How Assistance Works
Streamlining our patient’s specialty pharmacy experience with unmatched full-service convenience
-
1. Check Your Coverage/Benefits Verification
Our team of expert billers finds the best avenues of coverage that minimize out-of-pocket costs.
-
2. Transfer Prescription to AmeriPharma®
We process your prescription by working with your previous pharmacy or prescriber, making the transition quick and easy.
-
3. Prior Authorization
Our team of specialists obtains approval from your insurance companies within 24 to 72 hours.
-
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.
-
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.
-
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.
Ninlaro Introduction and Uses
Ninlaro is a brand-name product. It contains the active ingredient ixazomib, a member of a family of anticancer drugs known as proteasome inhibitors.
Ninlaro is not chemotherapy. Chemotherapy works by killing rapidly multiplying cells in the body. Unfortunately, it kills some healthy cells as well. Thus, chemotherapy can cause very severe side effects.
On the other hand, Ninlaro is a type of targeted therapy for cancer treatment. Targeted therapies identify features specific to cancer cells. As a result, they usually have less severe side effects compared to standard chemotherapy.
Ninlaro is used with lenalidomide (Revlimid) and dexamethasone to treat recurring or treatment-resistant multiple myeloma in adults who did not benefit from at least one prior therapy.
It is NOT intended for use in newly diagnosed cases or those on maintenance treatment.
Ninlaro Mechanism of Action
Ninlaro works by causing a buildup of unneeded proteins in cancer cells. When cancer cells cannot recycle damaged proteins, they die.
Ninlaro Dosage
Ninlaro comes as 4 mg, 3 mg, and 2.3 mg oral capsules.
The usual starting dose is 4 mg orally once weekly on Days 1, 8, and 15 of a 28-day treatment cycle. However, a doctor may reduce the starting dose to 3 mg in people with severe liver or kidney issues.
Likewise, if you experience severe side effects when starting at 4 mg, your doctor will likely ask you to take 3 mg. If your problems persist, the amount is further reduced to 2.3 mg. Lastly, your doctor will stop treatment if you cannot tolerate the 2.3 mg dose.
Your doctor may also give you medication with Ninlaro to prevent herpes zoster (chicken pox virus) reactivation. They may also order specific blood tests before each new cycle.
Copay and Financial Assistance
AmeriPharma® Specialty Pharmacy alleviates financial burdens for patients and their families
-
Advanced software locates funding sources to match you with top-dollar foundation programs
-
One of our copay assistance specialists will assist with the application process
-
Automatic updates will be sent to you and your physician on the status of the funding
Proper Use, Storage, and Disposal
- Before using this medication, read the instructions on the prescription label carefully. Take your doses exactly as directed.
- If you have any questions, talk to your doctor or pharmacist.
- Never stop taking this or any medicine without talking to your doctor.
- Take the capsules on an empty stomach, at least 1 hour before or 2 hours after a meal.
- Swallow the entire capsule; avoid crushing, chewing, or breaking it.
- If you have to use Ninlaro and dexamethasone on the same day, do not take them simultaneously. Dexamethasone should be taken with food.
- If your skin comes in contact with the capsule contents, wash the exposed area with soap and water.
- If your eye is exposed, rinse it well with water.
- If you vomit after swallowing a capsule, do not take it again. Instead, take your next dose as scheduled.
- Store Ninlaro capsules at room temperature in their original packaging.
- Do not store above 86°F.
- Do not freeze.
- Dispose of unused or expired medicines following the local requirements.
Ninlaro Side Effects
Common Side Effects
- Diarrhea
- Constipation
- Nausea
- Vomiting
- Back pain
- Swelling
- Neutropenia (low white blood cell counts)
- Upper respiratory tract infections or bronchitis (swelling of a tube-like structure that carries air to your lungs)
Talk to your doctor or pharmacist if any side effect worsens or persists.
Severe Side Effects
Call your doctor immediately or seek emergency care if you have signs and symptoms of:
- Low platelet counts, such as unexplained bleeding or bruising
- Nerve problems (tingling, numbness, burning sensation in your hands or feet, or weakness in arms or legs)
- Skin reactions, such as rashes, mouth sores, or severe peeling of the skin
- Swelling, such as unusual weight gain or swollen arms, hands, legs, ankles, or feet
- Blood clots in small blood vessels, such as fever, bruising, tiredness, nosebleeds, or decreased urination
- Liver problems, such as yellow skin or eyes or pain in the upper right region of your stomach
- Vision problems, such as blurred vision
- Chickenpox virus reactivation, such as skin rash and pain (shingles)
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.
Get Started in Minutes
Fill out your information and one of our specialists will call you ASAP.
How Much Can You Save?
Complete this form to save up to 100%!
By submitting, you agree to AmeriPharma’s Terms of Use, Privacy Policy, and Notice of Privacy Practices