For the acute treatment of migraine and the preventive treatment of episodic migraine in adults
FOR U.S. HEALTHCARE PROFESSIONALS ONLY
For U.S. Healthcare Professionals Only
Lee H.
Actual Nurtec ODT patient.
*Per IQVIA as oral brand in class (oral CGRP receptor antagonists): number one prescribed and number one in new prescriptions, since 8/6/21. Data current as of 8/21/23.
Help give your patients access to the only migraine medication that treats and prevents all in one with our dedicated savings and support program.1,2 Call 1-833-4NURTEC for support with any of the following:
†Eligible commercially insured patients can, for one time only, access Nurtec ODT at no cost while benefits are being verified for as many as two prescription fills, with a combined maximum of 24 tablets total. Insurance coverage must be approved by the payor for patients to continue receiving Nurtec ODT with no out-of-pocket cost. No membership fees. Only available for commercially insured patients. This is not health insurance. The full terms and conditions can be accessed at nurtec.com/copay-terms.
Nurtec ODT 75 mg is available in blister packs of 8 tablets each. For preventive treatment, prescribe two 8-packs (16 tablets) per month. For acute treatment, you can prescribe one 8-pack, or double up to two 8-packs in one monthly prescription.1,*
1
In your EMR, simply select:
ASPN Pharmacies, LLC
290 West Mount Pleasant Ave, Livingston, NJ 07039 NPI: 1538590690Prescriptions can also be faxed to ASPN Pharmacies at 1-877-371-2213.
A
or
Your local pharmacy
(for prescriptions not serviced through Nurtec ® OneSource)
B
Don’t see ASPN Pharmacies in your ePrescribe platform?
Select ASPN Pharmacy in your EMR mail order pharmacy option or check with your IT support for the last system update. If additional assistance is needed, please contact your EMR provider.
2
Select ICD-10-CM code†:
The codes listed below may be appropriate to include with your request for your patient with migraine. Please refer to an ICD-10-CM resource for additional codes that may be applicable to your patient.
ICD-10-CM code and description
3
Select quantity:
or
Include directions for use as appropriate
ACUTE: Take one tablet by mouth daily as needed for migraine. No more than one dose in 24 hours.
PREVENTIVE: Take one tablet by mouth every other day. No more than one dose in 24 hours.
Have questions for a Support Specialist?
Call 1-833-4NURTEC (1-833-468-7832) Monday through Friday from 8:30 am to 8:00 pm EST.
*The maximum dose of Nurtec ODT in a 24-hour period is 75 mg. The safety of using more than 18 doses of Nurtec ODT in a 30-day period has not been established.1
†Codes are provided for informational purposes only. List may not be comprehensive. The healthcare provider is responsible for determining appropriate coding for treatment of their patients. Codes are not intended to encourage or suggest a use that is inconsistent with FDA-approved uses.
More than 296 million individuals have access
to Nurtec ODT across all channels*
More than 296 million individuals have access to Nurtec ODT across all channels*
With coverage for 96% of commercially insured lives*
Nurtec ODT is a preferred oral CGRP receptor antagonist on the UnitedHealthcare national commercial formulary(acute: 8 tablets/30 days; preventive: 16 tablets/30 days)*
The maximum dose of Nurtec ODT in a 24-hour period is 75 mg. The safety of using more than 18 doses of Nurtec ODT in a 30-day period has not been established.1
SELECT NATIONAL PLANS WITH 16-TABLET COVERAGE FOR ACUTE TREATMENT†
PHARMACY BENEFIT MANAGER | PLAN STATUS | ACUTE QL |
---|---|---|
CVS | Preferred | 16 |
AETNA | Preferred | 16 |
MEDIMPACT | Preferred | 16 |
BLUE CROSS BLUE SHIELD FEP | Covered | 18 ‡ |
FEP=Federal Employee Program; QL=quantity limit
*Per Managed Markets Insights and Technology LLC as of 8/11/23.
†Majority of plans require Prior Authorization. While Pfizer strives to make this information as timely and accurate as possible, it makes no claims, promises or guarantees about the accuracy, completeness, or adequacy of the contents, and expressly disclaims liability for errors and omissions in the contents. Pfizer does not guarantee coverage of insured benefits; all benefits are subject to the insured’s plan requirements. Please consult the health plan directly for comprehensive policy information. Reference in this information to any specific payor plan does not constitute endorsement, recommendation or favoring by Pfizer and inclusion in a medical policy does not imply comparable or superior efficacy/safety of drug products.
‡Acute quantity limit is 56 tablets per 90-day prescription.
References: 1. Nurtec ODT. Package insert. Pfizer Inc. 2. Croop R, Lipton RB, Kudrow D, et al. Oral rimegepant for preventive treatment of migraine: a phase 2/3, randomised, double-blind, placebo-controlled trial. Lancet. 2020;397(10268): 51-60. doi:10.1016/S0140-6736(20)32544-7.
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