VYEPTI has flexible infusion options based on whether you refer patients to an infusion site or infuse in-office

VYEPTI Specialty Infusion Provider Network

Lundbeck partners with a network of infusion providers to deliver your patients a more consistent and enhanced treatment experience.

These providers also offer:
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Touch points to keep your office informed pre and post infusion
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Perform benefits investigations and prior authorizations
Enrollment in VYEPTI CONNECT Copay Assistance Program icon
Enrollment in VYEPTI CONNECT Copay Assistance Program*

Referral forms for our provider partners

Find a VYEPTI Specialty Infusion Provider Network location, or other infusion site, near your patients.

Lundbeck does not endorse the use of any particular infusion provider.

*For eligible patients with commercial insurance.

Which infusion option is best for your practice and patients?

Keep in mind, some patients may have insurer-mandated or in-network infusion sites.

Infusing in-office

Buy-and-bill and specialty pharmacy options are available for acquiring VYEPTI. See below for details.

VYEPTI national drug code

100 mg/mL Solution in Single-Dose Vial

10-Digit format

67386-130-51

11-Digit format for claims submissions

67386-0130-51

HCPCS J-CODE

J3032

Magnifying glass iconComplete a benefits investigation Verify your patient’s benefits and submit a prior authorization (PA), if needed. (VYEPTI CONNECT can help confirm coverage.)

Magnifying glass iconComplete a benefits investigation

Verify your patient’s benefits and submit a prior authorization (PA), if needed. (VYEPTI CONNECT can help confirm coverage.)

Shipping box iconOrder VYEPTI and arrange shipment The specialty distributor will ship VYEPTI to your office, typically within 1 business day.

Shipping box iconOrder VYEPTI and arrange shipment

The specialty distributor will ship VYEPTI to your office, typically within 1 business day.

Dollar sign inside ring of two arrows iconSubmit a claim for reimbursement Collect your patient’s out-of-pocket portion of the cost and submit a claim to the payer for reimbursement of medication and administration fees.

Dollar sign inside ring of two arrows iconSubmit a claim for reimbursement

Collect your patient’s out-of-pocket portion of the cost and submit a claim to the payer for reimbursement of medication and administration fees.

Specialty distributors included in VYEPTI’s network

AmerisourceBergen Specialty Distribution
Oncology Supply
Besse Medical
McKesson
Cardinal Health Specialty Distribution
Metro MedicalTM Distribution Services
CuraScript Specialty Distribution

To avoid delays, it is important for your office and patients to communicate with the specialty pharmacy.

Laptop iconSubmit a prescription & supporting documentation Start by faxing a completed referral form, along with insurance card (front and back), and any chart notes with medication history. The specialty pharmacy will then complete a benefits investigation, share the results, and communicate if a prior authorization is required.

Laptop iconSubmit a prescription & supporting documentation

Start by faxing a completed referral form, along with insurance card (front and back), and any chart notes with medication history. The specialty pharmacy will then complete a benefits investigation, share the results, and communicate if a prior authorization is required.

Open shipping box iconSpecialty pharmacy arranges shipment Once the specialty pharmacy purchases VYEPTI, they will coordinate with your office and patient on shipment location and date based on when the infusion is scheduled.NOTE: Your patient will be contacted directly for permission to ship VYEPTI. Remind them it is important to answer calls from the specialty pharmacy or to promptly call them back.

Open shipping box iconSpecialty pharmacy arranges shipment

Once the specialty pharmacy purchases VYEPTI, they will coordinate with your office and patient on shipment location and date based on when the infusion is scheduled.
NOTE: Your patient will be contacted directly for permission to ship VYEPTI. Remind them it is important to answer calls from the specialty pharmacy or to promptly call them back.

Dollar sign inside ring of two arrows iconSubmit a claim for reimbursement The Infusion Provider collects your patient’s out-of-pocket portion of the administration cost and submits the claim to the payer. (The specialty pharmacy will bill the payer for VYEPTI.)

