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IncyteCARES for Jakafi is a program for residents
of the United States and Puerto Rico.

Select which way you'd like to enroll in IncyteCARES for Jakafi:

Note that not all patients who have been prescribed Jakafi® (ruxolitinib) are eligible to enroll
in the program or to receive all services we provide.

Healthcare Professional icon
To Enroll Through Your Healthcare Professional

Both you and your Healthcare Professional need to provide information.

Both you and your Healthcare Professional need to provide information.

Step 1 of 3:

Ask your Healthcare Professional to fill out a program enrollment form for you.

You will need to provide:

  • The address for monthly delivery of your Jakafi
  • Your insurance information
  • Your financial information, including current household income (if you want to see if you qualify for the free drug program)
  • Your Patient Authorization for the IncyteCARES for Jakafi program (This means you give permission for your Healthcare Professionals to share your personal medical information with us as part of the program.)
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pen icon

To provide this you can either:

  • Sign the Patient Authorization section of the enrollment form,
    or
  • Let your Healthcare Professional submit the form without your signature, and an IncyteCARES for Jakafi representative will call you to obtain your authorization verbally or by mail

Your Healthcare Professional will provide:

  • Your condition
  • Your prescription for Jakafi
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pen icon

To provide this you can either:

  • Sign the Patient Authorization section of the enrollment form,
    or
  • Let your Healthcare Professional submit the form without your signature, and an IncyteCARES for Jakafi representative will call you to obtain your authorization verbally or by mail
Step 2 of 3:

Your Healthcare Professional will submit your enrollment form.

You may receive a phone call from an IncyteCARES for Jakafi representative if any of your information is incomplete on the form. You can provide this verbally or by mail.

Step 3 of 3:

We’ll call to confirm your enrollment.

Once we validate the information you and your Healthcare Professional provide and confirm you’re eligible for IncyteCARES for Jakafi, we will immediately enroll you and let you know by phone that you’ve been enrolled. You can then take advantage of the services and support for which you’re eligible.

On our welcome call with you, an IncyteCARES for Jakafi representative can:

On our welcome call with you, an IncyteCARES for Jakafi representative can:

  • Discuss your insurance coverage for Jakafi
  • Identify financial assistance options that may help you
  • Set up monthly deliveries of your Jakafi
  • Review information about your medicine and more
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Graphic of a phone support person working at a computer
 
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phone support person icon

Need Help?

Our IncyteCARES for Jakafi team is available Monday through Friday, 8 AM–8 PM ET
Call us at 1-855-452-5234

 
phone support icon
To Enroll by Calling IncyteCARES for Jakafi

Both you and your Healthcare Professional need to provide information to get you enrolled.

Both you and your Healthcare Professional need to provide information to get you enrolled.

Step 1 of 3:

Call IncyteCARES for Jakafi
at 1-855-452-5234.

Representatives are available to enroll you Monday through Friday, 8 AM–8 PM ET.

You will need to provide:

  • The address for monthly delivery of your Jakafi
  • Your insurance information
  • Your financial information, including current household income (if you want to see if you qualify for the free drug program)
  • Your verbal Patient Authorization for the IncyteCARES for Jakafi program (This means you give permission for your Healthcare Professionals to share your personal medical information with us as part of the program.)
Image
pen icon

If you prefer not to provide information over the phone, we can mail you an enrollment form to complete and return by mail.

Image
pen icon

If you prefer not to provide information over the phone, we can mail you an enrollment form to complete and return by mail.

Step 2 of 3:

We will contact your prescribing Healthcare Professional to complete your enrollment form.

Your Healthcare Professional will provide:

  • Your condition
  • Your prescription for Jakafi
Step 3 of 3:

We’ll call to confirm your enrollment.

Once we validate the information you and your Healthcare Professional provide and confirm you’re eligible for IncyteCARES for Jakafi, we will immediately enroll you and let you know by phone that you’ve been enrolled. You can then take advantage of the services and support for which you’re eligible.

On our welcome call with you, an IncyteCARES for Jakafi representative can:

On our welcome call with you, an IncyteCARES for Jakafi representative can:

  • Discuss your insurance coverage for Jakafi
  • Identify financial assistance options that may help you
  • Set up monthly deliveries of your Jakafi
  • Review information about your medicine and more
Image
Graphic of a phone support person working at a computer
 
Image
phone support person icon

Need Help?

Our IncyteCARES for Jakafi team is available Monday through Friday, 8 AM–8 PM ET
Call us at 1-855-452-5234

 

INDICATIONS AND USAGE

Jakafi is a prescription medicine used to treat adults with polycythemia vera who have already taken a medicine called hydroxyurea and it did not work well enough or they could not tolerate it.

Jakafi is used to treat adults with certain types of myelofibrosis.

Jakafi is used to treat adults and children 12 years of age and older with acute graft-versus-host disease (GVHD) who have taken corticosteroids and they did not work well enough.

Jakafi is used to treat adults and children 12 years of age and older with chronic graft-versus-host disease (GVHD) who have taken one or two types of treatments and they did not work well enough.

IMPORTANT SAFETY INFORMATION

Jakafi can cause serious side effects, including:

Low blood counts: Jakafi® (ruxolitinib) may cause low platelet, red blood cell, and white blood cell counts. If you develop bleeding, stop taking Jakafi and call your healthcare provider. Your healthcare provider will do a blood test to check your blood counts before you start Jakafi and regularly during your treatment. Your healthcare provider may change your dose of Jakafi or stop your treatment based on the results of your blood tests. Tell your healthcare provider right away if you develop or have worsening symptoms such as unusual bleeding, bruising, tiredness, shortness of breath, or a fever.

