Frequently Asked Questions
REACH
What is REACH?
REACH is a centralized resource for patients and healthcare providers to receive information on insurance requirements and affordability options for their prescribed medicine.‡ REACH provides personalized support for enrolled patients, including evaluation for available financial assistance and educational materials. REACH is administered by Biologics, which is currently the exclusive specialty pharmacy used to dispense their prescribed medicine.
Enrolling in REACH
How do I get a patient started on their prescribed medicine?
Prescriptions should be submitted to REACH using the Start Form. As an alternative, prescribers can send electronic prescriptions directly to Biologics using NPI 1487640314. Please note that prescriptions received without the Start Form may require additional follow-up from the pharmacy to capture additional information.
How do I enroll a patient in Biogen REACH?
To enroll a patient in REACH, you must:
- Complete the Start Form and sign the prescription and authorization, or submit an electronic order to Biologics
- If the patient is in the office, the patient reviews and signs the consent section of the Start Form. If the patient is not available when the form is being submitted, REACH can contact the patient or caregiver to offer enrollment into program services and obtain consent
- Submit the Start Form to REACH by faxing it to 1-844-806-1718 or mailing it to Biogen REACH, 11800 Weston Parkway, Cary NC 27513
Why must my patient sign the Start Form?
By signing the Start Form, your patient consents to allowing REACH to discuss relevant personal health information for their prescribed medicine including with their healthcare providers, their healthcare insurance company, and Biologics, the exclusive specialty pharmacy. Patient access to Care Navigators and information about their prescribed medicine cannot be provided to patients unless we receive this permission. Please refer to the guidance provided in the Start Form for more information.
The patient and provider sections of the REACH Start Form are completed. How can I submit the form?
There are 2 ways to submit the Start Form:
- Fax to 1-844-806-1718
- Mail to Reata REACH, 11800 Weston Parkway, Cary NC 27513
Care Navigators
Who are REACH Care Navigators?
Once your patient is enrolled in REACH, these dedicated professionals are your patient’s REACH point of contact during their treatment with their prescribed medicine.
What information does the Care Navigator provide?
Care Navigators can help with questions about your patient’s insurance coverage, eligibility criteria for copay assistance, at-home prescription delivery, and options to speak with a specialty pharmacy representative, including pharmacy staff and nurse educators. They can also provide helpful information for other support programs, including patient advocacy groups.
Insurance Approval for Their Prescribed Medicine
How long does insurance approval for coverage of their prescribed medicine take?
This depends on the patient’s insurance plan. REACH will work to understand documentation requirements to support your patient’s approval. Once all information has been submitted to your patient’s insurance plan, the REACH program will follow up regularly until a determination has been made. Sometimes the process is quick; however, in some cases it can take up to several weeks.
Insurance Denial for Their Prescribed Medicine
My patient’s healthcare/prescription drug insurance will not cover their prescribed medicine. Whom should I contact?
If your patient’s insurance plan will not cover their prescribed medicine, you may contact REACH to discuss what additional documentation may be needed to potentially appeal the denial. If the plan requests a letter of medical necessity for your patient, a template letter is available here. You may also request a peer-to-peer discussion with a medical director at the healthcare insurance plan to discuss your patient’s eligibility for coverage of their prescribed medicine.
Will REACH contact my patient’s healthcare/prescription drug insurance to discuss insurance coverage denial of their prescribed medicine?
REACH may be able to provide information to you and your staff about options to appeal a denial. REACH can share that information with you, but the program cannot directly interact with your patient’s insurance plan. If the plan requests a letter of medical necessity for your patient, a template letter is available here.
Medication Delivery
Once insurance approves coverage for their prescribed medicine, how long will it take for the first fill of their prescribed medicine to be delivered?
Once the insurance plan approves coverage of the prescribed medicine, REACH will contact your patient to arrange shipment and delivery. Most prescriptions are delivered within 2 business days.
Which pharmacy options are available for their prescribed medicine?
Their prescribed medicine will only be available through Biologics, the exclusive specialty pharmacy for their prescribed medicine. Prescriptions cannot be filled at retail pharmacies or through retail mail order.
Patient Affordability
My patient has concerns about paying for their prescribed medicine. How can REACH help?
There are options to help make the medicine you prescribed more affordable for your patient. Care Navigators can help your patient explore their eligibility for affordability programs.
Insurance Changed or Ended
My patient’s insurance plan has changed. What can I do so my patient can continue their prescribed medicine under the new insurance plan?
If your patient’s insurance changes while taking their prescribed medicine, you or your patient should call REACH to provide the new insurance information as soon as it is available. REACH will contact your patient's new insurance company to inquire about coverage and work with you to provide any necessary documentation.
My patient no longer has a healthcare/prescription drug insurance plan. How can REACH help?
If your patient loses healthcare/prescription drug insurance coverage while taking their prescribed medicine, your patient should call 1-844-987-3224 to speak with a Care Navigator to understand available options.