YOUR TREATMENT NEEDS ARE OUR PRIORITY PTC CaresTM is your patient support program that s dedicated to helping you gain access to therapy. See inside to learn more Call 1-844-4PTC-CARES 8 AM - 8 PM EST Monday - Friday PTC Cares case manager. Visit www.ptccares.com for information and access to Prescription Start Forms.
KEEPING YOU CONNECTED TO TREATMENT With PTC Cares Case your management needs and financial assistance TM team is always ready to explain insurance Your PTC Cares come first plans and potential financial assistance. By offering personalized case management support, your PTC Cares team will work closely with you to help with: Initiating and processing your prescription Patient Assistance Programs Copay assistance programs Benefits investigation and Scheduling SUPPORT YOU CAN COUNT ON a convenient, prior authorization support home delivery Providing information Notification of refills and and an introduction to ongoing customized We know that starting new treatment about PTCaCares services can bringsupport many questions and concerns, which is why PTC Cares Potential financial is just a phone call away. Our team of dedicated case assistance Information and patient assistance managers is here to help answer any questions you may have about getting started on treatment, and offer services PTCthat Cares are personalized to fit yourcall individual needs. 1-844-4PTC-CARES pharmacy From the start of your enrollment and throughout your counseling support treatment team is EST committed 8 AM - 8 PM Monday - Friday is available to journey, your PTC Cares to making the prescription process as easy as possible. assist you Our goal is to provide you with ongoing support PTC Cares caseand manager. customized solutions when you need them. Visit www.ptccares.com for information and access to Prescription Start Forms. 6 2
Your case manager can help you with: Information and support Tips for talking with your healthcare provider Answering questions about PTC therapy and/or Duchenne muscular dystrophy (DMD) Reimbursement information Connecting families with support groups Supporting patients and caregivers throughout treatment Patient Support Services PTC CaresTM can help you get access to treatment with Patient Assistance Programs that can be used along with your insurance coverage and offer low or no out-of-pocket costs for those who qualify. These services include: Copay Assistance Program* Charitable Foundation referrals Free Drug Program for patients who are uninsured* Bridge Program can provide treatment for patients due to delays in coverage* Uninterrupted treatment for patients already taking PTC products *For qualified patients. As determined solely by the Foundation. Call 1-844-4PTC-CARES 8 AM - 8 PM EST Monday - Friday PTC Cares case manager. 3
HOW WE HELP YOU GAIN ACCESS TO THERAPY Once patient enrollment has begun, PTC CaresTM helps manage each step of the ongoing process Prescription written Welcome call You and your healthcare provider will need to complete and submit a Prescription Start Form (PSF), which acts as both a prescription and a consent, to receive support from PTC Cares and access to PTC products. Your PTC Cares case manager will call you, upon receipt of your Prescription Start Form, to confirm your insurance and demographic information, assist with potential questions you may have about the medication or your medical condition, and discuss the process and next steps to obtaining treatment. Insurance benefits investigation Your PTC Cares team will conduct benefits investigation and prior authorization support. What about refills? Your PTC Cares team will confirm your prescription receipt and call you to schedule the next refill to ensure it arrives on time. 4
Explanation of patient assistance Specialty pharmacy delivery Your PTC Cares team will call you to explain your insurance benefits, Patient Assistance Programs, and any available resources such as copay assistance or other forms of support to assist you in obtaining the product. Your PTC Cares team will call you to confirm your delivery information. Upon confirmation, you can request a tracking number so you can monitor where your delivery is throughout the shipping process. Your case manager will provide personalized, ongoing support and customized solutions before the first prescription and throughout treatment. 5
THE SUPPORT YOU NEED. WHEN YOU NEED IT. Dedicated assistance Personalized service Customized solutions At PTC CaresTM, we believe in more than just treating the disease. We believe in our patients and their families. That s why we re committed to helping you get access and meeting your individual needs. When you enroll in the PTC Cares program, you will be assigned a dedicated case manager. SEE INSIDE PTC Cares delivers personalized support for treatment access, coverage, and more Call 1-844-4PTC-CARES 8 AM - 8 PM EST Monday - Friday PTC Cares case manager. 2018 PTC Therapeutics, Inc. PTC CaresTM is a trademark of PTC Therapeutics, Inc. All Rights Reserved. MAT-CORP-0265.