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
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.
What Is Mycophenolic Acid?
Mycophenolic acid is an antimetabolite immunosuppressant medication used to prevent rejection following organ transplantation. It is also used to treat autoimmune conditions such as lupus erythematosus.
It is indicated for prophylaxis of organ rejection in adult patients receiving kidney transplants and in pediatric patients 5 years of age and older who are at least 6 months post-kidney transplant. Mycophenolic acid should be used in combination with cyclosporine and corticosteroids.
Mycophenolic acid can be given by mouth or by injection into a vein. It is available as mycophenolate sodium (Myfortic) and mycophenolate mofetil (CellCept).
Formulations
Mycophenolate mofetil and enteric-coated (delayed-release) mycophenolate sodium are not equivalent. Conversion to equimolar doses is necessary. Mycophenolate mofetil 500 mg is considered equivalent to mycophenolate sodium 360 mg. IV and oral doses of mycophenolate mofetil are equivalent. Transition to oral therapy as soon as tolerated.
What is Mycophenolic Acid Used To Treat?
Mycophenolic acid is used to treat the following:
- Bullous pemphigoid, adjunctive therapy
- Dermatomyositis, refractory
- Eosinophilic granulomatosis with polyangiitis
- Focal segmental glomerulosclerosis, glucocorticoid-dependent or glucocorticoid-resistant
- Graft-vs-host disease in allogeneic hematopoietic cell transplantation
- Granulomatosis with polyangiitis and microscopic polyangiitis, maintenance therapy
- Hepatitis, autoimmune, refractory
- Interstitial nephritis, acute
- Interstitial pneumonia/interstitial lung disease
- Lupus erythematosus
- Discoid lupus and subacute cutaneous lupus, refractory (alternative agent)
- Lupus nephritis, focal or diffuse
- Myasthenia gravis, chronic immunosuppressive therapy
- Pemphigus vulgaris and pemphigus foliaceus
- Solid organ transplantation, maintenance immunosuppressive therapy:
- Heart transplantation
- Kidney transplantation
- Liver transplantation
- Lung transplantation (off-label use)
- Systemic sclerosis
- Takayasu arteritis
- Toxicities associated with immune checkpoint inhibitor therapy, treatment
- Uveitis, noninfectious
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
Mycophenolic Dosing Information
Usual dosage range:
- Mycophenolate mofetil (Oral, IV): 500 mg to 1.5 g twice daily.
- Mycophenolate sodium, delayed release (Oral): 360 mg to 1,080 mg twice daily.
Do not crush, chew, or cut tablets prior to ingestion.
Solid organ transplantation, maintenance immunosuppressive therapy
For kidney transplantation:
- Mycophenolate mofetil (Oral, IV): 1 g (range: 500 mg to 1 g) twice daily as part of an appropriate combination regimen.
- Mycophenolate sodium, delayed release (Oral): 720 mg (range: 360 mg to 720 mg) twice daily as part of an appropriate combination regimen.
Myasthenia gravis, chronic immunosuppressive therapy (off-label use):
- Mycophenolate mofetil (Oral): 500 mg twice daily (initial dose); increase after 1 to 4 weeks based on response and tolerability to a maintenance dose of 1 g to 1.5 g twice daily.
Note: This drug should be used as monotherapy or in combination with glucocorticoids in patients with glucocorticoid-resistant or glucocorticoid-dependent disease. Due to delayed onset of clinical response, it is most often initially given in combination with a glucocorticoid.
Mycophenolic Acid Side Effects
Although it may be rare, some people may experience very bad and sometimes deadly side effects when taking this drug. Inform your doctor or seek medical help right away if you experience any of the following signs or symptoms:
- Signs of an allergic reaction, like hives; rash; itching; red, blistered, swollen, or peeling skin with or without fever; wheezing; trouble breathing, swallowing, or talking; tightness in the chest or throat; or swelling of the mouth, lips, face, tongue, or throat
- Signs of high blood sugar such as confusion, feeling sleepy, unusual thirst or hunger, passing urine more frequently, flushing, fast breathing, or breath that smells like fruit
- Signs of electrolyte problems like mood changes, weakness, shakiness, change in balance
- Signs of high or low blood pressure such as a very bad headache or dizziness, passing out, or change in eyesight
- Signs of kidney problems like the inability to pass urine, blood in the urine, change in how much urine is passed, or significant weight gain
- Signs of skin infection such as oozing, heat, swelling, pain, or redness
- Chest pain or pressure
- Fast, slow, or abnormal heartbeat
- Any unexplained bruising or bleeding
- Throwing up blood
- Black, tarry, or bloody stools
- A burning, tingling feeling or numbness that is not normal
- Muscle cramps
- Swelling
- Pale skin
- White patches in the mouth
- Vaginal itching or discharge
- Yellow skin or eyes
- Lung problems. Sometimes, this can be deadly. Call your doctor right away if you have signs of lung problems like shortness of breath or other trouble breathing, cough that is new or worse, or fever.
Side Effects for All Mycophenolic Acid Products:
- Back pain
- Constipation, stomach pain, upset stomach, diarrhea, vomiting, or decreased appetite
- Headache
- Gas
- Feeling dizzy, tired, or weak
- Shakiness
- Trouble sleeping
Side Effects for Injection:
- Irritation where the shot is given
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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