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Frequently asked questions

Ordering and Billing  |  CuraScript  |  CVS Caremark

How can I order IMPLANON®?

Currently IMPLANON® is offered through two distributors, CuraScript and CVS Caremark. Please note that only Healthcare providers who have attended a Schering-Plough clinical training program and are listed in the trained clinician data base are authorized to purchase IMPLANON®.

Who is the distributor?

Schering-Plough has contracted with two specialty distributors: CuraScript and CVS Caremark.

How do I choose who I order from? Do you recommend CuraScript or CVS Caremark?

Every customer has different requirements. Visit the CuraScript and CVS Caremark pages to review the ordering process for both. This can help you make the best decision for your practice.

Will the product be available to additional distribution outlets in the future?

At this time Schering-Plough has chosen to use only CuraScript and CVS.  Additional distributors may be available in the future.

How much does IMPLANON® cost?

As with any medication, the cost to the patient will depend on the patients’ health coverage.  Most patients have public or private medical coverage which may cover the cost of IMPLANON®.  For complete details, please contact the patient’s insurer.

If you are a clinician ordering IMPLANON® on behalf of a patient, complete details on the cost of IMPLANON® can be obtained from either of our distributors. You can contact CuraScript’s Call Center at 1.866.844.0148 or the CVS Caremark Call Center at 1.866.318.3492 for more information.

What is the NDC Code for IMPLANON®?

The NDC code for IMPLANON® is 00052-0272-01.

I am looking for the Product code or J-code for IMPLANON®.

The J CODE for IMPLANON® is J7307.

What procedure codes should I use to bill for IMPLANON®?

The procedure code is 11975 or 11981 for insertion and 11976 or 11982 for removal.  If the procedure performed is a combination of removal and reinsertion, then 11977 or 11983 can be used.

Who is CuraScript?

CuraScript, Inc., a subsidiary of Express Scripts (ESRX), is one of the largest, independent specialty pharmaceutical services companies in the United States.  CuraScript offers wholesale distribution and specialty pharmacy services, including the nation’s leading fertility pharmacy, Freedom Fertility Pharmacy.  With this combined offering, CuraScript has become an established provider of women’s health products.

Physicians who choose to purchase IMPLANON® directly may do so through CuraScript’s wholesale distribution channel. CuraScript’s physician customers enjoy an easy ordering experience, complementary express shipping, and personalized customer service to meet the individual needs of their practice.  

Complementing its distribution service, CuraScript also offers patient-specific specialty pharmacy services. Our pharmacy services are designed to offer additional opportunities to help support your practice and patients with superior customer service, exceptional patient care, and better clinical outcomes.

What are CuraScript’s hours of operation?

At CuraScript, you will have access to our expert customer service and clinical staff from 8:00 am to 8:00 pm Eastern.

Is there a fee for using CuraScript?

No, there is no fee for using CuraScript; however, the patient will be responsible for any co-payment, co-insurance and/or deductible as determined by her insurance plan.

How do I set up an account with CuraScript?

CuraScript offers physicians the option of opening an account to purchase IMPLANON®.  With a CuraScript account, you can access a 90-day line of credit and place your order by paying with a credit card.

To open an account with CuraScript, simply complete the one-time Account Application form.  To expedite the account set-up process, return the completed application along with a copy of your State Medical License, DEA license, and a list of trained clinicians authorized to place orders on the account.  Applications can be submitted to our dedicated IMPLANON® fax number at 866.239.5502.

Account setup is complete within 48 hours in most cases.  Someone from CuraScript’s IMPLANON® customer support team will contact you within 24 hours to confirm receipt of your application and again once account setup is complete. 

To order IMPLANON® you must first establish an account with CuraScript. To set up an account, you must complete a credit application and attach the applicable supporting documentation. The credit application must be fully completed and signed by the principle owner of the liable party.

Key areas to be completed in the application:

•  Type of organization & Federal Tax ID number – This allows CuraScript to use an external reporting agency to verify credit worthiness and in most cases enables the account to be opened within 24 hours.

•  Contact person (A/P and Purchasing) – This information is necessary for CuraScript to manage your account.

•  Financial Statements (not listed) – This is not a requirement, but will expedite the turnaround time. If the information received from the credit investigation is incomplete, CuraScript may require this information to support the credit limit required to make purchases on terms.

•  Average Monthly Purchases – This field is not required, but is helpful to determine credit line needed to support purchases.

•  Vendor References – Please provide references in which you purchase on a line of credit, preferably other drug and or medical supply vendors. Leases and utilities are not suitable references.

•  Bank References – Please provide banking information for your primary account and line of credit (if applicable). Please verify that the account number appears completely and is legible. Also, providing the name of your relationship manager is helpful in assisting CuraScript in providing the information and speeds up the processing time.

•  Terms & Conditions – Please read and have a business principal sign. Credit applications without signature cannot be processed.

Credit applications can be downloaded from the www.implanon-usa.com website or obtained from CuraScript  by calling 1-877-IMPLANON and selecting option #1 or by United States Postal Service (USPS).

How do I order IMPLANON® from CuraScript?

