ENJAYMO

ENJAYMO Patient Solutions Patient Guide: How to Get ENJAYMO (sutimlimab-jome) at Low or No Cost

ENJAYMO (sutimlimab-jome) is a prescription medicine used to treat adults with cold agglutinin disease (CAD), a rare type of autoimmune hemolytic anemia where cold temperatures trigger red blood cell destruction, leading to fatigue, shortness of breath, and anemia.[5][10] The ENJAYMO Patient Solutions program from Recordati Rare Diseases helps eligible patients access this in-office, infusion center, or at-home treatment at little or no cost through options like copay assistance, a no-cost trial, and patient assistance for uninsured or underinsured individuals.[1][2][3]

Who Qualifies for ENJAYMO Patient Solutions?

This program offers multiple pathways to make ENJAYMO affordable. It's designed for adults (18+) with CAD living in the US, Puerto Rico, or US territories, treated by a US healthcare provider for an on-label use.[2] Key eligibility varies by sub-program:

• Copay Assistance Program: Helps with out-of-pocket copays, coinsurance, and infusion costs—up to $25,000 annually. Patients may pay as little as $0. Available regardless of insurance, but not valid for government programs like Medicare, Medicaid, VA, DoD, TRICARE, or state pharmaceutical assistance.[1][3]
• No Cost Trial Program: Provides a 30-day supply at no cost for first-time users. No insurance obligation, and no commitment to continue after the trial.[2][3][6]
• Patient Assistance Program: Free medication for uninsured or underinsured patients facing financial or insurance barriers. Requires income verification.[4][8]

Approval isn't guaranteed, and Recordati reserves the right to change or end the program.[1][3] Always confirm details upon enrollment.

About ENJAYMO (sutimlimab-jome)

ENJAYMO is a monoclonal antibody given by IV infusion that targets the C1s protein in the complement system, blocking cold-induced red blood cell destruction in CAD.[5] It's for adults with confirmed CAD, shown by chronic hemolysis, specific blood tests (e.g., cold agglutinin titer ≥64 at 4°C, hemoglobin ≤10 g/dL), and no other causes like infections or lupus.[5][10]

Typical dosing: Weekly infusions for two doses, then every 2 weeks. Patients need vaccinations against encapsulated bacteria (e.g., pneumococcus, meningococcus) before starting.[10] Common delivery: In-office, infusion centers, or at-home via CVS Pharmacy.[1] Your doctor determines the best method based on coverage and needs.

Income Eligibility Breakdown

Specific income thresholds aren't publicly listed (null in program details), but the Patient Assistance Program requires income verification for those with limited access due to finances.[4][8] Copay and trial programs have broader eligibility without strict income caps.[2]

Here's a general guide based on similar programs and requirements:

Contact the program for your situation—they assess case-by-case.[1]

Insurance Requirements

• Commercial insurance: Eligible for copay help (up to $25,000 savings).[3]
• No insurance/underinsured: Patient Assistance or No Cost Trial.[2][4]
• Government insurance (Medicare, Medicaid, etc.): Not eligible for copay program. Explore Medicare Extra Help for low-income support separately.[1][3][7]

Attach insurance cards (front/back) to enrollment.[8] Program works alongside coverage where allowed.

Step-by-Step Application Process

Applications start by phone at 1-833-223-2428 (8AM-5PM ET, Mon-Fri).[1][8] Or download/fax the enrollment form.[8] Here's how:

1. Talk to your doctor: Confirm ENJAYMO prescription and CAD diagnosis. Doctor or authorized agent signs form.[8]
2. Call ENJAYMO Patient Solutions: 1-833-223-2428. Discuss eligibility for copay, trial, or assistance.[1]
3. Complete enrollment form: Provide name, DOB, last 4 SSN digits, address, income docs (W-2, 1040, 2 paystubs for assistance), insurance copies.[8]
4. Fax form: To 888-241-3572.[8]
5. Await approval: Program reviews and notifies you.[1]
6. Start treatment: Receive via chosen infusion method.[1]

Your doctor may handle parts of this.[1]

Timeline and Delivery

Processing time isn't specified, but expect review after submission—call for status.[1] Once approved:

• No Cost Trial: 30-day supply quickly.[2]
• Copay card activates fast for pharmacy/infusion.
• Delivery: In-office (doctor's office), infusion center, or at-home infusion through CVS Pharmacy.[1] Home option subject to coverage/physician approval.

Refills/reauthorization: Ongoing for copay (up to annual max); assistance may need periodic checks (details on enrollment).[3][8]

Alternatives if Denied

• Appeal: Ask program for reasons and resubmit docs.[1]
• Other assistance: Medicare Extra Help if low-income (covers Part D copays).[7] State programs or general CAD foundations.
• Manufacturer alternatives: Check Recordati for updates.[4]
• Generic/biosimilars: None available (null).[5]
• Clinical trials or payer appeals for CAD treatments like rituximab.[10]

Disclaimer

This guide is for informational purposes based on available program details as of latest data. Eligibility, benefits, and terms can change—Recordati may modify/terminate anytime without notice.[1][3] Not valid where prohibited by law. Consult your doctor, call 1-833-223-2428 for personalized advice, and review full terms upon registration. Approval not guaranteed. This is not medical or financial advice.