Triptodur CareSM - Triptodur

Your trusted guide on the treatment journey.

From the first step to ongoing support, we’re with you every day and every way possible.

We’ve Got You Covered With Dedicated Support Throughout the Prescribing Process and Care at Every Step

Embark With Confidence

Enroll Your Patient
Prescribe Triptodur

Navigate Access and Coverage

Benefits Investigation and Prior Authorization
Copay Assistance^a

We've Got You Covered

Triptodur Care^SM Bridge Program^b
Triptodur Care^SMPatient Assistance Program^c

Ongoing Support

Network Specialty Pharmacy with a  single point of contact
Resources for HCPs, caregivers, patients

Call 833-401-CARE (2273), 8:00 AM – 5:00 PM ET, Monday through Friday.

^a-cSee Terms and Conditions.

1. Getting Started

Embark With Confidence

Let’s set the stage for success, from seamless enrollment to product access and navigating the insurance process, so you can relax knowing you’re starting off right.

Enroll Your Patient in Triptodur Care^SM

To access all the benefits of Triptodur Care^SM, including benefits investigation and support, enroll your patients now! Download and complete the Patient Enrollment Form (English / Español) and fax to (855) 246-3986.

The Triptodur Care^SM team will fax your office a confirmation that we’ve received your patient’s Triptodur enrollment within 2 hours of receipt if received between 8:00 AM – 5:00 PM ET, Monday through Friday.

Accessing Triptodur

Triptodur is available through the Triptodur Care^SM network pharmacy partner, your health system specialty pharmacy, or directly from your specialty distributor.

eRx
Submit a prescription for Triptodur via eRx
NPI: 1750843314

Phone
Call the Triptodur Care^SM team at (833) 401-CARE (2273) 8:00 AM – 5:00 PM ET, Monday through Friday

Fax
Fax the completed Patient Enrollment Form (English/Español) to (855) 246-3986

2. We’ve got you Covered

Support Through the Process

Navigating potential access barriers to help patients receive their treatment  as prescribed.

Benefit Investigation (BI) and Prior Authorization (PA) Through Approval

Triptodur Care^SM will conduct a BI, and if insurance requires a PA or appeal we will assist with documentation and processing.

Please keep the Triptodur Care^SM team informed of any direct communication that comes from the health plan, including approvals or denials.

95% approval rates when utilizing Triptodur Care^SM.

Triptodur Care^SM Copay Assistance

Eligible patients^a may pay as little as $5

95% of commercially insured eligible patients^a pay $5 or less for Triptodur

Download Copay Reimbursement Form

^aSee Terms and Conditions.

3. Coverage that Cares

Rest Easy, We’ve Got You Covered

Providing additional coverage options for eligible patients who need it

Triptodur Care^SM Bridge Program

Enables eligible, insured patients^a to receive Triptodur at no cost for the first fill to bridge the time it takes to get coverage for their prescribed treatment.

Download Bridge Program Form

^aSee Terms and Conditions.

Triptodur Care^SM Patient Assistance Program (PAP)

Approved eligible patientsa may receive medications at no cost, based on eligibility criteria.

Download Patient Assistance Program Form

^aSee Terms and Conditions.

4. Continuous Support

Here Every Step of the Way

Now that you’re on the path, our team is here to provide unwavering support, from guidance on injections to answering questions.

We have a dedicated Triptodur Care^SM team for streamlined support to both caregivers and healthcare providers.

Network Specialty Pharmacy

Use our network pharmacy partner to ensure a single point of contact to assist you in completing your tasks.

Medication shipment coordination

The Triptodur Care^SM team will reach out to your practice and the caregiver to schedule shipment of the medication around the injection appointment
Triptodur must be administered by a healthcare provider

In-Home Nurse Injection Program

Patients whose prescriptions are filled through the network specialty pharmacy may receive in-home injections by a trained nurse at no cost with provider approval. Enroll by faxing the In-Home Nurse Referral Form to 877-650-7041.

Download In-Home Nurse Injection Program Form

Resources for HCPs, Caregivers, and Patients

Live in-service support and video guide for administering Triptodur.

Get started with Trip, the lovable dinosaur whose story helps explain what CPP is and what to expect with treatment. Also includes a storybook and is delivered in a Triptodur bag.

IMPORTANT SAFETY INFORMATION FOR TRIPTODUR

INDICATION

TRIPTODUR is indicated for the treatment of pediatric patients 2 years of age and older with central precocious puberty (CPP).

IMPORTANT SAFETY INFORMATION

Contraindications

TRIPTODUR is contraindicated in:

Individuals with a known hypersensitivity to triptorelin or any other component of the product, or other GnRH agonists or GnRH.
Women who are or may become pregnant. Expected hormonal changes that occur with TRIPTODUR treatment increase the risk for pregnancy loss and fetal harm when administered to a pregnant woman. If this drug is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be advised of the potential risk to the fetus.

Warnings and Precautions

Initial Rise of Gonadotropins and Sex Steroid Levels – During the early phase of therapy, gonadotropins and sex steroids rise above baseline because of the initial stimulatory effect of the drug. Therefore, a transient increase in clinical signs and symptoms of puberty, including vaginal bleeding, may be observed during the first weeks of therapy or after subsequent doses.

Psychiatric Events – Psychiatric events have been reported in patients taking GnRH agonists. Postmarketing reports with this class of drugs include symptoms of emotional lability, such as crying, irritability, impatience, anger, and aggression. Monitor for development or worsening of psychiatric symptoms during treatment with TRIPTODUR.

