administration. Please let me know so I can prescribe accordingly. KK From: Lesley Groff [rtia] Sent: Thursday, January 11, 2018 6:10 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Fii Kristine. Thank you for this! I actually sent jeffrey a note about this earlier but still ha e not heard back from him. He is been in constant meetings himself. I will ask him again however and use your much more well versed paragraph tomorrow morning early! Hope to have an answer soon. Thanks and have a great evening. Lesley Sent from my iPhone On Jan 11, 2018, at 6:03 PM, Kaw, Kristine <a wrote: Sorry for the late response. Just finished with patients. -Looking a labs sent from early this month, Lipids done was calculated as opposed to direct 101. Insurance companies look for the direct 101 when approving medications because this is a more accurate count, therefore, representing a more accurate cardiovascular risk equivalent. When the triglycerides is high, such as in the case of Mr. Epstein, the lab cannot provide an accurate LDL count. As you can see there was no LDL value given -If you want to proceed with insurance approval, he will need to re-take labs with direct LDL. He cannot start Repatha prior to rechecking labs because it will not be an accurate reflection of his baseline without medications. -If he wants to self a Century Specialty Pharmacy is willing to give him a 10% discount if he purchases minimum of 6 months. They will ship the medication over as soon as it's ordered and have it virtually the next day. -Here is the breakdown of cost: For the once a month injection $1,250/month (with 10% discount if he buys EFTA_R1_00996025 EFTA02235498