Infliximab/ INFLECTRA® Patient Startup sheet

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Version2–Feb06,2017

©2014–2017IBDUnitwww.ibdunit.com

ForusebypatientsandhealthcarepractitionersaffiliatedwiththeIBDUnit,UniversityofAlberta

Infliximab/INFLECTRA®

PatientStartupsheet

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AssistancewithCoverage

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1. YouneedtoapplyforAlbertaHealthNon‐GroupCoverage.

InformationisavailablefromAlbertaHealthServices.Youcanpickup

anapplicationatyourlocalpharmacyoronlineat:

https://cfr.forms.gov.ab.ca/form/ahc0201.pdf.AlbertaHealthNon‐

Groupisagovernment‐assistedprogramthathelpspeoplewhodonot

havebenefitsobtainmedicationandworkswithexistinginsurance.

Youwillberequiredtopayamonthlypremium.(lowincomeAlbertans

canapplyforsubsidizedpremiums,anapplicationisavailableonline

at:https://cfr.forms.gov.ab.ca/Form/ahc0208g.pdf)Theywillnot

howevercoverthedrugwithoutspecialauthorization.Thereisa3+

monthwaitingperiod,sosendinyourapplicationasperthe

instructionsASAP.

2. OurIBDnurseswill:

EnrollyouinafreeprogramthroughInnomarStrategies

ProvideyouwiththerequisitionsforachestX‐ray,TBskintest,and

bloodwork

3. InnomarStrategieswill:

Completetheordersforyourinfusionandsendtheprescriptions

orderedbyyourphysiciantotheinfusionclinicandthepharmacyof

yourchoice

Arrangeyour1

infusionwhichisscheduledoncetestingand

approvaliscomplete

Completerenewalsofprescriptionsandspecialauthorizationsas

needed.YoumustcontactInnomarStrategiesifthereisaproblem

withyourprescriptionorifthereisaproblemorchangeininsurance.

PrivateCoverage

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Findoutifyouhaveprivatebenefitsthatwill

coverthemedication.Callyourindividual

benefitproviderandgivethemthisinformation:

DrugIdentification#’s(DIN):02419475

**BESURETOASKIFTHEREISACAPON

THEAMOUNTOFCOVERAGEYOUCAN

GET/YEAR**

Youmayneedtoalsoapply

forAlberta

HealthNon‐Groupforadditionalcoverage.

InnomarStrategiesisafreePatientSupport

programthatworksindependentlyofthe

UniversityofAlberta,andassistsinthe

coordinationofmedicationinsuranceand

arrangingforthebookingofInflectrainfusions.

Theywillhelpyouensurethatyouhave

adequateinsuranceto

coverthecosts.Youwill

needtocompletea“ReleaseofInformation”

formsothattheycanaccessyourmedical

charts.YoucangetthisformfromourIBD

nurses.

CONTACTINFORMATION:

YoucancallInnomarStrategiesat1‐844‐466‐662

YoucanreachtheIBDnursebycallingyour

physician’sofficeandselectingtheoptionfor

theIBDNurse(780‐492‐8691,ext.9).

Whileawaitingcoverage

YourIBDphysician/nursewillgiveyourequisitionstohaveachestX‐rayandsomebloodworkandinstructionsaboutgettingaTBskin

test.ItisveryimportantforyoutohaveaTBskintest,chestx‐rayandbloodworkdonepriortostartingInflectra.Wewouldalsolike

a

listofvaccinationsthatyouhavereceived,includingchildhoodimmunizationswhichcanbeobtainedeitherthroughyourFamily

sicianorPublicHealthCentresb



honeat780‐413‐7985.

ReadytoStart

Yourprescriptionwillbeorderedfromthepharmacyofyourchoice.Youneedtopickupyourmedicationpriortoyourfirstinfusion.It

willneedtobekeptrefrigerated.InnomarStrategieswillsetupyourloading dosesat0–baseline,2weeksafterstart and6weeks

afterstart.

Afteryourloadingdosesyouwilllikelybeputonamaintenancedoseofevery8weeks.

WhattoBring

Bringsomethingtodoforacoupleofhours,books,magazines,music,movieDVD.Youmaybeinaroomwithotherpeople,soifyou

choosetolistentomusicorwatcha movie please bringheadphones.Becauseeveryonehas apossibilityofbeingsensitivetoanew

medication,your

first3infusionswilltakeapproximately4hours.Subsequentvisitsmaybeshorterifyouhavenoreaction.

IBDHealthPractitionerChecklist FamilyPhysicianChecklist

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ChestX‐ray

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Routinebreastexam

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TBSkinTest

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PapsmearforHPV&HPVvaccine

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Hepatitis&HIVSerology

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Skinexamforatypicalmoles(dermatologistconsultifrelevant)

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Vaccinationstobeup‐to‐date

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Annualdentalexam

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