![]() ![]() ![]() ![]() These infections included urinary tract infection with sepsis, respiratory tract infection, pneumonia, otomastoiditis, and skin infections. Serious infections (bacterial and viral) were reported in 15% (10/66) of patients receiving ENJAYMO in the two phase 3 trials.ENJAYMO may increase susceptibility to serious infections, including infections caused by encapsulated bacteria such as Neisseria meningitidis (any serogroup), Streptococcus pneumoniae, and Haemophilus influenzae.IMPORTANT SAFETY INFORMATION AND INDICATION CONTRAINDICATIONSĮNJAYMO is contraindicated in patients with known hypersensitivity to sutimlimab-jome or any of the inactive ingredients. These insurers may require additional documentation to process either a prior authorization or a claim upon receipt.ĭocumentation that may be required includes: Check with the payer to determine their process, requirements, and method for requesting authorization.Īs a new medication used to treat a rare disease, some insurers may not be familiar with ENJAYMO. Prior authorization: Many plans may require providers to obtain prior authorization (eg, medical necessity) to begin a course of treatment.These may include contracts for coverage in physician offices and outpatient settings or to specialty pharmacies that provide drugs and biologics to the provider Network providers: Some payers have exclusive contracts with in-network or participating providers to provide infusion therapies.Site of care: Some payers may have coverage rules that restrict certain providers from delivering infusion therapies.Some payers also have policies that may affect coverage for ENJAYMO. It is recommended that ENJAYMO coverage be confirmed with all payers prior to patient administration, as patient benefits vary among payers and by plans. The specifics of coverage may vary by payer. Please refer to the individual patient’s plan to determine any applicable coverage requirements. The drug costs are expected to be covered under the Medicare Part B benefit. ENJAYMO is designed to be prepared and administered by a healthcare provider. ![]()
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