Starting or Taking Tracleer

• Starting or Taking Tracleer
• Specialty Pharmacies
• Insurance Coverage and Financial Assistance
• Sure Steps
• LabTrac
• About Tracleer

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PAH Pathways serves as your one point of contact for Actelion's patient services and support programs. PAH Pathways is designed to give you information, assistance, and one-on-one support during every step of your journey with Tracleer.

To start treatment with Tracleer, you must review essential safety information with your healthcare provider, complete a Tracleer Enrollment and Renewal form, and agree to have important monthly tests.

Actelion has updated the way patients are enrolled and renewed in the Tracleer Access Program (T.A.P.^®). An essential part of this update is to provide information so you and your Healthcare provider can work together to help ensure the safe use of Tracleer.

Your first step is reviewing the Tracleer Medication Guide (found in the Patient Essentials guide) with your healthcare provider, you must then go for pretreatment liver function and (if applicable) pregnancy tests. These tests rule out that you are pregnant or that you have liver problems before starting treatment with Tracleer. This is important because of the risk of liver damage and serious birth defects associated with Tracleer.

Because of the risks associated with treatment, you must be enrolled in the Tracleer Access Program (T.A.P.^®) to receive your medication. This is done when you and your healthcare provider complete the Tracleer Enrollment and Renewal form and your healthcare team sends it to PAH Pathways, which administers T.A.P.

PAH Pathways counselors can then coordinate with your certified specialty pharmacy to make sure that your Tracleer is promptly delivered directly to you.

Here's how it all comes together:

Patient Essentials Guide: Your guide to starting, taking, and renewing Tracleer

Download the Patient Essentials Guide (English) (Español)

Tracleer Enrollment and Renewal form and HIPAA form: To be enrolled in the Tracleer Access Program (T.A.P.), you and your healthcare provider need to complete the Tracleer Enrollment and Renewal form. You can also enroll in voluntary patient education and support programs by completing the HIPAA form.

Download the Tracleer Enrollment and Renewal form and HIPAA form (English) (Español)

1. Your doctor prescribes Tracleer and enrolls you in the Tracleer Access Program (T.A.P.): The process starts when your doctor's office faxes your Tracleer Enrollment and Renewal form to PAH Pathways.

2. PAH Pathways contacts you: Once we receive your Tracleer Enrollment and Renewal form, PAH Pathways will:

• Call you to discuss insurance coverage and out-of-pocket costs for Tracleer.
• Forward your information to a specialty pharmacy, which will then deliver Tracleer directly and conveniently to your home each month you are on treatment.
• Mail you a Tracleer Getting Started Kit.
• Help you enroll in Sure Steps™—a patient education and support program offered by PAH Pathways at no cost to you. Sure Steps provides you with educational materials, online tools, and nurse counselors to answer your questions about PAH and Actelion PAH treatments.

3. Tracleer is delivered to you: Tracleer is not available in your retail pharmacies; rather, it is carried by a network of specialty pharmacies that are certified by Actelion to dispense Tracleer. Your specialty pharmacy ships Tracleer directly and conveniently to your home or doctor's office each month you are on treatment.

4. You're sent laboratory test reminders and follow-ups: To reduce the risks of the use of Tracleer, you must have liver function and pregnancy tests each month. Your specialty pharmacy will call you regularly to confirm that you have had your liver function tests and (if applicable) pregnancy tests each month before they ship your medication. If you don't confirm with your specialty pharmacy that you have had your tests or if you become pregnant, your specialty pharmacy will not be able to ship Tracleer to you and will contact your healthcare provider. It's important that you do not stop taking Tracleer unless your doctor tells you to do so. You will receive a Medication Guide with each shipment and you should read it monthly because there may be new information.

5. Your healthcare provider renews your Tracleer enrollment every year: In order to continue on Tracleer, you must start over again every year by reviewing the Medication Guide and completing the Tracleer Enrollment and Renewal form with your healthcare provider. It's the same process you completed for step 1 of starting treatment.

The Patient Essentials Guide will serve as your guide for starting, taking and renewing Tracleer.

You can also call PAH Pathways, Monday through Friday, 9 AM-8 PM (ET)/6 AM-5 PM (PT), with questions about any of these steps: 1-866-ACTELION (228-3546).