Dedicated support designed for your patient to start and stay on DAWNZERA
Dedicated support
designed for your
patient to start
and stay on
DAWNZERA
What do you need help with?
Tap a box below to get the information you need.
I want to prescribe DAWNZERA for my patient.
I want more information about support for my patient.
I want to understand my patient’s benefits and the insurance process.
Getting Your Patient Started on DAWNZERA
Once you have decided to prescribe DAWNZERA for your appropriate patient, follow these key steps to get your patient started.
Step 1:
Prescribe DAWNZERA and enroll patients in Ionis Every StepTM
Complete all required sections, including signatures, of the DAWNZERA Patient Enrollment and Prescription Form.
Options for completing and submitting the form:
1. Fax to 1-877-558-0007
Download and print the DAWNZERA Patient Enrollment and Prescription Form
Use the tear pad from your Account Specialist
- Give your patient page 4 of the DAWNZERA Patient Enrollment and Prescription Form with next steps
2. Electronically
Use DAWNZERA Direct
- Click here to learn more about the DAWNZERA Direct online companion
- Connect with your Account Specialist to gain access to DAWNZERA Direct
ePrescribe through your electronic health record (EHR) to CoAssist Pharmacy
Save time: prepopulate "Prescriber Information" and keep this form on your computer.
Fax relevant documentation along with the completed form to minimize potential delays.
Including the following documentation with the prescription may help reduce delays:
Diagnosis and attack characteristics (eg, baseline and current frequency, severity, location, duration)
Copies of relevant lab results (eg, baseline and current C1-INH antigenic/functional and C4 levels; and, if required by the insurance plan to support diagnosis, genetic testing results)
Experience with current and/or previous treatments (include both prophylactic and acute treatments)
If possible, photos of a patient’s HAE swells
Letter of Medical Necessity
A Sample Letter of Medical Necessity can be downloaded here or completed online at DAWNZERAhcp.com/Upload.
Download Sample Letter of Medical Necessity
Advise your patient to save the Ionis Every Step number 1-844-444-4305 in their phone.
Step 2:
Navigate patient health plan coverage
Ionis Every Step will check patient’s benefits, confirm insurance plan criteria, and determine the correct form to use for the specific insurance plan.
Exceptions and Prior Authorization (PA)
Send outstanding documentation to Ionis Every Step for the exception/PA submission package
Submit exception/prior authorization submission package to insurance plan
Once coverage is approved, remind patients to answer calls from the specialty pharmacy to confirm shipment of DAWNZERA
- Let patients know that the specialty pharmacy will call from 1-844-444-4305
Appeals (as needed)
Review the communication from the health plan to understand the denial reason(s) and draft a Letter of Appeal
Need additional support?
Download Navigating the Coverage Process for DAWNZERA
Download Guide Sample Letter of Appeal
Step 3:
Request reauthorization
Ionis Every Step offers a comprehensive reauthorization support program, DAWNZERA AuthASSIST, to help you prepare for and navigate the reauthorization process.
Confirm the length of approval and when your office needs to request reauthorization (eg, 6 or 12 months after initial approval)
Collect documentation and submit reauthorization package
Encourage patients to use the DAWNZERA Direct online companion to manage their treatment journey
For more support and helpful resources throughout the approval process, reach out to Ionis Every Step at 1-844-444-4305 , Monday to Friday, 8 AM to 8 PM ET
Frequently asked questions about getting your patients started on DAWNZERA
DAWNZERA can be prescribed through your EHR or through the DAWNZERA Direct online companion. Reach out to your Account Specialist to gain access to DAWNZERA Direct.
DAWNZERA is expected to be covered under the pharmacy benefit; and similar to other treatments for rare disease, patients may need to meet coverage criteria to receive approval from their insurance plan. Ionis Every Step™ will confirm your patient’s benefits for DAWNZERA and the criteria required by the insurance plan to request coverage.
Providing all documentation required by the insurance plan to Ionis Every Step early in the process may help avoid unnecessary delays. Ionis Every Step will communicate the required forms and documentation to your office and proactively reach out if more information is needed. For more support with this process, call Ionis Every Step at 1-844-444-4305, Monday to Friday, 8 AM to 8 PM ET.
Once you have collected the required information, you can typically submit to the plan using 1 of 2 methods:
- Electronically: If this option is available, Ionis Every Step can provide a link to submit
- Verbally: Your office may need to call the insurance plan and verbally request coverage
- Have all documents from the submission package on hand to refer to during the call
- Take detailed notes during the call (eg, representative’s name, confirmation number, next steps)
- Keep in mind that you may need to send documentation to the insurance plan via fax
Call Ionis Every Step at 1-844-444-4305 with any questions about documentation required by your patient’s insurance plan or how to submit the exception or prior authorization package.
After receiving a denial, your office can initiate the appeals process to request that the insurance plan overturn this decision. The steps below can help you get started:
- Review the communication from the insurance plan to understand the reason for denial and the plan’s specific next steps
- Learn more about why the coverage request was denied by scheduling a peer-to-peer review with the insurance plan
- Depending on the insurance plan, this conversation may be sufficient to overturn the denial
- This request is time sensitive, so be sure to schedule the review as soon as possible
- Draft a Letter of Appeal to provide additional rationale for your treatment decision and include relevant documentation
Click here to download helpful resources, including a Sample Letter of Appeal template and the Navigating the Coverage Process for DAWNZERA Guide. You can also call Ionis Every Step at 1-844-444-4305 for assistance with the appeals process after a coverage denial.
The Ionis Every Step Specialty Pharmacy will call them to set up delivery of DAWNZERA. DAWNZERA will not be shipped until your patient speaks with the pharmacy about potential cost and to setup delivery. Encourage your patient to save the pharmacy’s number (1-844-444-4305) in their phone to help them recognize and answer these calls.