If your doctor has prescribed KYPROLIS® (carfilzomib)
we may be able to help you*
Take the first step forward
Introducing
the KYPROLIS FIRST STEP™ program
For eligible commercially insured patients only*
No out-of-pocket cost for the first dose or cycle,
and $25 out-of-pocket cost for subsequent dose or cycle
Maximum benefit of $20,000 per calendar year
No income eligibility requirement
*Enrollment is subject to program eligibility. This program is not open to patients receiving
prescription reimbursement under any federal, state, or government-funded healthcare program,
such as Medicare, Medicare Advantage, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA),
the Department of Defense (DoD) or TRICARE® or where otherwise prohibited by law. See inside.
HELPING YOU AFFORD
YOUR OUT-OF-POCKET COSTS
FOR KYPROLIS®
To qualify* for the KYPROLIS FIRST STEP™ program,
you must:
+ Have commercial health insurance through your job
or private plan
Not have government health insurance like Medicare
*See inside pages for detailed eligibility requirements and coverage limits;
other restrictions may apply.
Call 1-888-65-STEP1 to enroll in the KYPROLIS FIRST STEP™ program
Here’s what you need to qualify for
KYPROLIS FIRST STEP™†:
•
Must be prescribed KYPROLIS®.
•
Must have private commercial health insurance that covers
medication costs for KYPROLIS®.
•
Must not be a participant in any federal-, state-, or governmentfunded healthcare program such as Medicare, Medicare
Advantage, Medicare Part D, Medicaid, Medigap, Veterans Affairs
(VA), the Department of Defense (DoD), or TriCare.
•
May not seek reimbursement for value received from the
KYPROLIS FIRST STEP™ Program from any third-party payers,
including flexible spending accounts or healthcare savings
accounts. If at any time patients begin receiving coverage under
any federal-, state-, or government-funded healthcare program,
patients will no longer be eligible to participate in the KYPROLIS
FIRST STEP™ Program and must call 1-888-65-STEP1
(1-888-657-8371) Monday through Friday, 9 am to 8 pm ET to
stop participation. This is not health insurance. Program invalid
where otherwise prohibited by law.
†
Other restrictions apply. Not valid where prohibited by law. Amgen reserves the right to revise or
terminate this program, in whole or in part, without notice at any time.
Coverage Limits:
•
Program covers out-of-pocket medication costs for the Amgen
product only. Program does not cover any other costs related
to office visit or administration of the Amgen product.
Other restrictions may apply.
•
No out-of-pocket cost for first dose or cycle; $25 out-of-pocket
cost for subsequent dose or cycle; maximum benefit of $20,000
per patient per calendar year. Patient is responsible for costs
above these amounts.
•
Ongoing activation of the applicable KYPROLIS FIRST STEP™ card
is contingent on the submission of the required Explanation of
Benefits (EOB) form by your healthcare provider’s office within
45 days of use of the KYPROLIS FIRST STEP™ card. Patients
will be responsible for reimbursing the program for all amounts
paid out if the EOB for the date of service is not received by the
program within 45 days.
For additional program details, please
visit www.AmgenFIRSTSTEP.com
or call 1-888-65-STEP1 (1-888-657-8371)
KYPROLIS FIRST STEP™ program
3 WAYS TO ENROLL
1
Your doctor’s office can help you enroll
If you are already working closely with your doctor’s office to
coordinate treatment, it may be easier to ask them to help you
confirm your eligibility and enroll in KYPROLIS FIRST STEP™.
2
Your retail or specialty pharmacy can help you enroll
3
You can enroll on your own
Your specialty/retail pharmacy may be able to help you enroll in
KYPROLIS FIRST STEP™ and activate your program card.
If you wish to enroll in the program directly, you may do so
online at AmgenFIRSTSTEP.com, or by calling 1-888-65-STEP1
(1-888-657-8371). Our phone representatives are available to
answer questions and help you enroll Monday through Friday,
9 am to 8 pm ET.
© Amgen Inc. All rights reserved. USA-OCF-124486
*Contact your health plan to request an itemized Explanation of Benefits (EOB) if your
doctor’s office is not able to obtain additional documentation required by the program.
Call 1-888-65-STEP1 to enroll in the KYPROLIS FIRST STEP™ program