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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.
Clinical Nurse Educator Program: provides one-on-one guidance from a registered nurse to help with injection training, ongoing education about CGD, and more.
Benefits and co-pay assistance: researches benefits, facilitates coverage with insurance providers, and coordinates co-pay assistance for eligible patients.
Prescription refill reminders: help patients and caregivers keep track of refills of ACTIMMUNE® via text and/or email.
ACTIMMUNE® (Interferon gamma-1b) is indicated:
ACTIMMUNE® (Interferon gamma-1b) is indicated: