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The Patient Enrollment Form below is the first step in prescribing ACTIMMUNE® (Interferon gamma-1b) for your patients with chronic granulomatous disease (CGD). After a patient has been prescribed ACTIMMUNE® and the enrollment form has been completed, a comprehensive patient support program helps your patient start and stay on treatment.
Start your patients on the right dose
When you are ready to prescribe, the Horizon By Your Side patient support program offers a wide array of patient-focused services, like:
Start your patients on the right dose
When you are ready to prescribe, the Horizon By Your Side patient support program offers a wide array of patient-focused services, like:
CONNECT: Your patient will be paired with a Clinical Nurse Educator who can provide tools and resources to help your patient manage their day-to-day challenges.
COORDINATE: The Horizon By Your Side team can help patients address financial barriers by researching their insurance benefits, explaining insurance options, and connecting them to financial assistance if eligible.
CHAMPION: The Clinical Nurse Educator will serve as a dedicated personal resource and main point of contact for your patient's ongoing non-medical needs.
ACTIMMUNE® (Interferon gamma-1b) is indicated:
ACTIMMUNE® (Interferon gamma-1b) is indicated: