Getting started with SPINRAZA® (nusinersen)

Once you and your patient have decided to begin treatment, submit a Start Form to enroll your patient in SMA360o.
YOUR FIRST STEP

Submit a Start Form to enroll your patient in SMA360o

How it works

A Start Form enrolls patients in Biogen support services and can be used as a prescription.*

  • Allows patient access to SMA360o —the Biogen Circle of Support that helps with logistical assistance, insurance benefits investigations, and financial assistance
  • Initiates contact with SMA360o specialist support personnel, including a dedicated SPINRAZA Family Access Manager (FAM) or Lead Case Manager (LCM) who helps the caregiver and patient navigate the process

Download the SPINRAZA Start Form today

Call SMA360o at 1-844-4SPINRAZA (1-844-477-4672)

PROCUREMENT

Putting the Start Form into action


Complete the Healthcare Provider section of the Start Form. Partially completed forms may delay access to Biogen support services.

*Depending on your method of procurement, the Start Form may be used as a prescription.

Specialty pharmacy

Fill out the Prescription section of the Start Form. Submitting the Start Form will enroll your patients in SMA360° and a prescription will be filled by the specialty pharmacy.

Direct buy

Follow your usual office procedure for procuring medication. Submitting the Start Form will only enroll your patients in SMA360°.

Unknown

If your procurement methodology is unknown, please check the corresponding box and Biogen will follow up with you.

FINAL STEP

Submit forms and documents to Biogen

Send the completed Start Form and copies of insurance card and pharmacy benefit card to Biogen.

Fax to 1-888-538-9781 or email as an attachment to StartForm@biogen.com (this email address is an unattended inbox and is for Start Forms only).

Follow your usual office procedure for prescribing medication.

You will be contacted by a Biogen Rare Disease Account Executive to help answer any questions you have.

The individual with spinal muscular atrophy (SMA) or caregiver will be contacted by a SPINRAZA FAM or LCM to help navigate the process. 

Questions? Contact your Biogen Rare Disease Account Executive

1-844-4SPINRAZA (1-844-477-4672)

Ruby
age 4

Later-onset (Type 2) SMA
treated with SPINRAZA

Ruby
age 4

Later-onset (Type 2) SMA
treated with SPINRAZA

Individual results may vary based on several factors, including severity of disease, initiation of treatment, and duration of therapy.

SMA360°™ Logo

A circle of support for your patients

Biogen’s SMA360° support program provides services for patients and their families that address nonmedical barriers to access, including logistical assistance, insurance benefits investigations, product education, and financial assistance for eligible individuals.

SMA360o services from Biogen are available only to those who have been prescribed SPINRAZA. SMA360is intended for US residents only.