Question 1

How can I lower the cost of my Zejula

Accepted Answer

You can lower cost of your Zejula using one of the 4 following drug savings programs: Rx Advantage Card for Zejula, Canadian Prescription Savings for Zejula, Zejula Drug Coupons, Zejula Patient Assistance Programs

Question 2

What is Zejula?

Accepted Answer

ZEJULA is the brand name for niraparib and is available as an oral capsule.

Question 3

What dosages is Zejula available in?

Accepted Answer

ZEJULA is available as a 100 mg oral capsule.

Question 4

What is Zejula used for?

Accepted Answer

ZEJULA is a PARP inhibitor and is used for the following: Maintenance treatment for advanced ovarian, fallopian tube, or primary peritoneal cancer that’s responded to chemotherapy Maintenance treatment for recurrent ovarian, fallopian tube, or primary peritoneal cancer with BRCA mutations that’s responded to chemotherapy

Question 5

How does Zejula work?

Accepted Answer

ZEJULA is a PARP inhibitor, which means it stops the PARP protein in the body from working. The PARP protein normally helps cells, including cancer cells, grow and survive by fixing damaged DNA. By blocking PARP from working, ZEJULA prevents cancer cells from repairing their DNA, which kills them.

Question 6

How do I take Zejula?

Accepted Answer

ZEJULA is dosed as follows: Maintenance treatment for advanced ovarian cancer:  Weighing less than 77 kg (170 lbs) OR with a platelet level of less than 150,000/mcL: The typical dose is 200 mg by mouth once a day Weighing 77 kg (170 lbs) or more AND with a platelet level of 150,000/mcL or more: The typical dose is 300 mg by mouth once a day Maintenance treatment for recurrent ovarian cancer with BRCA mutations: The typical dose is 300 mg by mouth once a day  Your dose might be different if you have liver problems or experience side effects from the medication.

Question 7

Is it safe for me to take Zejula?

Accepted Answer

ZEJULA is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you.

Question 8

Zejula Common Side Effects

Accepted Answer

Common side effects of ZEJULA:  Nausea Low platelet count Low red blood cells Tiredness Constipation Muscle, bone, or joint pain Stomach pain Vomiting Poor appetite

Question 9

Zejula Serious Side Effects

Accepted Answer

Serious side effects are rare with ZEJULA. Contact your healthcare provider immediately if you experience any of the following.  Bone marrow problems: infections, fever, trouble breathing, weight loss, bleeding or bruising more easily, blood in the urine or stool, weakness Extremely high blood pressure: headache, dizziness, nosebleeds Posterior reversible encephalopathy syndrome (PRES): severe headaches, seizures, confusion, changes in vision

Question 10

Effects of other drugs, drug classes and over-the-counter products on Zejula

Accepted Answer

There are no major drug interactions listed for ZEJULA. However, always let your physician and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking.

Question 11

Who makes Zejula?

Accepted Answer

GlaxoSmithKline

Question 12

Is Zejula safe in pregnancy?

Accepted Answer

ZEJULA can harm your unborn baby and may cause loss of pregnancy (miscarriage). If you are able to become pregnant, your healthcare provider may perform a pregnancy test before you start treatment with ZEJULA. Females who are able to become pregnant should use effective birth control (contraception)during treatment with ZEJULA and for 6 months after the last dose of ZEJULA. Talk to your healthcare provider about birth control methods that may be right for you. Tell your healthcare provider right away if you become pregnant.

Question 13

What is the generic name for Zejula?

Accepted Answer

Niraparib

Question 14

How can NowPatient help me to lower the cost of my Zejula prescription?

Accepted Answer

After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your Zejula prescription  Rx Advantage Card Drug Coupons Patient Assistance Programs Canadian Prescription Savings  Applicability to each program will be dependent on your insurance status.

Question 15

How do the NowPatient Zejula savings programs work?

Accepted Answer

After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.   Rx Advantage Card Drug Coupons Patient Assistance Programs Canadian Prescription Savings  Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.

Question 16

Are the NowPatient Zejula savings programs suitable for everyone, regardless of insurance status?

Accepted Answer

No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.      Rx Advantage Card* for Zejula Canadian Prescription Savings* for Zejula Zejula Drug Coupon* Zejula Patient Assistance Program*   Insured (federal, state or government) Available Available Not Available Available If Offered by Pharmaceutical Company   Insured (Commercial or Private) Available Available Available If Offered by Pharmaceutical Company Available If Offered by Pharmaceutical Company   Uninsured Available Available Not Available Available If Offered by Pharmaceutical Company   Insured but without pharmacy benefit or drug coverage Available Available Not Available Available If Offered by Pharmaceutical Company     *This is not insurance.

Question 17

Are the NowPatient drug savings programs suitable for brand and generic versions of Zejula?

Accepted Answer

No. Each program has applicability requirements. Please see below      Rx Advantage Card* for Zejula Canadian Prescription Savings* for Zejula Zejula Drug Coupon* Zejula Patient Assistance Program*   Brand Yes Yes Yes, If Offered by Pharmaceutical Company Yes, If Offered by Pharmaceutical Company   Generic Yes Yes No No     *This is not insurance.

Question 18

If you have Medicare Part D or Medicare Advantage and none of the Zejula savings options are applicable or affordable for me, what can you do?

Accepted Answer

If you are insured with Medicare and the Zejula drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.  The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication. People who qualify for both Medicare and Medicaid are called ‘dual eligibles’. If you are denied Medicaid for Zejula, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

Question 19

I am uninsured or underinsured and none of the Zejula prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If you are uninsured or underinsured (for example, Zejula is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.  The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication. If you are denied and all else fails, and if you have been prescribed Zejula for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.

Question 20

I am commercially or privately insured and none of the Zejula prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If your medication is not covered by your plan, you can you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary. If you cannot afford your copay, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov. However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.

Question 21

If I have federal, state or commercial insurance and none of the Zejula prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay?

Accepted Answer

If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs: 1. Patient Access Network Foundation (PAN) assistance for Zejula If you are having trouble paying for your Zejula medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for Zejula you will need to meet one or all of the following criteria:  Your income is below 400% of the federal poverty level Zejula is prescribed for an approved FDA indication You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship You have Medicare insurance coverage that covers Zejula If Zejula is listed on PAN’s list of covered medications  You can check the Patient Access Network Foundation Website for more information. 2. HealthWell Foundation Copay Program for Zejula If you are having trouble paying for your Zejula medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for Zejula you will need to meet the following criteria:  You live in and are being treated in the United States You are insured and your plan covers Zejula If Zejula is listed on the HealthWell Foundation’s list of covered medications  You can check the HealthWell Foundation Website for more information. 3. Patient Advocate Foundation Co-Pay Relief Program for Zejula Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your Zejula treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for Zejula you will need to meet the following criteria:  You must be currently insured and have coverage for Zejula You must have a confirmed diagnosis and treatment plan You must reside and receive treatment in the United States Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.  You can check the Patient Advocate Foundation Website for more information.

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Zejula Key Facts

What is Zejula?

What dosages is Zejula available in?

What is Zejula used for?

How does Zejula work?

How do I take Zejula?

Is it safe for me to take Zejula?

Zejula Common Side Effects

Zejula Serious Side Effects

Effects of other drugs, drug classes and over-the-counter products on Zejula

Who makes Zejula?

Is Zejula safe in pregnancy?

What is the generic name for Zejula?

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