Dollar sign inside ring of two arrows iconSubmit a claim for reimbursement

The Infusion Provider collects your patient’s out-of-pocket portion of the administration cost and submits the claim to the payer. (The specialty pharmacy will bill the payer for VYEPTI.)

Specialty pharmacies included in VYEPTI’s network

Select the pharmacy name to download their prescription form.

Orsini Specialty Pharmacy

P: 800-259-7145

AllianceRx Walgreens Pharmacy

P: 855-244-2555

Lundbeck does not recommend the use of any particular specialty pharmacy.

Orsini home infusion…

Orsini Specialty Pharmacy will work directly with your patient to confirm the shipment date and delivery location.

Referring out

The VYEPTI Specialty Infusion Provider Network as well as additional sites of infusion are available. Home infusion may also be an option, depending on your patient’s insurance coverage. See below for more details.

This network of infusion providers was created to offer a more consistent and enhanced VYEPTI experience for your patients. The VYEPTI Infusion Locator can help find a location near your patients.

The VYEPTI Specialty Infusion Provider Network can:

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Give new patients helpful VYEPTI information Provide welcome calls to patients to prepare them for treatment

IV infusion bag iconGive new patients helpful VYEPTI information

Provide welcome calls to patients to prepare them for treatment
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Help patients understand access Perform benefits verifications and prior authorizations Connect eligible commercial patients with the VYEPTI CONNECT Copay Assistance Program

Dollar sign inside a circle iconHelp patients understand access

Perform benefits verifications and prior authorizations Connect eligible commercial patients with the VYEPTI CONNECT Copay Assistance Program
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Keep your patients and your office informed Dedicated ambassadors will keep your office informed on when your patient is infused, clinical notes, and upcoming appointments

Layered chat bubbles iconKeep your patients and your office informed

Dedicated ambassadors will keep your office informed on when your patient is infused, clinical notes, and upcoming appointments

Download the referral form for each of our partner providers

IVX Health*
Option Care Health
Paragon Healthcare
Vital Care

*IVX Health consists of outpatient infusion suites only. Home infusion may be available through our other Network partners.

Lundbeck does not recommend the use of any particular infusion site.

To avoid delays when referring patients to a VYEPTI Specialty Infusion Provider...

Follow these 3 steps:

  1. Ensure the referral form is completed with all the required information
  2. Include patient’s insurance card (front and back)
  3. Attach chart notes including medication history

NOTE: Remind patients the infusion site will contact them directly to schedule treatment.

Use the VYEPTI Infusion Locator to find a location near your patients.

While these locations are outside the optional VYEPTI Specialty Infusion Provider Network, they may be in-network with your patient's insurance provider.

Use the VYEPTI Infusion Locator to find a location near your patients.

Other specialty infusion locations icon
Other specialty infusion providers, hospital-owned outpatient centers/clinics A stand-alone infusion center or part of a local hospital or healthcare system organization

Other specialty infusion locations iconOther specialty infusion providers, hospital-owned outpatient centers/clinics

A stand-alone infusion center or part of a local hospital or healthcare system organization
Home infusion icon
VYEPTI home infusion Based on individual insurance coverage and availability in your local area, home infusion may be an option. Infusion providers in all 50 states offer home health nurses to administer infusions as needed*

Home infusion iconVYEPTI home infusion

Based on individual insurance coverage and availability in your local area, home infusion may be an option. Infusion providers in all 50 states offer home health nurses to administer infusions as needed*

*If choosing home infusion, you may complete the Orsini VYEPTI Patient Enrollment Form. Fax the completed and signed form to Orsini at 877-892-3019. Other home infusion providers may be available.

When referring patient to additional sites of infusion...

Follow these 3 steps:

  1. Ensure the referral form is completed with all the required information
  2. Include patient’s insurance card (front and back)
  3. Attach chart notes including medication history

NOTE: Remind patients the infusion site will contact them directly to schedule treatment.

