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Explore the Key Steps Involved in Your THERA patient support® Journey

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1

You are prescribed EGRIFTA WRTM

You and your healthcare provider decide together that EGRIFTA WR™ is right for you.
Not on EGRIFTA WR™ but considering your options? Take a short survey to find out if it may be right for you!
2

Your healthcare provider enrolls you into the THERA patient support® program

Your healthcare provider will enroll you into the THERA patient support® program by filling out the enrollment form. If your healthcare provider has questions about enrollment, please ask them to visit hcp.egriftawr.com or contact THERA patient support® toll-free at 1-833-23THERA (1-833-238-4372). THERA patient support® can assist and support them in enrolling you in the program.
Your healthcare provider can find the enrollment form here.
3

You provide your consent

It is important that YOU provide your consent as part of the enrollment form submission, so you can access the free resources and support available through the THERA patient support® program.
You can provide THERA patient support® with your consent in multiple ways:
Fax
Fax
If your healthcare provider is faxing the enrollment form, you can complete and sign the back page of the enrollment form. The enrollment form can be downloaded here.
Online
Online
You can also provide consent digitally here.
Phone
Phone
Prefer to do it by phone? Call THERA patient support® at 1-833-23THERA (1-833-238-4372) and request a secure consent link via text message (SMS).
If your consent is not on file, a THERA patient support® Patient Care Coordinator will call you and request consent via SMS.

Completing your digital consent is just a few clicks away! Provide consent now.

4

THERA patient support® initiates the benefit verification process

  • Once the enrollment form with your consent has been submitted to THERA patient support® by your healthcare provider, the THERA patient support® team will begin the benefit verification process.
  • The THERA patient support® Patient Care Coordinator will work with Specialty Pharmacies in your insurance network. If eligible, they will apply THERA Co-Pay Assistance so you can quickly receive your medication, delivered straight to your door.
  • Once you are approved for EGRIFTA WR™ therapy, expect a call from your Specialty Pharmacy to coordinate your medication pickup or delivery.
You’ll receive a monthly call from the Specialty Pharmacy dispensing your EGRIFTA WR™ prescription to confirm your shipment. Be sure to answer—missing the call could delay your EGRIFTA WR™. Be sure to save the name and number of the Specialty Pharmacy in your contacts so you always know who’s calling.
Not sure which pharmacy is dispensing your medication? Your THERA patient support® team can help. Contact THERA patient support® toll free at 1-833-23THERA (1-833-238-4372) Monday to Friday 8:30 a.m - 8:00 p.m. EST.
5

You receive a welcome call

  • A THERA patient support® Patient Care Coordinator will provide you with a welcome call into the program within 1–2 business days of receiving your enrollment from your healthcare provider.
  • In the call, you will be offered multiple free resources to support you during your EGRIFTA WR™ journey. This includes a free sharps container and EGRIFTA WR™ Resource Kit with supplies to help you get started.
6

You receive a call from your dedicated THERA patient support® Nurse Navigator

Once THERA patient support® completes the benefit verification process and you have been approved for EGRIFTA WR™, you will receive your first call from your dedicated assigned THERA patient support® Nurse Navigator.
The Nurse Navigator will welcome you into the program and schedule your first EGRIFTA WR™ injection training. 
Save 1-833-23THERA (1-833-238-4372)—your THERA patient support® Nurse Navigator’s phone number—in your contacts to ensure you never miss important updates and always know who is calling.
7

Continued support for you

Your assigned THERA patient support® Nurse Navigator will remain an available resource to support you and answer any questions you have throughout your entire EGRIFTA WR™ journey.
You’ll receive a monthly call from the Specialty Pharmacy dispensing your EGRIFTA WR™ prescription to confirm your shipment. Be sure to answer—missing the call could delay your EGRIFTA WR™. Be sure to save the name and number of the Specialty Pharmacy in your contacts so you always know who’s calling.
Not sure which pharmacy is dispensing your medication?
Your THERA patient support® team can help. Contact Thera patient support® toll free at 1-833-23THERA (1-833-238-4372) Monday to Friday 8:30 a.m - 8:00 p.m. EST.

What is EGRIFTA WR™ (tesamorelin) for injection?

  • EGRIFTA WR™ is a prescription medicine used to reduce the excess stomach-area (abdominal) fat in adults with HIV and lipodystrophy.
  • EGRIFTA WR™ is a growth hormone-releasing factor (GHRF) analog.
  • EGRIFTA WR™ is not for weight loss management.
  • The long-term safety of EGRIFTA WR™ on the heart and blood vessels (cardiovascular) is not known.
  • It is not known whether taking EGRIFTA WR™ helps improve how well you take your antiretroviral medications.
  • It is not known if EGRIFTA WR™ is safe and effective in children; do not use EGRIFTA WR™ in children.

You should not take EGRIFTA WR™ if you:

  • Have a pituitary gland tumor, surgery, or other problems related to your pituitary gland, or have had radiation treatment to your head or head injury.
  • Have active cancer.
  • Are allergic to tesamorelin or any of the ingredients in EGRIFTA WR™.
  • Are pregnant or become pregnant. If you become pregnant, stop using EGRIFTA WR™ and talk with your healthcare provider.
  • Are less than 18 years of age.

Before using EGRIFTA WR™ tell your healthcare provider if you:

  • Have or have had cancer.
  • Have problems with blood sugar or diabetes.
  • Have scheduled heart or stomach surgery.
  • Have breathing problems.
  • Are breastfeeding or plan to breastfeed.
  • Are taking any other prescription and non-prescription medicines, vitamins, and herbal supplements.

EGRIFTA WR™ may cause serious side effects including:

  • Increased risk of new cancer in adults with HIV or your cancer coming back (reactivation). Stop using EGRIFTA WR™ and inform your healthcare provider if any cancer symptoms come back.
  • Increased levels of your insulin-like growth factor-1 (IGF-1). Your healthcare provider will do blood tests to check your IGF-1 levels while you are taking EGRIFTA WR™.
  • Serious allergic reaction such as rash or hives anywhere over the body or on the skin, swelling of the face or throat, shortness of breath or trouble breathing, fast heartbeat, feeling of faintness or fainting, itching and reddening or flushing of the skin. If you have any of these symptoms, stop using EGRIFTA WR™ and get emergency medical help right away.
  • Swelling or fluid retention. Call your healthcare provider if you have swelling, an increase in joint pain, or pain or numbness in your hands or wrists.
  • Increase in blood sugar (glucose) or diabetes.
  • Injection site reactions. Injection site reactions are a common side effect of EGRIFTA WR™ but may sometimes be serious.
  • Increased risk of death in people who have critical illness because of heart or stomach surgery, trauma or serious breathing (respiratory) problems has been reported after treatment with therapeutic doses of growth hormone.

The most common side effects of EGRIFTA WR™ include:

  • Pain in legs and arms
  • Muscle pain

These are not all the possible side effects of EGRIFTA WR™. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088 or to TPS logo toll-free at 1-833-23THERA (1-833-238-4372).

This information is not intended to replace discussions with your doctor. For additional information about EGRIFTA WR™, see the Patient Information and Patient Instructions for Use, and talk to your doctor. For more information about EGRIFTA WR™ contact TPS logo toll-free at 1-833-23THERA (1-833-238-4372).