a child with later-onset SMA who is being treated with SPINRAZA
a child with later-onset SMA who is being treated with SPINRAZA

Starting SPINRAZA/How to start

Help your patients begin treatment and access support for SPINRAZA.

Below are the steps needed to initiate treatment. Please keep in mind these are generalized steps; because each patient has unique needs, additional steps may be required.

STEP 1

Download the patient materials to discuss the benefits and risks of SPINRAZA.

SPINRAZA pediatric brochure

SPINRAZA
adult brochure

STEP 2

Download and complete the healthcare provider section of the Start Form to prescribe SPINRAZA and enroll your patient in support services.

Download the Start Form (English)

Download the Start Form (Spanish)

STEP 3

Make a photocopy of your patient’s insurance and pharmacy benefit card.

STEP 4

Give your patient the Instructions and Consent Information pages of the Start Form to take home.

 

STEP 5

Send the completed Start Form and copies of the insurance/pharmacy benefit cards to Biogen by fax or email.

Fax: 1-888-538-9781

Email as an attachment: StartForm@biogen.com
Please note this email address is an unattended inbox and is for Start Forms only.

Once Biogen receives the SPINRAZA Start Form, a SPINRAZA Family Access Manager (FAM) or Lead Case Manager (LCM) will contact the patient or parent/guardian to help them navigate the process.

Biogen takes the confidentiality of personal information seriously.

The benefits for patients of granting consent include:

  • Expediting enrollment into SMA360°™* patient
    support services from Biogen, which includes
    help in areas such as treatment logistics,
    insurance, and financial assistance
  • Giving Biogen access to the status of the
    prescription should assistance be required

*SMA360° services from Biogen are available only to those who have been prescribed SPINRAZA. SMA360° is intended for US residents only.

Questions about support
or treatment logistics?

Contact your Biogen Rare Disease Account Executive

SPINRAZA should be administered by, or under
the direction of, a specially trained healthcare
professional able to perform lumbar punctures.1