Approved Use

Repatha® is an injectable prescription medicine used:

  • in adults with cardiovascular disease to reduce the risk of heart Read more attack, stroke, and certain types of heart surgery Read more
  • along with diet alone or together with other cholesterol-lowering medicines in adults with high blood cholesterol levels called primary hyperlipidemia (including a type of high cholesterol called heterozygous familial hypercholesterolemia) to reduce low-density lipoprotein (LDL) or bad cholesterol

RepathaReady® Registration


RepathaReady® offers resources and support services to help patients stay on track with their high LDL treatment. Sign up today to see if you are eligible for the Repatha® Copay Card, and to receive nurse support, needle disposal containers, medication reminders and informational emails, and insurance assistance.

Do you have a Repatha® prescription?

If you do not have a prescription, but are interested in learning more about Repatha®, sign up here to stay in touch and receive additional information.


Select your services

In addition to educational emails, nurse support, and insurance assistance, RepathaReady® offers other useful services to help on the path to dramatically lower LDL bad cholesterol and reduce your risk of heart attack or stroke. Select which services you’re interested in from the list below and answer the remaining questions on the following pages to complete your registration.

Tell us about yourself

In addition to the below Privacy Pledge consent, I understand that by checking this box, I am also enrolling into the RepathaReady® patient support program. I am also agreeing, by checking this box, to Amgen calling and texting me at the phone number(s) I have provided with promotional communications relating to Amgen products and services and/or my condition or treatment. Amgen may use automatic dialing machines or artificial or prerecorded messages to contact me and may leave a voicemail or SMS/text message (standard text messaging rates may apply). I understand that I am not required to provide this consent as a condition of purchasing any goods or services.

Privacy Pledge

Please read and accept the Amgen Privacy Pledge

Amgen’s Privacy Pledge to Patients

Amgen respects patients and customers and takes the protection of their privacy very seriously. Amgen pledges the following:

  • Amgen does not and will not sell or rent your information to marketing companies or mailing list brokers.
  • Amgen is careful to only collect and/or use personal identifiable information for the purposes stated in this Authorization and as necessary to provide the services and/or programs the patient or customer chooses to enroll into.
  • Amgen practices are consistent with federal and state privacy laws, including HIPAA.
  • Amgen program enrollment is voluntary and always provides patients with an easy option to cancel participation.

Amgen’s Privacy Notice and Patient Authorization

Uses and Disclosure of Personal Information

I authorize Amgen and its contractors (“Amgen”) to use and/or disclose my personal information, including my personal health information, only for the following purposes:

  • To operate, administer, enroll me in, and/or continue my participation in Amgen’s RepathaReady® patient support program or any other Amgen-affiliated patient support services and activities related to my condition or treatment (for example, the Repatha® Copay card program, reimbursement assistance programs, drug coverage verification, nurse educator services, adherence program and disease management support);
  • To contact, with my permission, my doctor and the rest of my health care team and share with them my health information that may be useful for my care;
  • To provide me with informational and promotional materials relating to Amgen products and services, and/or my condition or treatment; and/or
  • To improve, develop, and evaluate products, services, materials and programs related to my condition or treatment.

In order for Amgen to provide me with the services and/or programs described above, Amgen needs to collect and use my personal information, including my personal health information. I understand that my personal health information may include any information, in electronic or physical form, in the possession of or derived from a health care provider, health care plan, pharmacy, pharmaceutical company, laboratory and/or their contractor (“Health Care Provider). This may include select information from or about my medical history and general health, my health care plan benefits, payment limits or restrictions covered by my health care plan policy, and/or my adherence to my treatment.

I authorize my Health Care Providers to disclose my personal health information to Amgen, and between themselves, as necessary, but only for the purposes stated above in this Authorization. I understand that certain of my Health Care Providers (such as pharmacies and specialty pharmacies) may receive remuneration from Amgen in exchange for disclosing my personal health information and/or for using my information to contact me with communications about Amgen products which have been prescribed to me (for ex. adherence programs) and other patient support services.

Expiration, Right to Obtain a Copy and Right to Cancel

I understand that by signing this form, I authorize my Health Care Providers or others who might hold my health information to only release it to Amgen employees, as well as to its contractors and business partners, who are performing the services set forth in this Authorization. I also understand I am authorizing my personal information, including my personal health information, to be used for the purposes described above. I understand and agree that by checking the “I Agree” button below, I am authorizing those who rely on this Authorization to release my personal health information for the earlier of five (5) years or until my participation in the program ends through my cancellation, unless a shorter time period is required by state law.

