EFTA02236880.pdf

To: From: Sent Subject Re: (EXTERNAL] Injectable medication Fri 1/26/2018 6:48:16 PM Ok thanks. That is what I thought. Hope to get back to you soon. Sent from my iPhone On Jan 26, 2018, at 11:17 AM, Kaw, Kristine wrote: Good morning. Next step is just to let us know if he wants to go through insurance approval which he needs a repeat lab test or self pay for medications KK From: Sent: Thursday, anan i til.Mill To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hi Kristine...I received an email from Repatha to "learn how to fill your Repatha prescription"...did Jeffrey finally decide what he wanted to do? He has not been back to me with any news, but certainly doesn't mean he hasn't spoken to Dr. Shimony or you about it! Just wondering if I need to do something!??? On Jan 19, 2018, at 7:30 AM, wrote: Ok super Sent from my iPhone On Jan 18. 2018. at 526 PM. Kaw. Kristine Great thank you for the update. Dr. Shimony communicated with him KK From: Sent: Thursday, January 18, 2018 3:58 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication The nurse just left...they bad a good talk...hoping Jeffrey will decide how he wishes to proceed soon! thanks, ote: EFTA_R1_0 1000784 EFTA02236880 On Jan 17, 2018, at 10:42 AM, Kaw, Kristine wrote: Ok sounds good From: Sent: Wednesday, January 17, 2018 8:11 AM To: Kaw, Kristine Subject: Re: (EXTERNAL] Injectable medication Morning! Jeffrey has said yes to training tomorrow with Nurse Kristine. Do we know for sure if Jeffrey will be doing one dose a month or two? It should hopefully be one right? The nurse knows Jeffrey won't have the actual drug but says she can train without it. He has still yet to answer RE self pay or insurance. Sent from my iPhone On Jan 16, 2018, at 10:47 AM, Kaw, Kristine wrote: Great. Just didn't want to delay the process since I know it is difficult to find time in his very busy schedule. KK From: Sent: Tuesday, January 16, 2018 10:46 AM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Morning Kristine! Thank you so much for following up...1 am still waiting for Jeffrey's response on all of this...Hoping to hear today but he is traveling...will let you know the minute I hear something. On Jan 16, 2018, at 10:38 AM, Kaw, EFTA_R1_0 1000785 EFTA02236881 Kristine wrote: Good morning. Just following up regarding Mr. Epstein's decision on how to proceed. I believe the nurse is scheduled to come in this week for teaching and ideally it would be great if she can teach and observe his first medication administration. Please let me know so I can prescribe accordingly. KK From: Sent: Thursday, January 11, 2018 6:10 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hi 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 EFTA_R1_0 1000786 EFTA02236882 soon. Thanks and have a great evening. Sent from my iPhone On Jan II, 2018, at 6:03 PM, Kaw, Kristine wrote: Sorry for the late respons e. Just finished with patient s. Looking a labs sent from early this month, Lipids done was calculat ed as oppose d to direct LDL. Insuran ce compan ies look for the direct LDL when approvi EFTA_R1_01000787 EFTA02236883 ng medica tions becaus e this is a more accurat e count, therefo re, represe nting a more accurat e cardiov ascular risk equival ent. When the triglyce rides is high, such as in the case of Mr. Epstein, the lab cannot provide an accurat e LDL count. As you can see there was no LDL value given -If you want to procee d with EFTA_R1_01000788 EFTA02236884 insuran ce approv al, he will need to re-take labs with direct 101. He cannot start Repath a prior to recheck ing labs becaus e it will not be an accurat e reflecti on of his baselin e without medica tions. -If he wants to self Pay, Century Specialt V Pharma cV-■is willing to give him a 10% discoun EFTA_R1_01000789 EFTA02236885 t if he purchas es minimu m of 6 months . They will ship the medica tion over as soon as it's ordered and have it virtuall y the next day. -Here is the breakd own of cost: For the once a month injectio n $1,250/ month with 10% discoun t if he buys minimu m of 6 months For the twice a month