You can order IMPLANON® in two ways:

1. Access a 90-day line of credit or use a credit card payment through your CuraScript account

2. Order IMPLANON® via prescription order

CuraScript Account

If you do not already have a CuraScript account, you can open an account by following the steps outlined above. Once you have your account number, you can order by calling 866.844.0148.

Once you have your account number, you can order by calling 866.844.0148 or order online.

All orders received by 7:00 pm Eastern are processed the same day and shipped second day delivery via UPS or FedEx. Emergency shipping is also available upon request.

Prescription Order

When IMPLANON® is covered as a pharmacy benefit, prescription orders may be placed for individual patients. To initiate a prescription order with CuraScript, complete a CuraScript Benefits Investigation Form or call CuraScript at 866.844.0148 to submit a prescription.

Once we receive your request, a CuraScript representative will perform an in-depth benefit investigation.  Once the investigation is complete, CuraScript will contact the patient (via phone) and your office (via fax of an EOB) to review the referral.  The benefits investigation process is complete within 48 hours in most cases.

If IMPLANON® is covered under the patient’s insurance plan, a CuraScript representative will contact the patient to discuss any financial responsibility (if any) and your office to coordinate the delivery of IMPLANON® to your office.

How can I request a Benefits Investigation for IMPLANON®?

To request a benefits investigation, compete the CuraScript Benefits Investigation Form or call CuraScript at 866.844.0148.  Once we receive your request, a CuraScript representative will perform an in-depth benefit investigation.  Once the investigation is complete, CuraScript will contact the patient (via phone) and your office (via fax of an Explanation of Benefits) to review the referral.  The benefits investigation process is complete within 48 hours in most cases.

Note: The coverage and payment information CuraScript provides is based on what is provided by the patient’s insurer. The insurer does not guarantee the information to CuraScript at the time of verification, nor can CuraScript guarantee the information to you. It is therefore recommended that your office investigate the patient's specific benefits and authorization requirements for IMPLANON® prior to purchasing and seeking reimbursement.

Can CuraScript administer FSS and PHS (340b) and Apexus discounts?

Yes, CuraScript can administer FSS and PHS (340b) and Apexus discounts for covered entities.  CuraScript’s contract team can setup your account to support this special pricing. 

Please check with the HRSA website (http://opanet.hrsa.gov/opa/CE/CEExtract.aspx) or with your facility to determine if you are PHS or 340b eligible.

Who is CVS Caremark IMPLANON® Direct?

CVS Caremark IMPLANON® Direct provides specialty healthcare services to patients and prescribers to ensure patients will have access to IMPLANON®

What do they do? (What services do they provide?)

CVS Caremark IMPLANON® Direct offers support services designed for physicians and their patients considering IMPLANON®. CVS Caremark can provide a variety of services to both you and your patient.  These services include benefits investigation as well as wholesale (Buy and Bill) and retail (Specialty Pharmacy) distribution.

First, once you complete the provided service request form or place a call to IMPLANON® Direct, CVS Caremark will contact your patient’s insurance company and research your patient’s insurance benefit coverage for IMPLANON® and the insertion and removal procedure.  Their detailed benefits investigation entails researching all possible options for coverage for IMPLANON®.  These options will include verification of both the pharmacy benefit and medical benefit, including benefits applied to physician’s buy and bill.  CVS Caremark’s goal through their benefits investigation is to identify the IMPLANON® coverage option that offers the lowest out-of-pocket responsibility for your patient.

Second, depending on the results of the benefits investigation, CVS Caremark can ship IMPLANON® directly to you if you wish to purchase the product and bill the cost directly to the  IMPLANON® patient’s insurance company.  In some cases, CVS Caremark may also be able to dispense for your patient.  In this case, CVS Caremark will bill the insurance company directly for the product costs.  Either way, CVS Caremark will ship the product directly to the office or institution of your choice.

What are the CVS Caremark IMPLANON® Direct hours of operation?

CVS Caremark IMPLANON® Direct hours of operation are from 8am to 8pm EST.

How do I order IMPLANON®?

IMPLANON® orders are received via phone or fax by CVS Caremark IMPLANON® Direct Team at 866-318-3492 (phone) or 866-769-3882 (fax), or order online.

Orders will be shipped second-day delivery unless there is an immediate need for Product due to scheduled procedure date, in which case a one-day delivery can be requested.

Orders will be processed either through our Specialty Pharmacy (single patient ordering) or through our Specialty Distribution (Buy and Bill or larger direct purchase quantity ordering)

You will need to provide the following information on the Service Request Form (SRF):

• Direct Purchase/ Wholesale Order  (Buy and Bill)
a. Prescriber’s Name
b. Prescriber’s Demographics, including address and phone
c. Billing Address if different than Shipping Information
d. Quantity requested
e. Credit card information
f. Requested delivery date
g. Tax Identification Number
h. Signature of the Contact Placing the Order and the name of the trained clinician

• Retail Order (Specialty Pharmacy)
a. Complete patient name and address and insurance information
b. Complete prescriber information and authorization
c. Prescription information for IMPLANON®

All verbal orders will be taken by a registered pharmacist.