I understand that I can obtain a copy of this Authorization or cancel this Authorization at any time by calling Amgen at 1-844-REPATHA (1-844-737-2842) or by writing to Amgen, PO Box 781046, Indianapolis, IN 46278-8046. If I cancel my consent, I will no longer qualify for the services described. I also understand that if a Health Care Provider is disclosing my personal health information to Amgen on an authorized on-going basis, my cancellation with Amgen will be effective with respect to any such Health Care Providers as soon as they receive notice of my cancellation.

No Effect on Treatment

I understand I do not have to sign this Authorization and that my enrollment in any of the services and/or programs described above is entirely voluntary. I understand that Amgen, as well as Health Care Providers, cannot require me, as a condition of having access to medications, prescription drugs, treatment or other care, to sign this Authorization. Federal Law (including HIPAA) requires a signed authorization in order for Amgen to collect this information from my Health Care Providers. I understand I cannot participate in the listed services and/or programs without signing this Authorization or an equivalent authorization with my Health Care Providers.

Information Received from Health Care Providers

I understand that once my personal health information has been disclosed to Amgen, federal privacy laws may no longer apply and protect it from further disclosure. Amgen agrees, however, to protect my personal health information by only using and disclosing it as stated in the Authorization or as otherwise allowed or required by law. I understand that Amgen does not and will not sell or rent my information to marketing companies or mailing list brokers.

Authorization to Contact

I understand and consent to Amgen contacting me using the contact information provided in this form to enroll me in, operate, and administer Amgen patient support services and/or programs as described above other than promotional communications by telephone or SMS/text (which I can separately opt-in when I provide my phone number). I understand that the operation and administration of certain of these services and/or programs may require that Amgen contact me by telephone or SMS/text.

I give Amgen permission to contact me by email, phone, mail, and/or SMS/text message for the purposes detailed in the Privacy Notice above, and to provide me with informational and marketing communications in the future.

By checking the “I Agree” box, I am electronically indicating that I have read and understood Amgen’s Privacy Notice and Authorization (above in its full text), that I am legally authorized to consent and that I am providing my consent as the patient or the patient’s legal guardian for Amgen and its contractors and business partners to use and share the personal information I provide for the purposes described within the Privacy Notice and Authorization. By clicking “Cancel” at the bottom of the page, my activation and enrollment into RepathaReady® will be discontinued.


Amgen may contact me using the contact information provided in this form for participation in market research activities associated with Amgen’s products, services, and/or my condition or treatment. Please check one of the boxes below.


Cancel
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Repatha® Copay Card eligibility

Please answer the questions below to see if you are eligible for the
Repatha® Copay Card.


Do you already have a card to activate?



Are you a resident of one of the 50 United States or Puerto Rico?


Do you have commercial or private healthcare insurance?


Are you a Medicare beneficiary?


Are you enrolled in a Part D plan?

Are you a retiree, or a spouse or dependent of a retiree, and receiving prescription drug coverage from a former employer, union health and welfare plan, or multi-employer health and welfare plan?


Are you enrolled in any other government healthcare program that pays for prescription drugs? This includes programs funded either by the federal or state government. For example, Medicaid, Veterans Affairs (VA), the Department of Defense (DoD), TRICARE, or a state pharmaceutical assistance program.


You agree to notify Amgen if at any time your answers to any of these questions change. In addition, if at any time you become enrolled in a plan that provides prescription drug coverage under any Medicare or any other federal or state government program, you will no longer be able to use this card and must stop your participation in the program. Do you understand and agree with this statement?

Continue Cancel
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Sharps Needle Disposal Program

In order to receive your Sharps Needle Disposal Container, we need to know how you’re taking Repatha®.

Injection and Refill Reminder Program

Please answer the following questions if you would like to schedule reminders as an additional tool to help you stay on track with Repatha®.

How often are you prescribed to take your Repatha®?


When would you like your first dose reminder?

Would you also like to receive prescription refill reminders?

When would you like to receive your first refill reminder?


How often would you like to receive your refill reminders?


How would you like to receive reminder communications from RepathaReady®?


In order to receive text messages, please provide and review the following information.

Upon submitting this form, you will receive a confirmation text from Repatha®. You must reply YES to that text in order to complete enrollment in the text message reminder program.


