The SPINRAZA E-sign Start Form can be downloaded in Step 2. 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.
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.
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.
Remember to conduct the following laboratory tests at baseline and prior to each dose of SPINRAZA and as clinically needed: