For up to 4 patches per month and a yearly maximum benefit of $3,635.10.
If commercial prescription coverage for the Sancuso patch is denied by insurance, the patient will pay the initial $20 for 1 Sancuso Patch/month. Any remaining drug cost will be reduced by Kyowa Kirin, Inc., marketers of Sancuso, up to a total of $605.85 per month. In no case will the annual benefit exceed $3,635.10.
Whether it's co-insurance, co-pay, high deductible or some other limit, Patient Rx Solutions will work with insurers, prescribers, and you to provide access to the maximum number of medically necessary prescribed patches that you are eligible to receive for $20 out-of-pocket cost.
†This offer is not valid for prescriptions under Medicare (including Medicare Advantage, Part A, B and D Plans), Medicaid, VA, DOD, TRICARE, CHAMPUS, or other federal or state healthcare programs. This offer is not valid for prescriptions in Massachusetts or in any other state that does not permit copay reimbursement consistent with this program. Patients without commercial insurance are not eligible for this program. Unless otherwise indicated on submission form, Sancuso will be dispensed through select ASPN network pharmacy partners; available at participating pharmacies. Kyowa Kirin, Inc., reserves the right to cancel or modify the program at any time. Kyowa Kirin reserves the right to change, rescind, revoke, or discontinue this offer at any time without notice.
IMPORTANT SAFETY INFORMATION FOR PATIENTS
What is SANCUSO (granisetron trandermal system)?
SANCUSO is a prescription medicine used to prevent nausea and vomiting in adults receiving anti-cancer (chemotherapy) treatment that causes moderate or severe vomiting.
SANCUSO is a skin patch (transdermal system) that slowly releases the medicine into your bloodstream while you wear the transdermal system.
It is not known if SANCUSO is safe and effective in children.
Who should not use SANCUSO?
Do not use SANCUSO if you are allergic to granisetron or any of the ingredients in SANCUSO. See the end of this leaflet for a list of ingredients in SANCUSO.
What should I tell my healthcare provider before using SANCUSO?
Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine.
How should I use SANCUSO?
Read the Instructions for Use that comes with SANCUSO transdermal system. Use SANCUSO exactly as your healthcare provided tells you to.
What should I avoid while using SANCUSO?
What are the possible side effects of SANCUSO?
SANCUSO may cause serious side effects, including:
The most common side effect of SANCUSO is constipation.
Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of SANCUSO. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
This website is intended for patients and healthcare professionals in the U.S.Continue