Use the VYEPTI Infusion Locator to find a location near your patients.

Questions regarding infusion options or insurer coverage in your area? The VYEPTI field team is here to help.

Find an infusion site convenient for your patients and office

Image of map with red VYEPTI Specialty Infusion Provider Network location pins

Find an infusion site convenient
for your patients and office

Find a VYEPTI Specialty Infusion Provider, as well as other infusion sites, in your area. Some infusion providers may also offer home infusion.

Infusion options are subject to the patient's insurance benefit.

FIND A LOCATION

Lundbeck does not endorse the use of any particular infusion provider.

VYEPTI CONNECT logo

Whichever way you choose to infuse, VYEPTI CONNECT can help

VYEPTI CONNECT can assist eligible patients with navigating copay assistance, understanding insurance coverage information, and finding an infusion location.

Image of copay card. Card is for illustrative purposes only. No physical copay card is provided.
Card is for illustrative purposes only. No physical copay card is provided.

Your patients may pay as little as $0 for VYEPTI*

  • Includes savings on patient's administration copay
  • Includes 100 mg and up to 300 mg doses
  • Eligible patients with commercial insurance

For details on the VYEPTI CONNECT Copay Assistance Program, download the brochure.

*Eligibility criteria and program maximums apply. Max benefit of $200 per infusion on patient administration out-of-pocket cost. This offer is NOT available for patients enrolled in Medicare, Medicaid, or any other government healthcare program. Please see the full Terms and Conditions.

Copay assistance for IV administration costs is restricted in MA, MN, and RI.

Ready to get your patients started? They can enroll online at vyeptisavings.com. Or they can call 833-4-VYEPTI to enroll over the phone.

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Benefits investigation

Investigate and assess insurance benefits and coverage determinations for drug and infusion site.

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Prior authorization (PA) informational support

Access information on the payer’s process for determining VYEPTI coverage and confirm your patient’s final coverage information.

Appeals support icon

Appeals informational support

Provide information on the payer’s denial appeal process and confirm patient’s final coverage.

Specialty pharmacy coordination icon

Specialty pharmacy coordination

If you obtain VYEPTI through a specialty pharmacy, complete the Rx section when submitting the VYEPTI CONNECT Enrollment Form. We’ll confirm coverage and send the prescription.

Site of care prescription icon

Site of care prescription coordination

If your patients use an alternate site of care, complete the Rx section when submitting the enrollment form. We’ll confirm coverage and send the prescription to the infusion location as appropriate.

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VYEPTI Infusion Locator

VYEPTI CONNECT can help eligible patients locate infusion centers that are close to their homes or other preferred addresses.

Infusion reminders icon

Infusion reminders

VYEPTI CONNECT can send your office appointment reminders for your patients before their next infusion.

You can enroll your patients in VYEPTI CONNECT by:

Faxing enrollment form to 866-868-7071

DOWNLOAD ENROLLMENT FORM

To speak with a VYEPTI CONNECT Liaison:

Call 833-4-VYEPTI Monday–Friday, 8 AM–8 PM (ET).

VYEPTI CONNECT is only available for patients who have been prescribed VYEPTI and who are enrolled in VYEPTI CONNECT; support may vary based on patient eligibility. See full Terms and Conditions.

Your patient's enrollment in VYEPTI GO® includes the following:

  • Registered nurses to provide information about migraine, VYEPTI benefits and side effects, and the infusion process
  • Direction to additional helpful resources
  • Connections to other people with VYEPTI experience through the MVP Mentor Program
  • Appointment reminders

Patients can visit vyeptigo.com or call 833-4-VYEPTI for more information.

