BPPS is your gateway to receiving KUVAN
The BPPS process
After you and your doctor and/or dietitian complete the BPPS forms and fax them in, the
BPPS case manager assigned to you will call you within one business day. Your BPPS case
manager works with your insurance plan to submit any required paperwork, investigates your
benefits for prescription medications, and identifies any additional insurance plan requirements for
coverage. If you do not have insurance, BPPS will help to research an insurance policy for
you that provides KUVAN coverage.
During the process, your BPPS case manager will keep you, your doctor, and your dietitian
updated as the process moves forward.
Once approved by your insurance plan, your BPPS case manager will refer your case to a
specialty pharmacy that sends regular shipments of KUVAN directly to your home on an
ongoing basis. The specialty pharmacy will verify your benefits and the exact out-of-pocket
expense, and make payment arrangements with you. However, your BPPS case manager is
available for any future questions or issues that may arise as your treatment continues.
Timing
It generally takes BPPS 2-4 weeks to complete the insurance evaluation for an individual
case. Each step in the insurance evaluation requires approval by you, your doctor, or
insurance plan to move forward, so it is very important that you respond as soon as possible
to any questions that BPPS may have.
Contacting BPPS
You can reach BPPS by phone Monday through Friday between 7 AM and 4 PM (Pacific Time)
at 1-877-MY-KUVAN (1-877-695-8826) or by e-mail at bpps@BMRN.com. Although BPPS is
there to answer questions about reimbursement, BPPS refers all clinical questions about
taking KUVAN back to your doctor.
To download the BPPS Enrollment forms you and your physician need to sign to get started,
click here.
More information about BPPS
If you have more questions about BPPS, including how to obtain help for
out-of-pocket co-payment
or co-insurance expense, how you can communicate with BPPS, and other coverage
situations that BPPS can help you with, please click here to see our Frequently Asked
Questions About BPPS section.
Patients and their families share their experiences with BPPS
“Since Anthony’s initial diagnosis of PKU, I have been following PKU research in the hope that
a drug treatment would be developed. Soon after the FDA approval of KUVAN, we saw our
son’s physician who recommended him for KUVAN—I was thrilled!
“Our doctor’s office gave us a BPPS welcome kit and enrollment forms, which I took home,
completed, and faxed to BPPS. Anxious to get started, I called BPPS before they had a
chance to call me, and I spoke with May, our case manager. May contacted our insurance
company, and in less than two weeks we learned that they would cover KUVAN.
“I was amazed by how fast and easy it was to work with BPPS. Our first shipment arrived on
time and we immediately started Anthony on his KUVAN. Our case manager, May, was very
professional—our BPPS experience has been very positive.”
—Lori (mother of Anthony, age 10)
Morgan Hill, California
“For years I fought with my insurance company on coverage for medical foods and formulas. It
took a lot of my time and was very frustrating. While I was excited to start KUVAN, I wasn’t
excited about dealing with my insurance company again.
“After my doctor prescribed KUVAN, he had me sign two forms. A day or two later, I received
a call from BPPS and was told that they would speak to my insurance company about
coverage for KUVAN. Less than two weeks later, BPPS called and told me that my insurance
company would cover KUVAN.
“They also told me what my co-pay would be—an amount that I could afford each month. You
can imagine my surprise when my first KUVAN shipment arrived at my home only three
weeks after my doctor prescribed it.
“Working with my case manager at BPPS was a breeze, and it was so nice to have someone
else deal with my insurance company instead of me for a change.”
—Linda, age 47
Gainesville, Florida
“When our daughter was prescribed KUVAN, we were anxious to get started because her Phe
levels were unexpectedly high at her last doctor’s visit. After our doctor had us sign the
consent form, I received a welcome kit in the mail, which provided more information about the
drug and BPPS.
“When I was first contacted by BPPS, I have to admit I was still a bit unsure about the process
because BPPS needed some additional information to negotiate with our insurance company
to help us get coverage for KUVAN. After calling our doctor to verify that this was the correct
procedure, I called BPPS back and within two weeks we had KUVAN and were ready to go.
“What I really like about BPPS is that they can work out any glitches that might come up with
my insurance company, like if my husband switches jobs. Our daughter will be on KUVAN for
a long time, so I like that BPPS is here to offer a little more reassurance for her continuing
care.”
—Anne (mother of Kate, age 2)
Wheaton, Illinois
Top
Indication
KUVAN® (sapropterin dihydrochloride) Tablets is approved to reduce blood Phe levels
in patients with hyperphenylalaninemia (HPA) due to tetrahydrobiopterin- (BH4-)
responsive Phenylketonuria (PKU). KUVAN is to be used in conjunction with a Phe-restricted diet.
Important Safety Information
High blood Phe levels are toxic to the brain and can lead to lower intelligence
and decrease in the ability to focus, remember and organize information. Any change
you make to your diet may impact your blood Phe level. Follow your doctor’s instructions
carefully. Your doctor and dietitian will continue to monitor and may adjust your
diet throughout your treatment with KUVAN.
If you have a fever, or if you are sick, your Phe level may go up. Tell your doctor
and dietitian as soon as possible so they can see if they have to adjust your treatment
to help keep your blood Phe levels in the desired range.
KUVAN is a prescription medicine and should not be taken by people who are allergic
to any of its ingredients. Tell your doctor if you have ever had liver or kidney
problems, are nursing or pregnant or may become pregnant, have poor nutrition or
are anorexic. Your doctor will decide if KUVAN is right for you. Tell your doctor
about all the medicines you take.
The most common side effects reported when using KUVAN are headache, diarrhea, abdominal
pain, upper respiratory tract infection (like a cold), throat pain, vomiting, and
nausea.
To report SUSPECTED ADVERSE REACTIONS, contact BioMarin Pharmaceutical Inc. at 1-866-906-6100, or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Please read the full Patient Information by clicking here.