View Mobile Terms & Conditions

Cancel

We’re having a problem processing your request

We’re sorry, there was an error processing your request. Please call 1-844-REPATHA (1-844-737-2842) to complete your registration.

Return to Repatha® services

We’re having a problem processing your copay card request

We’re sorry, we’re having an error processing your request. Please call 1-844-REPATHA (1-844-737-2842) to complete your copay sign-up.

Thank you for registering for RepathaReady®!

You've successfully registered for the following services:


Repatha® Copay Card Enrollment

You’ve successfully enrolled in the Repatha® Copay Card program. Your Repatha® Copay Card should arrive within 7 days. Until then, you can print and use this temporary card.

Print Card

Repatha® Copay Card Activation

You’ve successfully activated your Repatha® Copay Card. You can now use your card at the pharmacy when you fill your prescription.


Sharps Needle Disposal Program

Your needle disposal container will be mailed to the address you provided. With the Repatha® Sharps Mail-Back Service, you can recycle your used needles safely, conveniently, and at no cost to you.


Repatha® Reminders

You're all set to receive your requested Repatha® reminders. If you would like to change your reminders, or if you have any questions, please call 1-844-REPATHA (1-844-737-2842) for assistance.


You’re already enrolled in the Repatha® Copay Program

It looks like you already have a Repatha® Copay Card.

Click here to replace your copay card, or call 1-844-REPATHA (1-844-737-2842) to request one.

We’re sorry. It looks like you are not eligible for the Repatha® Copay Card.

Call 1-844-REPATHA (1-844-737-2842), to speak with a counselor to help you understand your benefits and determine which plans may be best for you.

Get extra support from RepathaReady®

Be sure to take advantage of everything the RepathaReady® program offers. From nurse support to insurance counselors ready to help you with financial assistance, the RepathaReady® program is here to help support you.

Get the support you need.

Call 1-844-REPATHA (1-844-737-2842), 9AM – 11PM EST, 7 days a week for answers to your questions.

Important Safety Information

Do not use Repatha® if you are allergic to evolocumab or to any of the ingredients in Repatha®.

Before you start using Repatha®, tell your healthcare provider about all your medical conditions, including if you are allergic to rubber or latex, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed. The needle covers on the single-use prefilled syringes and the inside of the needle caps on the single-use prefilled SureClick® autoinjectors contain dry natural rubber. The single-use Pushtronex® system (on-body infusor with prefilled cartridge) is not made with natural rubber latex.

Tell your healthcare provider or pharmacist about any prescription and over-the-counter medicines, vitamins, or herbal supplements you take.

What are the possible side effects of Repatha®?

Repatha® can cause serious side effects including: Repatha® may cause allergic reactions that can be serious. Call your healthcare provider or go to the nearest hospital emergency room right away if you have any symptoms of an allergic reaction including a severe rash, redness, severe itching, a swollen face, or trouble breathing.

The most common side effects of Repatha® include: runny nose, sore throat, symptoms of the common cold, flu or flu-like symptoms, back pain, high blood sugar levels (diabetes), and redness, pain, or bruising at the injection site.

Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of Repatha®. Ask your healthcare provider or pharmacist for more information. Call your healthcare provider for medical advice about side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Important Safety Information

Do not use Repatha® if you are allergic to evolocumab or to any of the ingredients in Repatha®.

Before you start using Repatha®, tell your healthcare provider about all your medical conditions, including if you are allergic to rubber or latex, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed. The needle covers on the single-use prefilled syringes and the inside of the needle caps on the single-use prefilled SureClick® autoinjectors contain dry natural rubber. The single-use Pushtronex® system (on-body infusor with prefilled cartridge) is not made with natural rubber latex.

Tell your healthcare provider or pharmacist about any prescription and over-the-counter medicines, vitamins, or herbal supplements you take.

What are the possible side effects of Repatha®?

Repatha® can cause serious side effects including: Repatha® may cause allergic reactions that can be serious. Call your healthcare provider or go to the nearest hospital emergency room right away if you have any symptoms of an allergic reaction including a severe rash, redness, severe itching, a swollen face, or trouble breathing.

The most common side effects of Repatha® include: runny nose, sore throat, symptoms of the common cold, flu or flu-like symptoms, back pain, high blood sugar levels (diabetes), and redness, pain, or bruising at the injection site.

Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of Repatha®. Ask your healthcare provider or pharmacist for more information. Call your healthcare provider for medical advice about side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.