Nplate FIRST STEP™ Co-Pay Coupon Card Program
The Nplate FIRST STEP™ program can help eligible*, commercially insured patients with deductible, co-insurance or co-pay (out-of-pocket) requirements† for Nplate®.
- Eligibility is not based on your income.
- There's no out-of-pocket cost for the first injection.
- After that, the maximum out-of-pocket cost is $25 per injection, up to $5,000 per 6 months. Patient is responsible for costs above this amount.
- Program covers out-of-pocket medication costs only.
- One simple phone call to enroll.
Questions? Call the My Nplate® Center toll-free at 1-855-MYCENTER (1-855-692-3683) Monday through Friday 9 am – 8 pm EST.
Nplate FIRST STEP™ Co-Pay Coupon Card Program FAQs
How long is the Nplate FIRST STEP™ Co-Pay Coupon Card Program valid?
Once a patient is registered, the program is valid for the enrolled patient's entire course of treatment. There is no re-enrollment necessary. For questions, call the My Nplate® Center toll-free at 1-855-MYCENTER (1-855-692-3683) Monday through Friday 9 am — 8 pm EST.
Are there any eligibility requirements for the Nplate FIRST STEP™ Co-Pay Coupon Card Program?
Patients are not eligible if participating in any federal, state or government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DoD) or TRICARE. Log-on to www.amgenfirststep.com for full program eligibility requirements or call My Nplate® Center toll-free at 1-855-MYCENTER (1-855-692-3683).
Why are uninsured cash-paying patients not eligible for the Nplate FIRST STEP™ Co-Pay Coupon Card Program?
The program is intended to help commercially-insured patients cover the cost of their co-insurance or co-payment obligations for Nplate®. Uninsured patients requiring assistance may contact The Safety Net Foundation toll-free at 1-888-SN-AMGEN (1-888-762-6436) to request assistance.
Can the Nplate FIRST STEP™ Co-Pay Coupon Card Program MasterCard® be used with mail order and specialty pharmacies?
No. The program only applies to patients receiving treatment in a physician's clinic or institution that is billed under the patient's medical benefit. The program does not cover deductibles, co-insurance or co-payments for Nplate® purchased at a specialty or retail pharmacy and then administered at a physician's clinic or institution.
For more information about the Nplate FIRST STEP™ Co-Pay Coupon Card Program, please contact My Nplate® Center toll-free at 1-855-MYCENTER (1-855-692-3683). Or, log-on to www.amgenfirststep.com for full program eligibility requirements.
Nplate® is a man-made protein medicine used to treat low blood platelet counts in adults with chronic immune thrombocytopenia (ITP), when certain other medicines, or surgery to remove your spleen, have not worked well enough.
Nplate® is not for use in people with a precancerous condition called myelodysplastic syndrome (MDS) or low platelet count caused by any condition other than chronic (lasting a long time) immune thrombocytopenia (ITP). Nplate® is only used if your low platelet count and medical condition increase your risk of bleeding. Nplate® is used to try to keep your platelet count about 50,000 per microliter in order to lower the risk for bleeding. Nplate® is not used to make your platelet count normal. It is not known if Nplate® works or if it is safe in people under the age of 18.
Important Safety Information
What is the most important information I should know about Nplate®?
Nplate® can cause serious side effects:
Worsening of a precancerous blood condition to a blood cancer (leukemia): Nplate® is not for use in people with a precancerous condition called myelodysplastic syndromes (MDS) or for any condition other than chronic (lasting a long time) immune thrombocytopenia (ITP). If you have MDS and receive Nplate®, your MDS condition may worsen and become an acute leukemia. If MDS worsens to become acute leukemia you may die sooner from the acute leukemia.
Higher risk for blood clots:
- You may have a higher risk of getting a blood clot if your platelet count becomes high during treatment with Nplate®. You may have severe complications or die from some forms of blood clots, such as clots that spread to the lungs or that cause heart attacks or strokes. Your healthcare provider will check your blood platelet counts and change your dose or stop Nplate® if your platelet counts get high.
- If you have a chronic liver disease, you may get blood clots in the veins of your liver. This may affect your liver function.
Loss of response: If you do not experience results from Nplate®, your immune system may have created a response that is counteractive to Nplate®. Your healthcare provider will monitor your platelet counts and test your blood regularly to determine if this is an issue.
Blood test monitoring: Your healthcare provider will check your platelet count every week and change your dose of Nplate® as needed. This will continue until your healthcare provider decides that your dose of Nplate® can stay the same. After that, you will need to have blood tests every month. When you stop receiving Nplate®, you will need blood tests for at least 2 weeks to check if your platelet count drops too low.
What are the possible side effects of Nplate®?
- Nplate® may cause serious side effects. See "What is the most important information I should know about Nplate®?"
- The most common side effects of Nplate® are:
- Joint pain
- Trouble sleeping
- Muscle tenderness or weakness
- Pain in arms and legs
- Abdominal pain
- Shoulder pain
- Tingling or numbness in hands and feet
- People who take Nplate® may have an increased risk of developing new or worsening changes in the bone marrow called "increased reticulin". These changes may improve if you stop taking Nplate®. Your healthcare provider may need to check your bone marrow for this problem during treatment with Nplate®.
- These are not all the possible side effects of Nplate®. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. For more information, ask your healthcare provider or pharmacist.
- If you have any questions about this information, be sure to discuss them with your doctor. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Please see Prescribing Information and Medication Guide for more information about Nplate®.