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Enrolling in KALBITOR Access®
Once you and your doctor have decided that KALBITOR® (ecallantide) is the right option for treating your hereditary angioedema (HAE) attacks, follow these two easy steps to enroll in KALBITOR Access and begin receiving resources and support.
Step 1
Review and complete the KALBITOR Access Patient Authorization Form (also available through your provider).
Step 2
FAX the completed form to KALBITOR Access at 1-888-806-4829.
or
CALL KALBITOR Access at 1-888-4KALBITOR (1-888-452-5248) for details on completing through electronic signature.
Customized Care to Assist You with Your Treatment
Once your form is received, your assigned treatment coordinator will:
- Coordinate with your healthcare provider for KALBITOR prescription
- Verify where you plan to receive KALBITOR treatment
- Begin your customized health insurance benefits review and financial assistance evaluation
- Coordinate KALBITOR shipments to your home
- Answer your questions about receiving KALBITOR treatment
Enrolling in KALBITOR Home Infusion ServicesSM
The first step to signing up for Home Infusion Services is speaking with your doctor. KALBITOR is available only by prescription, and KALBITOR Home Infusion Services represents just one of several treatment options.
If you and your doctor determine that KALBITOR Home Infusion Services is right for you:
- Your doctor will enroll you by submitting the Home Infusion Services Form
- If approved, you can receive a free consultation visit, in which a home infusion nurse will explain the process and answer your questions.
KALBITOR Home Infusion Services are administered by a third party infusion services provider. Dyax Corp. does not provide home infusion services. KALBITOR Home Infusion Services may not be appropriate for all patients and is not appropriate for treatment of laryngeal attacks. KALBITOR is not indicated for self-administration and should only be given with appropriate medical support to treat serious allergic reactions and your HAE.
Once your treatment plan is in place, KALBITOR Access can continue to be a great resource for you, so stay in touch. To learn more about what KALBITOR Access might be able to do for you, please contact our team of service representatives toll-free at 1-888-4KALBITOR (1-888-452-5248), 24 hours a day, 7 days a week.