Below are the steps needed to initiate treatment. Please keep in mind these are generalized steps; because each patient has unique needs, additional steps may be required.
Discuss the benefits and risks of SPINRAZA with appropriate patients. Download the brochures below to help start the conversation.
Download and complete the healthcare provider section of the Start Form to prescribe SPINRAZA and enroll your patient in support services.
Make a photocopy of your patient’s insurance and pharmacy benefit card.
Give your patient the Instructions and Consent Information pages of the Start Form to take home.
Send the completed Start Form and copies of the insurance/pharmacy benefit cards to Biogen by fax or email.
Email as an attachment: StartForm@biogen.com
Please note this email address is an unattended inbox and is for Start Forms only.
Once Biogen receives the SPINRAZA Start Form, a SPINRAZA Family Access Manager (FAM) or Lead Case Manager (LCM) will contact the patient or parent/guardian to help them navigate the process.