How do I order IMPLANON® from CVS Caremark IMPLANON® Direct?

Please submit the CVS Caremark IMPLANON® Direct Service Request Form (SRF) with the required information to CVS Caremark IMPLANON® Direct.  This form may be obtained by contacting us at 866-318-3492 or by downloading at www.IMPLANON-USA.com.

How do I determine if I should order IMPLANON® from Specialty Pharmacy or Specialty Distribution/Wholesale?

The Service Request Form allows you to either request that a benefit investigation be performed or to simply place an order for IMPLANON®.  Once the benefits have been investigated for your patient, CVS Caremark IMPLANON® Direct will provide you with information related to your patient’s coverage for IMPLANON® and if the insurance company will require that your office Buy and Bill the product or if CVS Caremark can dispense the product and bill the patient’s insurance company directly.  The ease of one toll-free number for placing your order will assist you in this decision.  Based on whether you are going to order IMPLANON® on a patient-by-patient basis via Pharmacy or if you choose to order Buy and Bill wholesale and/or order product in volume, CVS Caremark will assist you in determining the process as indicated on the service request form.

How do I know if I am PHS or 340b eligible?

IMPLANON® Direct will confirm your eligibility upon receipt of the service request form by checking your status utilizing the HRSA website (http://opanet.hrsa.gov/opa/CE/CEExtract.aspx).

Once I have placed my order, how will I receive IMPLANON®?

Orders received by 7pm EST will be processed that day.  Orders are shipped via FedEx for two-day delivery unless there is a special request for next-day delivery due to scheduled procedure date.

What is the latest time I can order to ensure I get it next-day?

7PM EST is the latest time to order for next-day delivery.



 

Indication
IMPLANON® (etonogestrel implant) is indicated for women for the prevention of pregnancy.

IMPLANON® must be removed by the end of the third year and may be replaced by a new IMPLANON® at the time of removal, if continued contraceptive protection is desired.


Important Safety Information

Women should be informed that this product does not protect against infection from HIV (the virus that causes AIDS) or other sexually transmitted diseases.

Serious consequences may be associated with the insertion and removal of IMPLANON®. IMPLANON® should be inserted subdermally so that it is palpable after insertion. Failure to insert IMPLANON® properly may go unnoticed unless the implant is palpated immediately after insertion. Deep insertions may lead to difficult or impossible removals. Failure to remove IMPLANON® may result in infertility, ectopic pregnancy, or inability to stop a drug-related adverse event. Undetected failure to insert IMPLANON® may lead to an unintended pregnancy.

In clinical trials, 1.0% of patients had complications at implant insertion and 1.7% had complications at implant removal. Deep insertions may result in the need for a surgical procedure in an operating room in order to remove IMPLANON®. When IMPLANON® is inserted too deeply, this may cause neural or vascular damage. Too deep insertions have been associated with paraesthesia and migration of the implant and, in rare cases, with intravascular insertion. In postmarketing use, there have been cases of failure to localize and remove the implant, probably due to deep insertion. All healthcare providers performing insertions and/or removals of IMPLANON® must receive instruction and training and, where appropriate, supervision prior to inserting or removing IMPLANON®.

IMPLANON® should not be used in women who have the following conditions: known or suspected pregnancy, current or past history of thrombosis or thromboembolic disorders, hepatic tumors (benign or malignant), active liver disease, undiagnosed abnormal genital bleeding, known or suspected carcinoma of the breast (or a personal history of breast cancer), or hypersensitivity to any of the components of IMPLANON®.

Pregnancy must be excluded before inserting IMPLANON®.

The use of IMPLANON® and other progestin-only hormonal contraceptives have been associated with ectopic pregnancy, bleeding irregularities, and ovarian cysts. The use of hormonal contraceptives is associated with increased risks of several serious cardiovascular conditions including myocardial infarction, stroke, venous thromboembolism, deep venous thrombosis, retinal vein thrombosis, and pulmonary embolism. There have been postmarketing reports of serious thromboembolic events, including cases of pulmonary emboli (some fatal) and strokes, in patients using IMPLANON®. IMPLANON® should be removed in the event of a thrombosis. Consider removal of IMPLANON® in case of long-term immobilization due to surgery or illness. Women with a history of thromboembolic disorders should be made aware of the possibility of a recurrence.

Cigarette smoking increases the risk of serious cardiovascular side effects from the use of hormonal contraceptives. This risk increases with age (women over 35 years of age) and with heavy smoking. Women who use hormonal contraceptives should be advised not to smoke.

In clinical trials including 942 patients, bleeding irregularities (11%) were the most common adverse event causing discontinuation of IMPLANON®. Adverse events reported in >5% of subjects include headache, vaginitis, weight increase, acne, breast pain, upper respiratory tract infection, abdominal pain, pharyngitis, leukorrhea, influenza-like symptoms, dizziness, dysmenorrhea, back pain, emotional lability, nausea, pain, nervousness, sinusitis, depression, and insertion site pain.

Please see full Prescribing Information.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.






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