Frequently Asked Questions

I already stock ARESTIN^® for my patients. Why would I want to use this program?

• Addresses a financial barrier to comprehensive periodontal treatment
• 6 out of 10 patients have prescription benefits under their medical insurance plans
  that will pay for ARESTIN^®
• Makes comprehensive periodontal treatment accessible to more patients
• Typically allows more sites to be treated
• SRP + ARESTIN^® improves outcomes vs SRP alone
• Easy to implement

I'm already using patients' dental benefits whenever I can. How is this different?

• Program accesses medical insurance prescription benefits, not dental benefits
• 6 out of 10 patients have this coverage for ARESTIN^®
• Typically, a patient’s dental benefits are limited
• Accessing prescription benefits may give you the opportunity to treat more sites

Does this program require a lot of extra work for my office?

• No, the ARESTIN^® Rx Access process fits seamlessly with your office protocols and
  doesn’t require any additional appointments.
• Simply complete a one-page Prescription Request Form, then fax it to the specialized
  pharmacy for processing
• No perio charting or radiographs are needed. Simply indicate number of tips patient
  case requires
• Specialized pharmacy partner verifies benefits, collects co-pay, and ships ARESTIN^® to
  your office by next appointment

Can I get Prescription Request Forms that are pre-printed with my practice information?

Yes, you can create these yourself. Click here to access the Prescription Request Form,
then either:

• Type in your practice information and save that version of the form on your computer
  for repeated use or
• Type in your practice information and make multiple copies to have ready for your
  ARESTIN^® Rx Access submissions

How do I manage patient scheduling when I use the ARESTIN^® Rx Access Program?

• After discussing your initial diagnosis and treatment plan with patient, schedule a
  follow-up appointment for SRP + ARESTIN^® in 10 or more days
• This allows enough time for the specialized pharmacy to verify and process the
  prescription benefits, coordinate patient co-pay, and ship the product to your office

What is the CVS/Caremark Specialized Pharmacy?

They are the ARESTIN^® Rx Access pharmacy partner. Their staff does the work of
checking your patients’ insurance coverage for ARESTIN^®, contacting patients to
notify them of approval and to collect co-pays, and shipping the filled prescription to
your office. This service is not available through regular CVS retail pharmacies

I faxed in the form. What happens next?

• You’ll receive a faxed confirmation that the specialized pharmacy (CVS/Caremark)
  has received your form
• CVS/Caremark verifies patient’s insurance benefits and contacts your office,
  whether approved or denied, within 72 hours
• If approved, CVS collects patient’s co-pay by phone and ships product to your office
• If denied, CVS does not contact patient. Your office must notify patient and discuss
  other options

What should I tell my patient to expect?

• They will receive a telephone call within 3 business days from CVS.com if their
  prescription is covered. CVS.com will collect their co-pay either by credit or debit card
• If the patient’s plan does not cover ARESTIN^®, your office will contact them directly
• Either way, patient should keep next appointment to start treatment of
  periodontal infection
• At end of visit, give patient take-home materials that review these details

When should patient and our office expect a call from CVS.com about coverage determination?

• Within 3 business days

If I get notification that a claim was approved, can I call the patient myself?

• Absolutely. You can share the good news that the patient was able to receive coverage
  for ARESTIN^®. Plus, it’s a great opportunity to remind the patient to take care of their
  co-pay and to keep their next appointment

How soon can I expect delivery of the product once the patient has paid the co-pay?

• The product is shipped according to the requested delivery date you provide on your
  faxed Prescription Request Form. Product will not be shipped until patient pays co-pay

What does CVS/Caremark do during the process?

• CVS/Caremark is our specialized pharmacy partner
• They process the ARESTIN^® Rx Access form you submit and determine the patient’s
  prescription coverage
• If approved, they coordinate with insurer and collect patient’s prescription co-pay
• They ship ARESTIN^® directly to your office according to the delivery date you specify
  on your faxed Prescription Request Form

Who from my office should act as the contact person?

• The contact person should be someone who can easily take phone calls from the
  specialized pharmacy
• An administrative staff member may work better than a hygienist

What does the contact person need to do?

• Receives calls from the specialized pharmacy
• Records and tracks all prescription requests made to the program, determinations,
  patient appointments and more Log forms are available here

If my patient does not show up for their scheduled appointment, can I use the product
on another patient?

No, any product obtained through the ARESTIN^® Rx Access program is strictly for use of
the insured patient. Product is shipped to your office as a convenience to your patient
and product must be held in custody for the patient for whom the prescription was
written

What do I do with the product if my patient does not return for their ARESTIN^®
treatment?

If your patient does not return for treatment, the ARESTIN^® should be returned to the specialized pharmacy for destruction; it cannot be used in other patients

Can I order additional product for a patient and use it at both their initial scaling
and root planing visit and their maintenance appointment?

No, the program is designed to provide product for only one procedure. One prescription covers only one periodontal procedure. You can submit two prescription request forms for each visit