EFTA02242399.pdf

To: Dr. Rony + Catherine Shimon Bebe Avdiu From: Sent Fri 4/6/2018 4:44:08 PM Subject Re: [EXTERNAL] Injectable medication Great. HI Mary...May we please schedule a CTA scan for Jeffrey Epstein On Tues. April 10 or Wed. April 11? You may coordinate with me today...if we do not confirm something today, you will need to coordinate with or Bebe who will be sittin in for me next week when I am on holiday (they are cc'd here) Our office number is tha .ou, Assistant to Jeffrey Epstein On Apr 6, 2018, at 12:39 PM, Kaw, Kristine a wrote: Mary helps us schedule CfAs. She is cc'd here and will contact you. Please provide best contact info Thanks, KK From: • Sent: Friday, April 06, 2018 12:35 PM 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 Tues April 10 or Wed. April 11? On A r 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...I received an email from Repatha to "learn how to fill EFTA_R1_01015858 EFTA02242399 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!??? oAM, I 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 To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication The nurse just left...they had a good talk...hoping Jeffrey will decide how he wishes to proceed soon! thanks, On Jan 17, 2018, at 10:42 AM, Kaw Kristine wrote: Ok sounds good lil liM Sent: Wednesday, January 17, 20 . Il 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 EFTA_R1_01015859 EFTA02242400 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 10:46 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. On Jan 16, 2018, at 10:38 EFTA_R1_01015860 EFTA02242401 AM, Kaw, Kristin Good morn in g. Just followi ng up regardi ng Mr. Epstein' decisio n on how to procee d. I believe the nurse is schedul ed to come in this week for teachin g and ideally it would be great if she can teach and observe his first medica tion EFTA_R1_01015861 EFTA02242402 adminis tration. Please let me know so I can prescri be accordl ngly. KK it Sent: Thursday, January 11, 2018 6:10 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication Hi Kristin e. Thank you for this! I actual, y sent jeffrey a note about this earlier but still ha e not heard back from him. He is been in consta nt EFTA_R1_01015862 EFTA02242403 meetin gs himself . I will ask him again howev er and use your much more well versed paragr aph tomorr ow mornin g early! Hope to have an answer soon. Thanks and have a great evenin Sent from my iPhone On Jan 11, 2018, at 6:03 PM, Kaw, Kristine wrote: EFTA_R1_01015863 EFTA02242404 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 LOL. 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 101 count. As you can see there was no 101 value given -If you want to proceed with insurance approval, he will need to re-take labs with direct 101. 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 minimum of 6 months) For the twice a month injection $1,150/month (with 10% discount if he buys minimum of 6 months) Hope that answers all your questions. I will be available tomorrow if you have any questions. Please let me know what his decision is prescription to the pharmacy is pending 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 I DID get Jeffrey's approval confirmed with Repatha and have been able to speak with a EFTA_R1_01015864 EFTA02242405 nurse on Jeffrey's behalf! A registered nurse is to call me within 1-2 business days to set up his training...truly hoping for next We, Th or Fri! I will be sure to let you know. Some more questions: -I understood from Dr. Shimony you will be contacting Jeffrey's insurance to find out about coverage and getting the $5 co-pay card? -Once insurance approves the medication, when will Jeffrey receive his mods? Hoping he can get 3 months of the medication at a time....let me know if his insurance approves 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 injection he will be getting and I do not know...she said there are 3 different ones... I know you are busy and will et ck 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 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 EFTA_R1_01015865 EFTA02242406 a n U l „ 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 Met #PP02BW57 and tell them M, 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: [mailto:leslev.iee@amail.coml Sent: Tuesday, January 09, 2018 5:27 PM To: Kaw, Kristine • EFTA_R1_01015866 EFTA02242407 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 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_01015867 EFTA02242408