Convulsions – Postmarketing reports of convulsions have been observed in patients receiving GnRH agonists, including triptorelin. These included patients with a history of seizures, epilepsy, cerebrovascular disorders, central nervous system anomalies or tumors, and patients on concomitant medications that have been associated with convulsions such as bupropion and SSRIs. Convulsions have also been reported in patients in the absence of any of the conditions mentioned above.

Pseudotumor Cerebri (idiopathic intracranial hypertension) – has been reported in pediatric patients receiving GnRH agonists, including triptorelin. Monitor patients for signs and symptoms of pseudotumor cerebri, including headache, papilledema, blurred vision, diplopia, loss of vision, pain behind the eye or pain with eye movement, tinnitus, dizziness, and nausea.

Adverse Reactions

In clinical trials for TRIPTODUR, the most common adverse reactions (≥4.5%) are injection site reactions, menstrual (vaginal) bleeding, hot flush, headache, cough, and infections (bronchitis, gastroenteritis, influenza, nasopharyngitis, otitis externa, pharyngitis, sinusitis, and upper respiratory tract infection).

To report SUSPECTED ADVERSE REACTIONS, contact Azurity Pharmaceuticals, Inc. at 1-800-461-7449, or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

The Important Safety Information does not include all the information needed to use TRIPTODUR safely and effectively. For additional safety information, please consult the full Prescribing Information for TRIPTODUR.

The information on this site is intended for US healthcare professionals and is not intended for the general public.

I am a US healthcare professional I am not a US healthcare professional

Terms and Conditions

Copay Assistance

Copay assistance is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare, or other federal or state healthcare programs (including any state prescription drug assistance programs and the Government Health Insurance Plan).
Copay assistance is not valid for prescriptions that are eligible to be reimbursed, in whole by commercial plans.
Eligible patients may pay as little as $5 out-of-pocket for Triptodur per prescription with the Triptodur Copay Assistance Program.
This copay is valid for eligible cash-paying patients.
Insured must be 18 years of age or older; patients must be 2 years of age or older.
Each patient is limited to 1 active copay assistance offer at a time during this offering period, and the copay assistance offer is not transferable.
Copay assistance cannot be combined with any other rebate or coupon, free trial, or similar offer for the specified prescription.
Copay assistance will be accepted at participating pharmacies.
Copay assistance is not health insurance.
This offer is valid only in the United States and Puerto Rico as allowed by law.
Azurity reserves the right to rescind, revoke, or amend copay assistance without notice.
Offer valid until the end of the current calendar year. No membership fees apply.

Bridge Program

Patient and caregiver must be a United States (U.S) citizen or resident and must physically reside in the U.S or U.S territory.
Patient has been prescribed Triptodur for an on-label, FDA-approved indication.
Prescriber must complete and submit Bridge enrollment form to enroll patient in the program.
Patient has insurance that has been delayed or denied and documented. Prior Authorization (PA) denial and appeal management documentation is required. Failure to include documentation may result in delays. This will be confirmed by the prescriber attestation on the Bridge application.
Patient or provider cannot submit the value of the free product as a claim for payment to any third-party payer.
Patient or provider must contact program if insurance changes or coverage becomes available, at any point during the program year.
Program covers the cost of product only.
No portion of the value of the free product will count towards the patient’s applicable out-of-pocket cost-sharing obligations.

Azurity reserves the right to cancel or modify the program at any time.

Patient Assistance Program

Patient and caregiver must be a United States (U.S) citizen or resident and must physically reside in the U.S or U.S territory.
Patient has been prescribed Triptodur for an on-label, FDA-approved indication.
Prescriber must complete and submit a PAP enrollment form for every patient.
Patients whose health insurance plan or employer requires them to go through a third-party Alternative Funding Program (AFP) and apply to the PAP as a condition of, requirement for, or prerequisite to coverage of Triptodur will not be eligible for assistance from this program.
Income criteria that demonstrate qualifying financial needs and proof of income documentation.
Medical Expenses: Acceptable medical expenses submitted to the program should contain the amount and date of the transaction.

Azurity reserves the right to cancel or modify the program at any time.

Your trusted guide on the treatment journey.

From the first step to ongoing support, we’re with you every day and every way possible.

We’ve Got You Covered With Dedicated Support Throughout the Prescribing Process and Care at Every Step

Embark With Confidence

Navigate Access and Coverage

We've Got You Covered

Ongoing Support

1. Getting Started

Embark With Confidence

Enroll Your Patient in Triptodur CareSM

Accessing Triptodur

2. We’ve got you Covered

Support Through the Process

Benefit Investigation (BI) and Prior Authorization (PA) Through Approval

Triptodur CareSM Copay Assistance

3. Coverage that Cares

Rest Easy, We’ve Got You Covered

Triptodur CareSM Bridge Program

Triptodur CareSM Patient Assistance Program (PAP)

4. Continuous Support

Here Every Step of the Way

Network Specialty Pharmacy

In-Home Nurse Injection Program

Resources for HCPs, Caregivers, and Patients

IMPORTANT SAFETY INFORMATION FOR TRIPTODUR

INDICATION

IMPORTANT SAFETY INFORMATION

Contraindications

Warnings and Precautions

Adverse Reactions

The information on this site is intended for US healthcare professionals and is not intended for the general public.

Terms and Conditions

Copay Assistance

Bridge Program

Patient Assistance Program

Enroll Your Patient in Triptodur Care^SM

Triptodur Care^SM Copay Assistance

Triptodur Care^SM Bridge Program

Triptodur Care^SM Patient Assistance Program (PAP)