Helping patients get access to their prescribed medications with the information and support they need.
IPSEN CARES (Coverage, Access, Reimbursement & Education Support) serves as a central point of contact between patients/caregivers, healthcare providers (HCPs), insurance companies, and specialty pharmacies.
Patient support for eligible* and enrolled patients prescribed Dysport®
Once the provider has prescribed Dysport for injection, the IPSEN CARES Patient Access Specialists are fully dedicated to:
- Facilitating patients’ access to their prescribed medications
- Providing information and support for the interactions among offices, patients, and insurance companies for Ipsen medications
IPSEN CARES Enrollment Is Quick and Easy
Patients must be enrolled to access all IPSEN CARES support offerings.
Patient and HCP download the IPSEN CARES Enrollment Form and complete it at the office. The form is submitted electronically or by printing and faxing it to IPSEN CARES. The patient can also self-enroll.
Once a completed Enrollment Form is received, an IPSEN CARES Patient Access Specialist will conduct a benefits verification to review the patient’s out-of-pocket costs associated with the Ipsen medication. Additional support offerings for which the patient may be eligible will be discussed at that time.
Patient Authorization
Patients/caregivers are required to sign the Dysport Patient Authorization Form every 3 years, or sooner if required by state law, to give the Patient Access Specialists at IPSEN CARES permission to access the patient’s personal health information in order to help with treatment. The form can be signed and submitted online, or by downloadable PDF, which must be printed, filled out, signed, and faxed.
Help With Copays?
Check for copay coverage. Considering that some patients need financial assistance, our copay assistance programs may help eligible* patients with the cost of their treatment. The Dysport Copay Program for eligible* commercially insured and uninsured patients is available by enrolling in IPSEN CARES. Here is the key information:
- Patients may pay as little as $0 per prescription
- For patients utilizing the Pharmacy Benefit, we will provide the virtual pharmacy copay card information on behalf of the patient directly to the specialty pharmacy being utilized
- For patients utilizing the Medical Benefit, we will send details for claims processing on behalf of the patient directly to the doctor’s office
- For patients who are eligible for government health benefits (e.g., Medicare, Medicaid, TRICARE), IPSEN CARES may be able to offer the contact information for independent nonprofit foundations that may be able to offer financial assistance
To learn more about IPSEN CARES, visit www.ipsencares.com
IPSEN CARESTM
National Dysport Coverage Overview*
For patients with spasticity, Dysport has national coverage without restrictions for:
For adult patients with cervical dystonia, Dysport has national coverage without restrictions for:
*Data provided by Breakaway Partners Essentials and current as of February 2021
+Includes Managed and State Medicaid
IPSEN CARES Dysport Copay Assistance Program Video
This video will walk you through the copay assistance enrollment process and the steps required
for reimbursement of claims
Patient Resources
IPSEN CARES Patient Copay Brochure
IPSEN CARES Self Enrollment Form
Patient Assistance Program Application
A Treatment Guide for Adult Spasticity
Doctor Discussion GuideSupport from those who understand your conditions, because you’re not alone.
The spasticity community: Connect with others in similar situations for support, information or just an understanding friend. Sometimes people who don’t have spasticity just aren’t able to
understand what it feels like. Remind yourself that you are not alone and reach out. Through these organizations, you and those who care for you can find helpful information about living with spasticity.
Alliance for Patient Access
1-202-499-4114
allianceforpatientaccess.org
American Stroke Association
1-888-4-STROKE (1-888-478-7653)
strokeassociation.org
Brain Injury Association of America
1-800-444-6443
biausa.org
Caregiver Action Network
1-202-454-3970
caregiveraction.org
Additional Support
Learn more about Adults with Spasticity
IMPORTANT SAFETY INFORMATION
What is the most important safety information I should know about Dysport?
Dysport may cause serious side effects, including problems breathing or swallowing and/or spread of toxin effects, that can be life threatening and death can happen as a complication. These problems can happen within hours, or days to weeks after an injection of Dysport.
- Problems swallowing, breathing, or speaking. Treatment with Dysport can result in swallowing or breathing problems. People with pre-existing swallowing or breathing problems may be at greater risk following treatment with Dysport. Swallowing problems may last for several weeks; you may need a feeding tube to receive food or water. If swallowing problems are severe, food or liquids may go into your lungs.
- Spread of toxin effects. The effects of botulinum toxin may affect areas of the body away from the injection site and cause symptoms of a serious condition called botulism which include: loss of strength and muscle weakness all over the body, double or blurred vision, and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, and trouble breathing or swallowing. The risk of these symptoms is probably greatest in children treated for spasticity. These problems could make it unsafe for you to drive a car, operate machinery, or do other dangerous activities.
Call your doctor or get medical help right away if you experience these problems after treatment with Dysport.
Do not receive a Dysport injection if: you are allergic to Dysport or any of its ingredients, or cow’s milk protein; you had an allergic reaction to any other botulinum toxin product, such as Myobloc®, Botox®, or Xeomin®; or you have a skin infection at the planned injection site.
Before you receive a Dysport injection tell your doctor:
- About all your medical conditions, including if you have a disease that affects your muscles and nerves (such as ALS or Lou Gehrig’s disease [amyotrophic lateral sclerosis], myasthenia gravis, or Lambert-Eaton syndrome). You may be at increased risk of serious side effects, including difficulty swallowing or breathing.
- If you have or have had any of the following: a side effect from any botulinum toxin in the past; problems with breathing such as asthma or emphysema; swallowing; bleeding; diabetes; and slow heartbeat, or problems with your heart rate or rhythm.
- If you have plans to have surgery, had surgery on your face, have weakness of your forehead muscles (trouble raising your eyebrows), drooping eyelids, or any other change in the way your face normally looks.
- If you are pregnant or breastfeeding or plan to become pregnant or breastfeed. It is not known if Dysport can harm your unborn baby or if it passes into breast milk.
- About all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal products. Using Dysport with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received Dysport in the past.
Especially tell your doctor if you have received any other injections of botulinum toxin in the last four months or ever; Myobloc®, Botox®, or Xeomin® (exactly which ones); an antibiotic recently by injection; or if you take muscle relaxants; allergy, cold or sleep medicine.
Most Common Side effects of Dysport in:
- adults with lower limb spasticity include: fall, muscle weakness, pain in your arms or legs.
- adults with upper limb spasticity include: muscle weakness.
- children (2 to 17 years of age) with upper limb spasticity include: upper respiratory infection and sore throat.
- children (2 to 17 years of age) with lower limb spasticity include: upper respiratory infection, stuffy or runny nose and sore throat, cough, and fever.
- adults with cervical dystonia include: muscle weakness, difficulty swallowing, dry mouth, injection site discomfort, tiredness, headache, muscle pain, problems speaking, injection site pain and eye problems.
Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of Dysport. For more information, ask your doctor or pharmacist. You may report side effects to the FDA at www.fda.gov/medwatch or call 1-800-FDA-1088.
What is Dysport?
Dysport is a prescription medicine that is injected into muscles and used to treat:
- increased muscle stiffness in patients 2 years of age and older with upper and lower limb spasticity
- cervical dystonia (CD) in adults
Please see full Prescribing Information including Medication Guide with Important Warning.
Botox, Xeomin, and Myobloc are registered trademarks of their respective owners.