Getting one is simple:

1. Go to the Auvi-Q AffordAbility page, download the appropriate pdf, fill it out, and bring it with you to your doctor. Have your doctor write the script and fax it all to the number on the form. (To see which form you need, keep reading.)
2. Be on hand to answer the phone when a pharmacy rep calls to confirm your information.
3. The clock starts ticking with that phone call. You’ll get your auto-injectors within 24-48 hours (Monday thru Saturday), shipped to you or your doc’s office, as indicated on the form. They are “packaged and shipped in accordance with label requirements,” meaning that they will be protected from temperature extremes.

IF YOU HAVE QUESTIONS, CALL 1-877-30-AUVIQ.

Call from your doctor’s office, call from the pharmacy, call from home. The reps there will talk anyone through finding out what they need to do to get an Auvi-Q.

How does it work?

1. If you have insurance but the Auvi-Q isn’t covered, kaléo will cover your entire cost. Yes, that’s right! They’ll still want your insurance information though, to verify you have it and to demonstrate to your insurer that there is demand. Use the “Direct Deliver Service Enrollment form” pdf, and include a copy of your insurance card.**
2. If you have insurance and the Auvi-Q is covered, but your insurance wants a copay, kaléo covers your copay. (This is part of why they’re doing it direct ship, so your local pharmacy won’t demand that copay from you, nor will you have to deal with coupons or reimbursements.) Use the “Direct Deliver Service Enrollment form” pdf and include a copy of your insurance card.**
3. Even if you have insurance and the Auvi-Q is 100% covered, you will still fill out the “Direct Deliver Service Enrollment form” pdf (and include a copy of your insurance card) and have your Auvi-Q direct shipped.
4. If you don’t have insurance and your household income is under $100,000, kaléo will cover your cost. Use the “Enrollment form PAP” pdf (Patient Assistance Program). This is a very easy form, and you will still receive a confirmation phone call. This process should not take any longer than if you have insurance.
   1. **UPDATE (July 2018) When you use the kaleo Cares Patient Assistance Program, you are limited to three pairs of Auvi-Qs in a calendar year, and you do NOT get refills. You will need to fill out the form each time you want new devices, and they must be spaced at least a month apart.
   2. **UPDATE (July 2018) If your doctor writes your script to include refills, the paperwork that arrives with your Auvi-Qs may indicate that you have refills, but that is not the case. You would still need to have your doctor fax in a new form a month later to get a second (or third) pair of devices. I have spoken to kaleo about this and they are aware of the possible confusion, but as of the last I heard, the problem had not been fixed.
5. If you don’t have insurance and your household income is above $100,000, you’ll pay the cash price of $360. Still through drop-shipping. You’ll use the “Direct Deliver Service Enrollment form” pdf. They will call to verify that you do not have insurance and wish to pay the cash price. If one of their network pharmacies is in your area, you may be able to arrange to drop in and pay cash or check, but most of the time you will need to pay via credit/debit.
6. If you have MediCAID, it is unfortunately not covered at this time. Medicaid will not cover the brand if a generic is available. Kaléo informed me that they are exploring options to make it available to Medicaid patients. **UPDATE (Sept 2017): Yes, you can get Auiv-Qs now if you are on Medicaid! As long as your income is under $100,000 (kind of a given for Medicaid, I think) you can fill out the Patient Assistance form “Enrollment form PAP” pdf  and receive Auvi-Qs for free as well.
   1. **UPDATE (July 2018) When you use the kaleo Cares Patient Assistance Program, you are limited to three pairs of Auvi-Qs in a calendar year, and you do NOT get refills. You will need to fill out the form each time you want new devices, and they must be spaced at least a month apart.
   2. **UPDATE (July 2018) If your doctor writes your script to include refills, the paperwork that arrives with your Auvi-Qs may indicate that you have refills, but that is not the case. You would still need to have your doctor fax in a new form a month later to get a second (or third) pair of devices. I have spoken to kaleo about this and they are aware of the possible confusion, but as of the last I heard, the problem had not been fixed.
7. If you have MediCARE or TriCare, availability will depend on your plan. Some will cover it, some will only cover generics. Call the number, and if it’s covered, you’ll fill out the “Direct Deliver Service Enrollment form” pdf and have it submitted by your doctor, as above.

**In neither of the above cases will the cost of the Auvi-Q count towards your deductible.**

The one main flaw in this system is that it is not available immediately, so for patients who are filling their first epinephrine prescription or who are replacing used auto-injectors, there would be the 24-48 hour delay in arrival of the meds. If you need something immediately, get what you can. But if Auvi-Q is what you’d like to carry, why not get a set of those, too! You could keep the other brand for backup 🙂

Auvi-Q Links:

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