Terms and Conditions: Informational Support provided through VYEPTI CONNECT (“Informational Support”) is available for eligible VYEPTI® (eptinezumab-jjmr) patients only. Informational Support should not replace conversations between patients and their healthcare providers or their office staff, is not insurance or a guarantee of coverage or assistance, and has no independent value. Patients are eligible for Informational Support if they have a valid prescription for VYEPTI and a request is submitted to VYEPTI CONNECT using a completed VYEPTI CONNECT Enrollment Form. Informational Support includes insurance coverage information related to VYEPTI and, depending on patient eligibility, information regarding other Lundbeck patient support programs. Separate applications may be required for Lundbeck programs to determine patient eligibility, and other terms and conditions may apply for such programs. There may be other ways for patients to obtain assistance in verifying insurance coverage for, and/or affording the cost of, VYEPTI. Questions regarding other possible sources of patient support should be directed to the patient’s healthcare provider.

Lundbeck cannot guarantee payment of any claim. Coverage and reimbursement may vary significantly by payer, plan, patient, and setting of care. Actual coverage and reimbursement decisions are made by individual payers following the receipt of claims. It is the sole responsibility of the provider to ensure the accuracy of all claims used in seeking reimbursement.

There is no purchase requirement associated with Informational Support. Informational Support is only provided in the United States where allowed by law. Informational Support is intended to comply with all applicable laws and regulations, including without limitation the federal Anti-Kickback Statute, the regulation of its implementation, and related guidance interpreting the federal Anti-Kickback Statute. Lundbeck reserves the right to rescind, revoke, or amend Informational Support without notice. Questions regarding Informational Support that may be available to patients and opt-out requests should be directed to VYEPTI CONNECT at 833-4-VYEPTI, Monday through Friday, 8 AM–8 PM (ET).

Terms and Conditions for the VYEPTI CONNECTTM Copay Assistance Program (the “Program”)

Terms and Conditions: Commercially insured patients aged 17 years and older whose insurance policy provides coverage for VYEPTI® (eptinezumab-jjmr) (or the “Product”) and whose insurance company does not pay for the entire cost of their prescription, may be eligible to receive financial assistance with out-of-pocket expenses for VYEPTI medication costs and VYEPTI administration costs (the “Offer”). Patients are not eligible for the Offer:

(1) If they are self-pay, meaning the patient pays the entire cost of the prescription out of their own pocket; or

(2) If the patient is enrolled in a health plan that is funded, in whole or in part, by the federal or state government; examples of such government health plans are Medicare or Medicaid, Medigap, VA, DOD, or TRICARE; or

(3) If they are Medicare-eligible and enrolled in an employer-sponsored retiree health plan or prescription drug benefit program.

Eligible patients may pay as little as $0 per infusion of VYEPTI. This Offer is subject to a Program assistance cap of $200 per infusion for eligible administration costs, and a calendar year maximum on all Program assistance for all out-of-pocket expenses for VYEPTI (i.e., medication and administration expenses) (the “Cap”). If the patient’s total out-of-pocket expenses for VYEPTI exceed the Cap established by Lundbeck, the patient will be responsible for the additional balance. Patients should confirm their out-of-pocket cost with their pharmacy, or with their healthcare provider (“HCP”), prior to treatment. Copay claims must be submitted to the Program within 180 days of the patient’s date of service.

The Offer is valid for use only with a valid prescription for VYEPTI (up to 300 mg) for an approved indication at the time the prescription is filled by the pharmacist, or at the time the HCP administers VYEPTI to the patient. The Offer applies only to prescriptions filled before the Program expires or terminates. The Offer applies to the patient’s out-of-pocket costs for the Product and the eligible out-of-pocket Product administration costs. Any other fees related to the Product administration are the responsibility of the patient. The patient or patient’s HCP shall not submit any prescription or administration copays for payment to any public third-party payer, including Medicaid or Medicare, or to any other similar federal or state healthcare program. Patients are responsible for complying with any obligations or requirements imposed by their commercial insurance plans.

Copay assistance for Product administration costs is restricted in Massachusetts, Minnesota, and Rhode Island. Claims submitted on behalf of, or requested to be paid to, patients or providers located in RI are not eligible for copay assistance for Product administration costs. Claims submitted by, or requested to be paid to, providers located in MA or MN are not eligible for copay assistance for Product administration costs.

