EFTA02242097.pdf

To: Cc: Shimony, Rony From: Kaw, Kristine Sent: Fri 4/6/2018 4:39:05 PM Subject: RE: [EXTERNAL] Injectable medication ; Lara, Mary( Mary helps us schedule CTAs. She is cc'd here and will contact you. Please provide best contact info Thanks, KK From: Sent: nay, pn , : To: Kaw, Kristine Cc: Shimony, Rony Subject: Re: [EXTERNAL] Injectable medication HI KK...Thanks for following up! Jeffrey says Dr. Shimony wants to do a scan first....can we schedule the scan for Tucs April 10 or Wed. April I I? On Apr 6, 2018, at 11:48 AM, Kaw, Kristine ‹ > wrote: Good morningM. It's been a while since I heard from you. Any update on what Mr. Epstein has decided for Repatha, self pay or try insurance approval which means he needs new set of lipid profile. Please let us know so we can help him with the process of getting medication that will help him lower risk for cardiac events. KK From Sent: Thursday, January 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!??? EFTA_Ri_01015184 EFTA02242097 On Jan 19, 2018, at 7:30 AM, wrote: Ok super Sent from my iPhone On Jan 18, 2018, at 5:26 PM, Kaw, Kristine wrote: 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 had a good talk...hoping Jeffiiill decide how he wishes to proceed soon! thanks, On Jan 17 2018 10-42 AM K w Kristine wrote: 0k sounds good EFTA_R1_01015185 EFTA02242098 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...I 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. Lesley On Jan 16, 2018, at 10:38 AM, Kaw, Kristine EFTA_IR1_01015186 EFTA02242099 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 EFTA_R1_01015187 EFTA02242100 early! Hope to have an answer soon. Thanks and have a great evening. Sent from my iPhone On Jan 11, 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 cornpan ies look for the direct LDL when EFTA_R1_01015188 EFTA02242101 approvi 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 EFTA_R1_01015189 EFTA02242102 procee d with 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 y Pharma cy (800- 521- 3949) is willing to give EFTA_R1_01015190 EFTA02242103 him a 10% discoun t if he purchas es minimu mof6 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 mof6 months EFTA_R1_01015191 EFTA02242104 For the twice a month injectio n $1,150/ 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 tornorr ow if you have any questio ns. Please let me know what his decisio n is prescri ption to the pharma cy is EFTA_R1_01015192 EFTA02242105 pendin g his ok. Thanks KK Sent: Thursday, January 11, 2018 12:34 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hello Kristine! I wanted to let you know 1 DID get Jeffrey' approv al confir med with Rcpath a and have been able to speak with a nurse on Jeffrey' behalf! A register ed nurse EFTA_R1_01015193 EFTA02242106 is to call me within 1-2 busines 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 more questions: -1 understood from Dr. Shimony you will be contact ing Jeffrey' insuran cc to find out about covera ge and getting the $5 co-pay card? -Once insurance approves the medication, when will Jeffrey receive his EFTA_R1_01015194 EFTA02242107 meds? Hopin g he can get 3 months of the medica tion at a time.... let me know if his insuran ce approv cs this or how many months we can receive at a time... maybe it is more!? -will you order Jeffrey a Sharps Container? The nurse was asking me with type of injectio n he will be getting and I do not know ...she said there are 3 EFTA_R1_01015195 EFTA02242108 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. 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: nt: We nes ay, January 1 , 2018 2:43 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hi Kristine. EFTA_IR1_01015196 EFTA02242109 -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 Jeffre so when you cagive Acct and tell the 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 medication EFTA_R1_01015197 EFTA02242110 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. Lesley 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 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_01015198 EFTA02242111