How Assistance Works

Streamlining our patient’s specialty pharmacy experience with unmatched full-service convenience

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    1. Check Your Coverage/Benefits Verification

    Our team of expert billers finds the best avenues of coverage that minimize out-of-pocket costs.

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    2. Transfer Prescription to AmeriPharma®

    We process your prescription by working with your previous pharmacy or prescriber, making the transition quick and easy.

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    3. Prior Authorization

    Our team of specialists obtains approval from your insurance companies within 24 to 72 hours.

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    4. Copay Assistance & Financial Aid

    We secure financial aid and decrease copays, out-of-pocket expenses, and high deductibles. To date, AmeriPharma® Specialty Care has secured $55 million in financial assistance for our patients.

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    5. Nursing Care Coordination If Needed

    AmeriPharma® puts your schedule and home environment first when scheduling and coordinating one of our specialized nurses for your in-home infusions.

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    6. Delivery Coordination

    Medications are always delivered in strict compliance with the specific requirements for shipping. Next-day and overnight cold-chain deliveries are coordinated around your schedule.

Ifosfamide Introduction and Uses

Ifosfamide injection is an FDA-approved drug used with other cancer medications to treat certain cancers of the testicles. This medication may also be used with a detoxifying agent (mesna) to prevent inflammation of the urinary bladder lining.

Ifosfamide belongs to a medicine class called alkylating agents. Other drugs in this class are cyclophosphamide, chlorambucil, and busulfan.

Ifosfamide Mechanism of Action

Your liver enzymes convert ifosfamide into active substances. These substances work in two ways. First, they cause cancer cell damage; the damaged cells are removed by the body. Second, they permanently damage DNA and block protein formation in cancer cells.

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Before Taking Ifosfamide Injection

Before you receive the first dose of ifosfamide, inform your provider if you:

  • Are allergic to this medication or any component of it
  • Take a herbal product called St. John’s wort
  • Have or ever had heart, liver, or kidney disease
  • Have been treated with radiation therapy or other chemotherapy drugs
  • Are having surgery
  • Drink alcohol

Things to Avoid During Treatment With Ifosfamide

  • Activities that require quick reactions and concentration, such as driving
  • Drinking alcohol
  • Grapefruit products
  • Close contact with sick or infected people
  • Receiving “live” vaccines, such as measles, mumps, rubella (MMR), rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza)

Copay and Financial Assistance

AmeriPharma® Specialty Pharmacy alleviates financial burdens for patients and their families

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    Advanced software locates funding sources to match you with top-dollar foundation programs

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    One of our copay assistance specialists will assist with the application process

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    Automatic updates will be sent to you and your physician on the status of the funding

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Ifosfamide Dosage

Ifosfamide comes in single-dose vials in the following strengths:

  • 1 g/20 ml single-dose vial of ifosfamide
  • 3 g/60 ml single-dose vial of ifosfamide

A healthcare provider administers ifosfamide injection slowly (lasting at least 30 minutes) into your vein (intravenously; IV).

The usual dose (in combination with other cancer medicines) is 1.2g/m2 IV daily on days 1 to 5, repeated every 21 days. In simple terms, one cycle of treatment lasts 21 days, but you will receive medication only during the first 5 days of the 21-day cycle. Your provider will determine how many cycles you need.

Your provider will closely monitor you or change doses if you have liver or kidney problems. Treatment may be delayed if you experience severe side effects.

If you are a female of childbearing age, your provider will order a pregnancy test to determine if you are pregnant.

You should drink plenty of fluids during treatment to lower the risk of bladder toxicity.

Ifosfamide Side Effects

Common Side Effects

Call your healthcare provider if the following symptoms worsen or don’t go away after taking an ifosfamide injection:

  • Nausea and vomiting
  • Confusion, vision problems, thinking problems
  • Numbness, tingling, burning pain
  • Infections
  • Urination problems
  • Hair loss

Allergic Reactions

Seek emergency medical care if you experience:

  • Hives
  • Difficult breathing
  • Swelling in your face or throat

Severe Skin Reactions

Seek emergency medical care if you experience:

  • Fever
  • Sore throat
  • Burning eyes
  • Skin pain
  • Red or purple skin rash with blistering and peeling

Severe or Fatal Infections

Call your healthcare provider immediately if you experience:

  • Fever, chills, or flu symptoms
  • Mouth and throat ulcers
  • Skin sores, pale skin, cold hands and feet
  • Easy bruising, unusual bleeding
  • Increased heart rate
  • Shallow breathing
  • Lightheadedness
  • Difficulty breathing

Severe Side Effects

Call your healthcare provider immediately if you experience:

  • Confusion
  • Bizarre thoughts or behavior
  • Hallucinations
  • Seizures
  • Little or no urination
  • Painful or difficult urination
  • Blood in your urine
  • Loss of bladder control
  • Uncontrollable muscle movement
  • Difficulty hearing or seeing
  • Ringing in the ears
  • Sudden chest pain
  • Wheezing and dry cough
  • Dark urine
  • Yellowish skin or eyes (jaundice)
  • Delayed wound healing

Insurances Accepted

We accept Medicare, multi-state Medicaid, Medi-Cal, Blue Shield, and most private insurances. Call us to find out more about your coverage.

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