The Offer is intended solely for the eligible patient’s benefit and is not transferable to any other person. The selling, purchasing, trading, or counterfeiting of the Offer is prohibited by law. The Offer has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified VYEPTI prescription (including any pharmacy benefit manager or insurer program that adjusts patients’ out-of-pocket costs for their drugs, such as through “maximizers” or “accumulators”).

Lundbeck reserves the right to rescind, revoke, terminate, or amend the Offer at any time without notice. The Offer is intended to comply with all applicable laws and regulations including, without limitation, the federal Anti-Kickback Statute, its implementing regulations, and related guidance interpreting the federal Anti-Kickback Statute. The Offer is not health insurance. The Offer is valid only in the USA and Puerto Rico where allowed by law. This Offer is not conditioned on any past, present, or future Product purchase requirement, including refills. Patients can discontinue participation in the Program at any time and their questions and requests can be directed to 833-4-VYEPTI (833-489-3784) Monday through Friday, 8 AM - 8 PM ET.

The Offer will automatically renew each calendar year. If the patient no longer wishes to participate in the Offer, they can call and cancel at any time. By participating in the VYEPTI CONNECT Copay Assistance Program, the patient acknowledges and agrees that they are eligible to participate pursuant to the rules stated in these VYEPTI CONNECT Copay Assistance Program Terms and Conditions and that they understand and agree to comply with these VYEPTI CONNECT Copay Assistance Program Terms and Conditions.

IMPORTANT SAFETY INFORMATION AND INDICATION
CONTRAINDICATIONS

VYEPTI is contraindicated in patients with serious hypersensitivity to eptinezumab-jjmr or to any of the excipients. Reactions have included anaphylaxis and angioedema.

WARNINGS AND PRECAUTIONS

Hypersensitivity Reactions: Hypersensitivity reactions, including angioedema, urticaria, facial flushing, dyspnea, and rash, have occurred with VYEPTI in clinical trials and in the postmarketing setting. Most hypersensitivity reactions occurred during infusion and were not serious, but often led to discontinuation or required treatment. Serious hypersensitivity reactions may occur. Cases of anaphylaxis have been reported in the postmarketing setting. If a hypersensitivity reaction occurs, consider discontinuing VYEPTI, and institute appropriate therapy.

ADVERSE REACTIONS

The most common adverse reactions (≥2% and at least 2% or greater than placebo) in the clinical trials for the preventive treatment of migraine were nasopharyngitis and hypersensitivity.

INDICATION

VYEPTI is indicated for the preventive treatment of migraine in adults.

For more information, please see the Full Prescribing Information and Patient Information.

IMPORTANT SAFETY INFORMATION AND INDICATION
CONTRAINDICATIONS

VYEPTI is contraindicated in patients with serious hypersensitivity to eptinezumab-jjmr or to any of the excipients. Reactions have included anaphylaxis and angioedema.

WARNINGS AND PRECAUTIONS

Hypersensitivity Reactions: Hypersensitivity reactions, including angioedema, urticaria, facial flushing, dyspnea, and rash, have occurred with VYEPTI in clinical trials and in the postmarketing setting. Most hypersensitivity reactions occurred during infusion and were not serious, but often led to discontinuation or required treatment. Serious hypersensitivity reactions may occur. Cases of anaphylaxis have been reported in the postmarketing setting. If a hypersensitivity reaction occurs, consider discontinuing VYEPTI, and institute appropriate therapy.

ADVERSE REACTIONS

The most common adverse reactions (≥2% and at least 2% or greater than placebo) in the clinical trials for the preventive treatment of migraine were nasopharyngitis and hypersensitivity.

INDICATION

VYEPTI is indicated for the preventive treatment of migraine in adults.

For more information, please see the Full Prescribing Information and Patient Information.