injectio n $1,150/ EFTA_R1_01000790 EFTA02236886 month with 10% discoun t if he buys minimu m of 6 months Hope that answer s all your questio ns. I will be availabl e tomorr ow if you have any questio ns. Please let me know what his decisio n is prescri ption to the pharma cy is pendin g his ok. Thanks KK From: EFTA_R1_01000791 EFTA02236887 Sent: Thursday, January 11, 2018 12:34 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hello Kristin e! I wanted to let you know I DID get Jeffrey' approv al confir med with Repath a and have been able to speak with a nurse on Jeffrey' $ behalf! A register ed nurse is to call me within 1-2 busines EFTA_R1_0 1000792 EFTA02236888 s days to set up his trainin g...trul y hoping for next We, Th or Fri! I will be sure to let you know. Some MOM questio ns: -I underst ood from Dr. Shimo ny you will be contact ing Jeffrey' insuran cc to find out about coven ge and getting the $5 co-pay card? -Once insuran EFTA_R1_01000793 EFTA02236889 ce approv cs the medica tion, when will Jeffrey receive his meds? Hopin g he can get 3 months of the medica tion at a time.... let me know if his inuran ce approv es this or how many months we can receive at a time... maybe it is more!? -will you order Jeffrey a Sharps Contai ner? EFTA_R1_01000794 EFTA02236890 The nurse was asking me with type of injectio n he will be getting and I do not know ...she said there arc 3 differe nt ones... I know you are busy and will get back to me when you can!! Thank you! On Jan 10, 2018, at 4:08 PM, Kaw, Kristine wrote: I am so sorry if I can't respond right away since I am seeing patients with Dr. Shimony. I am on the phone now with Repatha. It must have been a misunderstanding, they need the patient, Mr. Epstein, to give permission for you to set up his appointment. Repatha needs to be called again and choose reimbursement services for Mr. EFTA_R1_01000795 EFTA02236891 Epstein to give you permission moving forward with his training. I will also be faxing you a form to fill out and for Mr. Epstein to sign. This gives Repatha permission to assist him. Are you free to talk to avoid misunderstandings? Thanks KK From: Sent: Wednesday, January 10, 2018 2:43 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hi Kristine. -I found Erica Peltz so no worries there! :) -I called REPATHA to organize training, but they do not have him registered (which I did) and they tell me you must call them to give me permission to schedule the appointment?! Sounds like silliness to me, but what can I do!? She let me register Jeffrey so when you call give them his Acct #PPO2BW57 and tell them Lesley Groff, Jeffrey Epstein's personal assistant, may coordinate the training session for him. Once you do this let me know and I will call them back. Would greatly appreciate it. Thanks, On Jan 9, 2018, at 5:37 PM, Kaw, Kristine wrote: Great thank you. Dr. Shimony states he had recent labs just don't know what his definition of "recent" is. Should be within the past 30 days. Please let me know if any issues and contact by email or office number. KK From: Sent: Tuesday, January 09, 2018 5:27 PM To: Kaw, Kristine Subject: [EXTERNAL] Re: Injectable EFTA_R1_0 1000796 EFTA02236892 medication Hi Kristine. Thank you so much for this. Let me find out from Jeffrey if he has lab work that includes cholesterol within past 30 days. I don't think he does but he has gone without me knowing before A. I'll call the number below to set up training. Have a good evening. Sent from my iPhone On Jan 9 2018 at 5:10 PM Kaw Kristine wrote: Hi Before we get started with the process, I need a copy of Mr. Epstein's recent labs including cholesterol with in the past 30 days. Please let me know if he does not have one so I can send an rx to get it done. We will try to get approval for his medication to avoid paying out of pocket and the company is willing to provide samples while working on his approval. Please call 1-844-REPATHA to set up a training session and also $5 copay card if medication approved. Please let me know if you have any questions. Thank you Kristine EFTA_R1_01000797 EFTA02236893