Prescription coverage

Health insurance can be a confusing topic. Your health insurance plan will determine what is and isn’t covered financially, how much you will pay for prescriptions, and what additional savings you may be eligible for. Let’s take a look at your options under Medicare and commercial coverage.

Medicare	Commercial health insurance
Provided by the federal government	Offered by privately owned companies
For people 65 and older, or those with certain disabilities	Provided by your employer, or purchased on your own through the Affordable Care Act or otherwise
Optional prescription drug coverage (Medicare Part D)

Medicare
Provided by the federal government
For people 65 and older, or those with certain disabilities
Optional prescription drug coverage (Medicare Part D)

Commercial health insurance
Offered by privately owned companies
Provided by your employer, or purchased on your own through the Affordable Care Act or otherwise

Medicare Part D and your prescription coverage

Medicare is a federal health insurance program for people aged 65 and older, and/or people with certain disabilities. Medicare also provides prescription drug coverage through its Part D program. If you’re enrolled in Medicare Part A or Part B, then you’re eligible for Part D prescription coverage. Part D is optional, so to take part, you need to enroll in a Medicare Prescription Drug Plan or a Medicare Advantage Plan.

Every Medicare Part D plan is different, and many things can affect your prescription drug costs. For instance, what you pay for NORTHERA® (droxidopa) could depend on which “stage” of Part D coverage you’re in: deductible, initial coverage, coverage gap, or catastrophic coverage.

This information regarding Medicare Part D, Low Income Subsidy (LIS), and insurance coverage in general is being provided for informational purposes only.

Part D plans have many nuances that are not necessarily reflected in these materials. These nuances could impact program eligibility and coverage details for individual patients.

Learn more about Medicare Part D. Remember, not every Part D plan is the same. If you have questions about your personal Part D plan, contact your insurer.

Enrolling in Medicare Part D

In most cases, you can only enroll in or make changes to your Part D prescription drug coverage during the Fall Open Enrollment period (October 15 through December 7). Please note:

Part D coverage begins January 1 of the following year.
Certain situations or life events may allow you to make changes outside of the Fall Open Enrollment period, such as:
- Moving out of your plan’s service area
- Moving into a nursing home or a similar institution
- Getting or losing Medicaid

Medicare’s Extra Help program could help you pay less for NORTHERA

Medicare’s Extra Help, also known as the Low Income Subsidy (LIS), can help people with limited income get NORTHERA and other medications at a lower cost. The amount of this subsidy someone receives is determined by comparing the person’s income and assets to the Federal Poverty Level. See medicare.gov/medicare-and-you for details.

How to find out if you’re eligible for Extra Help

You’re automatically enrolled in Extra Help if you’re “dual eligible,” meaning you’re enrolled in both Medicare and Medicaid.
Otherwise, you can check your eligibility and apply at any time for Medicare Extra Help by getting in touch with Social Security:

Online:

socialsecurity.gov/i1020

Phone:

1-800-772-1213

Discover ways to get coverage and financial support under Medicare Part D

Use the Medicare Plan Finder to help you locate Part D plans based in your area.
Call 1-800-MEDICARE (1-800-633-4227).
Call your State Health Insurance Assistance Program (SHIP) for free personalized health insurance counseling. Get the most up-to-date SHIP phone numbers.

This information is subject to change. Lundbeck does not control the Medicare Part D plan terms or the Low Income Subsidy (LIS) program and does not make any guarantees regarding coverage. These programs have nuances that could impact program eligibility and coverage details for individual patients. Any information regarding these programs is not intended to imply disease prevalence or influence healthcare professionals’ independent medical judgments regarding patients for whom NORTHERA may be appropriate.

Find an nOH specialist near you

Get the help and support you need to manage your symptomatic nOH.

Financial assistance for NORTHERA

You may qualify for the NORTHERA Commercial Copay Assistance Program. Terms and conditions may apply.

Please see Important Safety Information, including Boxed Warning for supine hypertension.

For more information, see the full Prescribing Information.

Use

NORTHERA (droxidopa) is a prescription medication used to reduce dizziness, lightheadedness, or the “feeling that you are about to black out” in adults who experience a significant drop in blood pressure when changing positions or standing (called symptomatic neurogenic orthostatic hypotension (nOH)) and who have one of the following:

Parkinson’s disease (PD), a neurodegenerative disease that causes slowness in muscle movement as well as shaking in the hands
Multiple system atrophy (MSA), a Parkinson’s-like disorder with more widespread effects on the brain and body
Pure autonomic failure (PAF), a neurodegenerative disease that results in frequent drops in blood pressure upon standing
Dopamine beta-hydroxylase deficiency, a condition where the body cannot make enough of the hormones that help regulate blood pressure
Non-diabetic autonomic neuropathy, an inability to maintain blood pressure upon standing that can be caused by a number of rare diseases

Effectiveness beyond 2 weeks of treatment has not been established, and your doctor will decide if you should continue taking NORTHERA.

IMPORTANT SAFETY INFORMATION

WARNING: SUPINE HYPERTENSION (this is high blood pressure while lying down)

When lying down, elevating the head and upper body lowers the risk of high blood pressure. Check your blood pressure in this position prior to starting and during NORTHERA treatment. If you experience high blood pressure, talk to your doctor about your NORTHERA treatment.

Do not take NORTHERA if you have a known allergy to NORTHERA or its ingredients.

NORTHERA may cause high blood pressure when lying down, which could lead to strokes, heart attacks, and death. To reduce this risk of supine hypertension, take your late afternoon dose of NORTHERA at least 3 hours before going to bed.

Neuroleptic malignant syndrome (NMS) is a rare but potentially life-threatening side effect reported with NORTHERA. Call your doctor right away and go to the nearest emergency room if you develop these signs and symptoms: high fever, stiff muscles, movements that you cannot control, confusion or problems thinking, very fast or uneven heartbeats, or increased sweating. NORTHERA should be stopped immediately if NMS is diagnosed.

If you have coronary artery disease, irregular heartbeat, or heart failure, NORTHERA may worsen the symptoms of these disorders. Call your doctor if your symptoms become worse.

NORTHERA may cause allergic reactions. Stop taking NORTHERA and contact your doctor right away, or go to the nearest emergency room if you experience any signs or symptoms of an allergic reaction such as: fast heartbeat, nausea, vomiting, swelling, trouble breathing, hives, or rash. NORTHERA contains tartrazine (FD&C Yellow No. 5), which may also cause an allergic reaction, especially if you have had a reaction to aspirin.

The most common side effects with NORTHERA are headache, dizziness, nausea, and high blood pressure.

Taking NORTHERA with other medications may cause side effects. Tell your doctor if you take prescription or over-the-counter medicines, vitamins, or herbal supplements.

You should not breastfeed during treatment with NORTHERA.

If you plan to become or are currently pregnant, talk to your doctor as it is not known if NORTHERA could harm your unborn baby.

Take NORTHERA the same way each time, either with or without food.

If you miss a dose of NORTHERA, take your next dose at the regularly scheduled time. Do not double the dose.

For more information, please see the full Prescribing Information, including Boxed Warning for supine hypertension.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-10881-800-FDA-1088.