIDHIAcopay.com.
Resources for your practice
Enroll patients in RIGEL ONECARE for patient support services including benefits verification, prior authorizations, temporary and long-term free drug supply, and adherence support
Information on REZLIDHIA dosing and administration, monitoring, and dose modifications to manage potential adverse reactions
Find information on REZLIDHIA distribution and pharmacy networks, and patient support services
Review the results of the REZLIDHIA clinical trial in Blood Advances for details about efficacy and safety
Visit REZLIDHIAhcp.com for additional resources
Resources for your patients
Provides instruction and guidance to patients on dosing and administration, possible side effects, proper storage, and more
Important information for patients about what to expect with REZLIDHIA when starting treatment
Eligible patients pay as little as $15 per prescription fill with REZLIDHIA copay assistance and commercial insurance
A reference card for patients taking REZLIDHIA to share with healthcare providers or emergency responders, should they experience signs and symptoms of differentiation syndrome
Foundations with financial assistance for your patients with AML
These foundations may be able to provide your patients with additional financial support for their AML treatment
INDICATION
REZLIDHIA is indicated for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with a susceptible isocitrate dehydrogenase-1 (IDH1) mutation as detected by an FDA-approved test.
IMPORTANT SAFETY INFORMATION
WARNING: DIFFERENTIATION SYNDROME
Differentiation syndrome, which can be fatal, can occur with REZLIDHIA treatment. Symptoms may include dyspnea, pulmonary infiltrates/pleuropericardial effusion, kidney injury, hypotension, fever, and weight gain. If differentiation syndrome is suspected, withhold REZLIDHIA and initiate treatment with corticosteroids and hemodynamic monitoring until symptom resolution.
WARNINGS AND PRECAUTIONS
Differentiation Syndrome
REZLIDHIA can cause differentiation syndrome. In the clinical trial of REZLIDHIA in patients with relapsed or refractory AML, differentiation syndrome occurred in 16% of patients, with grade 3 or 4 differentiation syndrome occurring in 8% of patients treated, and fatalities in 1% of patients. Differentiation syndrome is associated with rapid proliferation and differentiation of myeloid cells and may be life-threatening or fatal. Symptoms of differentiation syndrome in patients treated with REZLIDHIA included leukocytosis, dyspnea, pulmonary infiltrates/pleuropericardial effusion, kidney injury, fever, edema, pyrexia, and weight gain. Of the 25 patients who experienced differentiation syndrome, 19 (76%) recovered after treatment or after dose interruption of REZLIDHIA. Differentiation syndrome occurred as early as 1 day and up to 18 months after REZLIDHIA initiation and has been observed with or without concomitant leukocytosis.
If differentiation syndrome is suspected, temporarily withhold REZLIDHIA and initiate systemic corticosteroids (e.g., dexamethasone 10 mg IV every 12 hours) for a minimum of 3 days and until resolution of signs and symptoms. If concomitant leukocytosis is observed, initiate treatment with hydroxyurea, as clinically indicated. Taper corticosteroids and hydroxyurea after resolution of symptoms. Differentiation syndrome may recur with premature discontinuation of corticosteroids and/or hydroxyurea treatment. Institute supportive measures and hemodynamic monitoring until improvement; withhold dose of REZLIDHIA and consider dose reduction based on recurrence.
Hepatotoxicity
REZLIDHIA can cause hepatotoxicity, presenting as increased alanine aminotransferase (ALT), increased aspartate aminotransferase (AST), increased blood alkaline phosphatase, and/or elevated bilirubin. Of 153 patients with relapsed or refractory AML who received REZLIDHIA, hepatotoxicity occurred in 23% of patients; 13% experienced grade 3 or 4 hepatotoxicity. One patient treated with REZLIDHIA in combination with azacitidine in the clinical trial, a combination for which REZLIDHIA is not indicated, died from complications of drug-induced liver injury. The median time to onset of hepatotoxicity in patients with relapsed or refractory AML treated with REZLIDHIA was 1.2 months (range: 1 day to 17.5 months) after REZLIDHIA initiation, and the median time to resolution was 12 days (range: 1 day to 17 months). The most common hepatotoxicities were elevations of ALT, AST, blood alkaline phosphatase, and blood bilirubin.
Monitor patients frequently for clinical symptoms of hepatic dysfunction such as fatigue, anorexia, right upper abdominal discomfort, dark urine, or jaundice. Obtain baseline liver function tests prior to initiation of REZLIDHIA, at least once weekly for the first two months, once every other week for the third month, once in the fourth month, and once every other month for the duration of therapy. If hepatic dysfunction occurs, withhold, reduce, or permanently discontinue REZLIDHIA based on recurrence/severity.
ADVERSE REACTIONS
The most common (≥20%) adverse reactions, including laboratory abnormalities, were aspartate aminotransferase increased, alanine aminotransferase increased, potassium decreased, sodium decreased, alkaline phosphatase increased, nausea, creatinine increased, fatigue/malaise, arthralgia, constipation, lymphocytes increased, bilirubin increased, leukocytosis, uric acid increased, dyspnea, pyrexia, rash, lipase increased, mucositis, diarrhea and transaminitis.
DRUG INTERACTIONS
- Avoid concomitant use of REZLIDHIA with strong or moderate CYP3A inducers.
- Avoid concomitant use of REZLIDHIA with sensitive CYP3A substrates unless otherwise instructed in the substrates prescribing information. If concomitant use is unavoidable, monitor patients for loss of therapeutic effect of these drugs.
LACTATION
Advise women not to breastfeed during treatment with REZLIDHIA and for 2 weeks after the last dose.
GERIATRIC USE
No overall differences in effectiveness were observed between patients 65 years and older and younger patients. Compared to patients younger than 65 years of age, an increase in incidence of hepatotoxicity and hypertension was observed in patients ≥65 years of age.
HEPATIC IMPAIRMENT
In patients with mild or moderate hepatic impairment, closely monitor for increased probability of differentiation syndrome.
Please see Full Prescribing Information, including Boxed WARNING.
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