Instant Savings Program
We want to bring clear, healthy skin to as many patients as possible.
If eligible, your commercially insured patients may pay as little as $25
per month with commercial insurance coverage for SILIQ.*†
Enroll your patients
*Subject to a $20,000 maximum benefit for 12 months from first
eligible date of program participation.
†If their commercial insurance does not cover
SILIQ, or coverage is delayed or denied, they may pay as little as $50 per month for
SILIQ until coverage is approved or up to 12 months from program initiation.
Uninsured patients are not eligible to participate in the
Instant Savings Program. These offers are not valid for any person eligible for reimbursement of
prescriptions, in whole or in part, by any federal, state or other governmental programs, including,
but not limited to, Medicare (including Medicare Advantage and Part A, B and D Plans), Medicaid,
TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico
Government Health Insurance Plan, or any other federal or state health care programs. Siliq
Solutions™ Instant Savings cost support is determined by medication cost
only. Amounts are not determined by costs associated with administration of the injection.
Ortho Dermatologics is committed to ensuring effective options are available
to combat the devastating effects of moderate to severe plaque psoriasis. So, if you have a
patient with financial needs, Siliq Solutions is here to help. Simply fill out the
application on the Bausch Health Patient Assistance Website and have your
patient do the same.
Patient assistance program
Monday – Friday, 8AM – 5PM ET
It’s simple. Enrolling through the REMS portal takes just a few minutes.
Important Safety Information for SILIQ (brodalumab) Injection
SILIQ® injection is indicated for the treatment of moderate to severe plaque psoriasis in adult patients who are candidates for systemic therapy or phototherapy and have failed to respond or have lost response to other systemic therapies.
IMPORTANT SAFETY INFORMATION
WARNING: SUICIDAL IDEATION AND BEHAVIOR
Suicidal ideation and behavior, including completed suicides, have occurred in patients treated with SILIQ. Prior to prescribing SILIQ, weigh the potential risks and benefits in patients with a history of depression and/or suicidal ideation or behavior. Patients with new or worsening suicidal ideation and behavior should be referred to a mental health professional, as appropriate. Advise patients and caregivers to seek medical attention for manifestations of suicidal ideation or behavior, new onset or worsening depression, anxiety, or other mood changes [see Warnings and Precautions (5.1) in the full Prescribing Information].
Because of the observed suicidal behavior in subjects treated with SILIQ, SILIQ is available only through a restricted program under a Risk Evaluation and Mitigation Strategy (REMS) called the SILIQ REMS Program [see Warnings and Precautions (5.2) in the full Prescribing Information].
SILIQ is contraindicated in patients with Crohn’s disease. In clinical trials, which excluded Crohn’s patients, one SILIQ patient was withdrawn after developing Crohn’s disease.
SILIQ Risk Evaluation and Mitigation Strategy (REMS) Program
SILIQ is available only through a restricted program called the SILIQ REMS because of observed suicidal ideation and behavior in patients treated with SILIQ. Before prescribing SILIQ, prescribers must be certified with the program, have each patient sign a Patient-Prescriber Agreement Form, and provide the patient a Wallet Card describing symptoms requiring immediate medical evaluation. Pharmacies must be certified and only dispense to patients authorized to receive SILIQ. More information is available at SILIQREMS.com
SILIQ may increase the risk of infections. Serious infections and fungal infections were observed at a higher rate in patients treated with SILIQ than placebo-treated patients in clinical trials, including one case of cryptococcal meningitis that led to discontinuation of therapy.
Risk for Latent Tuberculosis (TB) Reactivation
Evaluate patients for TB prior to initiating treatment with SILIQ and do not treat patients with active TB. Initiate treatment for latent TB prior to starting SILIQ and consider anti-TB therapy prior to initiation in patients with history of latent TB if adequate treatment cannot be confirmed. Monitor closely for symptoms of active TB during and after treatment.
Avoid use of live vaccines in patients treated with SILIQ.
The most commonly reported adverse reactions in clinical trials were arthralgia, headache, fatigue, diarrhea, oropharyngeal pain, nausea, myalgia, injection site reactions, influenza, neutropenia, and tinea infections.
To report SUSPECTED ADVERSE REACTIONS, contact Customer Service at 1-800-321-4576 or the FDA at 1-800-FDA-1088, or visit www.fda.gov/MedWatch.
Please click here for full Prescribing Information, including Boxed Warning about suicidal ideation and behavior.
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SILIQ was evaluated in 3 similarly designed phase 3 studies. Study 1 included 661 adult patients with a diagnosis of plaque psoriasis for ≥6 months involving ≥10% body surface area (BSA), PASI score ≥12, and sPGA score ≥3. Study 2 included 1831 patients with similar eligibility criteria and Study 3 included 1881 patients with similar eligibility criteria. Study 1 was a placebo-controlled study, while studies 2 and 3 were placebo- and active (Stelara)-controlled studies.1,3
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WARNING: SUICIDAL IDEATION AND BEHAVIOR
Suicidal ideation and behavior, including completed suicides, have occurred in patients treated with SILIQ. Prior to prescribing SILIQ, weigh the potential risks and benefits in patients with a history of depression and/or suicidal ideation or behavior. Patients with new or worsening suicidal ideation and behavior should be referred to a mental health