EFTA02242001.pdf

To: Dr. Rony + Catherine Shimon Cc: Shimony, Ron From: Sent Fri 4/6/2018 4:35:10 PM Subject Re: (EXTERNAL] Injectable medication HI K.K...Thanks for following up! Jeffrey says Dr. Shimony wants to do a scan first....can we schedule this for Tues April 10 or Wed. April 11 of this coming week? (April 10 or 11) On Apr 6, 2018, at 11:48 AM, Kaw, Kristine .: > wrote: Good morning= 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 25, 2018 5:37 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hi Kristine...1 received an email from Repatha to "lean 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 1 need to do something!??? On Jan 19, 2018, at 7:30 AM, wrote: Oft super Sent from my iPhone On Jan 18, 2018, at 5:28 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 Jeffrey EFTA_R1_01014951 EFTA02242001 will decide how he wishes to proceed soon! thanks, Lesley 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 Sent: Tuesday, January 16, 2018 1a: 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 EFTA_R1_01014952 EFTA02242002 minute I hear something. On Jan 16, 2018, at 10:38 AM, Kaw, 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 c not heard back from him. He is been in constant meetings himself. I will ask him again however and use your much more EFTA_R1_01014953 EFTA02242003 well versed paragraph tomorrow morning 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 compan ies look for the EFTA_R1_01014954 EFTA02242004 direct LDL when 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 EFTA_R1_01014955 EFTA02242005 -If you want to procee d with insuran ce approv al, he will need to re-take labs with direct LDL. 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 willing EFTA_R1_01014956 EFTA02242006 to give him a 10% discoun t if e 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 EFTA_R1_01014957 EFTA02242007 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 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 EFTA_R1_01014958 EFTA02242008 KK From: Sent: Thursday, January 11, 2018 12:34 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hello Kristin c! 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' S behalf! A register ed nurse is to EFTA_M_01014959 EFTA02242009 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 questio ns: underst ood from Dr. Shimo ny you will be contact ing Jeffrey' insuran ce to find out about covera ge and getting the $5 EFTA_R1_01014960 EFTA02242010 co-pay card? -Once insuran ce approv es the medica tion, when will Jeffrey receive his mods? Hopin g he can get 3 months of the medica tion at a time.... let me know if his insuran cc approv es this or how many months we can receive at a time... maybe it is more!? -will you order Jeffrey EFTA_R1_01014961 EFTA02242011 a Sharps Contai ner? The nurse was asking me with type of injectio n he will be getting and I do not know ...she said there are 3 differe nt ones... I know you are busy and will get back to me when you can!! Thank On Jan 10, 2018, at 4:08 PM, Kaw, Kristine <ME=I > wrote: I am so sorry if I can't respond right away since I am seeing patients with Dr. Shimony. I am on EFTA_R1_01014962 EFTA02242012 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: Sent: Wednesday, January 10, 2018 2:43 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hi Kristine. -I found Erica Peitz 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 • cct #PP02BW57 and tell them 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 EFTA_R1_01014963 EFTA02242013 Sent: Tuesday, January 09, 2018 5:27 PM To: Kaw, Kristine Subject: [EXTERNAL] Re: Injectable 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 c > 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_01014964 EFTA02242014