EFTA02242559.pdf

To: Cc: Bebe Avdi From: L Sent Fri 4/6/2018 5:04:38 PM Subject RE: [EXTERNAL] Injectable medication Hi =, I need to obtain an authorization from the insurance. Now for 04/10 I only have a 2:30pm and for 04/11 I have a 1:30 or 2:30pm. Let me know what works best. Mr. Epstein can't eat 3 hours before the test and no caffeine 12 hours before. Water and medication is ok. Thank you, Mary From: [mailto Sent: Friday, April 06, 2018 12:44 PM To: Kaw, Kristine Cc: Shimony, Rony; Lara, Mary; Bebe Avdiu 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 thank you, Assistant to Jeffrey Epstein EFTA_M_01016129 EFTA02242559 On Apr 6, 2018, at 12:39 PM, Kaw, Kristine rr wrote: Mary helps us schedule CTAs. She is cc'd here and will contact you. Please provide best contact info Thanks, KK From: finailto riaiLcoM1 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...1 received an email from Repatha to "learn how to fill your Repatha EFTA_R1_01016130 EFTA02242560 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 5:26 PM, Kaw. Kristine < > wrote: Great thank you for the update. Dr. Shimony communicated with him KK From: • Sent: Thursday, January 1,11111. mmi 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: EFTA_R1_01016131 EFTA02242561 Ok sounds good 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 To: Kaw, Kristine Subject: Re: [EXTERNAL) Injectable medication EFTA_R1_01016132 EFTA02242562 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, ICaw, Kristin wrote: Good mornin g. Just followi ng up regardi ng Mr. Epstein' decisio n on how to procee d. I believe the EFTA_R1_01016133 EFTA02242563 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 adminis tration. Please let me know so I can prescri be accordi ngly. KK From: m : Sent: Thursday, January 11, 2018 6:10 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication EFTA_R1_01016134 EFTA02242564 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 consta nt mcctin 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 EFTA_R1_01016135 EFTA02242565 have a great evenin Sent from my iPhone On Jan 11, 2018, at 6:03 PM, Kaw, Kristine 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 LDL. 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 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) EFTA_M_01016136 EFTA02242566 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 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!? EFTA_R1_01016137 EFTA02242567 -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 From: 2018 2:43 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication EFTA_R1_01016138 EFTA02242568 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 #PP02BW57 and tell them I 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 `0 1.MM' 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: • EFTA_R1_01016139 EFTA02242569 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 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 EFTA_R1_01016140 EFTA02242570 Kristine EFTA_R1_01016141 EFTA02242571