Infection: You may be at risk for developing a serious infection during treatment with Jakafi. Tell your healthcare provider if you develop any of the following symptoms of infection: chills, nausea, vomiting, aches, weakness, fever, painful skin rash or blisters.

Cancer: Some people have had certain types of non-melanoma skin cancers during treatment with Jakafi. Your healthcare provider will regularly check your skin during your treatment with Jakafi. Tell your healthcare provider if you develop any new or changing skin lesions during treatment with Jakafi.

Increases in cholesterol: You may have changes in your blood cholesterol levels during treatment with Jakafi. Your healthcare provider will do blood tests to check your cholesterol levels about every 8 to 12 weeks after you start taking Jakafi, and as needed.

Increased risk of major cardiovascular events such as heart attack, stroke or death in people who have cardiovascular risk factors and who are current or past smokers while using another JAK inhibitor to treat rheumatoid arthritis: Get emergency help right away if you have any symptoms of a heart attack or stroke while taking Jakafi, including: discomfort in the center of your chest that lasts for more than a few minutes, or that goes away and comes back, severe tightness, pain, pressure, or heaviness in your chest, throat, neck, or jaw, pain or discomfort in your arms, back, neck, jaw, or stomach, shortness of breath with or without chest discomfort, breaking out in a cold sweat, nausea or vomiting, feeling lightheaded, weakness in one part or on one side of your body, slurred speech

Increased risk of blood clots: Blood clots in the veins of your legs (deep vein thrombosis, DVT) or lungs (pulmonary embolism, PE) have happened in people taking another JAK inhibitor for rheumatoid arthritis and may be life-threatening. Tell your healthcare provider right away if you have any signs and symptoms of blood clots during treatment with Jakafi, including: swelling, pain, or tenderness in one or both legs, sudden, unexplained chest or upper back pain, shortness of breath or difficulty breathing

Possible increased risk of new (secondary) cancers: People who take another JAK inhibitor for rheumatoid arthritis have an increased risk of new (secondary) cancers, including lymphoma and other cancers. People who smoke or who smoked in the past have an added risk of new cancers.

The most common side effects of Jakafi include: for certain types of myelofibrosis (MF) and polycythemia vera (PV) – low platelet or red blood cell counts, bruising, dizziness, headache, and diarrhea; for acute GVHD – low platelet counts, low red or white blood cell counts, infections, and swelling; and for chronic GVHD – low red blood cell or platelet counts and infections including viral infections.

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

Before taking Jakafi, tell your healthcare provider about: all the medications, vitamins, and herbal supplements you are taking and all your medical conditions, including if you have an infection, have or had low white or red blood cell counts, have or had tuberculosis (TB) or have been in close contact with someone who has TB, had shingles (herpes zoster), have or had hepatitis B, have or had liver or kidney problems, are on dialysis, have high cholesterol or triglycerides, had cancer, are a current or past smoker, had a blood clot, heart attack, other heart problems or stroke, or have any other medical condition. Take Jakafi exactly as your healthcare provider tells you. Do not change your dose or stop taking Jakafi without first talking to your healthcare provider.

Women should not take Jakafi while pregnant or planning to become pregnant. Do not breastfeed during treatment with Jakafi and for 2 weeks after the final dose.

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.

You may also report side effects to Incyte Medical Information at 1-855-463-3463.

INDICATIONS AND USAGE

Jakafi is a prescription medicine used to treat adults with polycythemia vera who have already taken a medicine called hydroxyurea and it did not work well enough or they could not tolerate it.

Jakafi is used to treat adults with certain types of myelofibrosis.

Jakafi is used to treat adults and children 12 years of age and older with acute graft-versus-host disease (GVHD) who have taken corticosteroids and they did not work well enough.

Jakafi is used to treat adults and children 12 years of age and older with chronic graft-versus-host disease (GVHD) who have taken one or two types of treatments and they did not work well enough.

IMPORTANT SAFETY INFORMATION

Jakafi can cause serious side effects, including:

Low blood counts: Jakafi® (ruxolitinib) may cause low platelet, red blood cell, and white blood cell counts. If you develop bleeding, stop taking Jakafi and call your healthcare provider. Your healthcare provider will do a blood test to check your blood counts before you start Jakafi and regularly during your treatment. Your healthcare provider may change your dose of Jakafi or stop your treatment based on the results of your blood tests. Tell your healthcare provider right away if you develop or have worsening symptoms such as unusual bleeding, bruising, tiredness, shortness of breath, or a fever.

Infection: You may be at risk for developing a serious infection during treatment with Jakafi. Tell your healthcare provider if you develop any of the following symptoms of infection: chills, nausea, vomiting, aches, weakness, fever, painful skin rash or blisters.

Cancer: Some people have had certain types of non-melanoma skin cancers during treatment with Jakafi. Your healthcare provider will regularly check your skin during your treatment with Jakafi. Tell your healthcare provider if you develop any new or changing skin lesions during treatment with Jakafi.

Increases in cholesterol: You may have changes in your blood cholesterol levels during treatment with Jakafi. Your healthcare provider will do blood tests to check your cholesterol levels about every 8 to 12 weeks after you start taking Jakafi, and as needed.

Increased risk of major cardiovascular events such as heart attack, stroke or death in people who have cardiovascular risk factors and who are current or past smokers while using another JAK inhibitor to treat rheumatoid arthritis: Get emergency help right away if you have any symptoms of a heart attack or stroke while taking Jakafi, including: discomfort in the center of your chest that lasts for more than a few minutes, or that goes away and comes back, severe tightness, pain, pressure, or heaviness in your chest, throat, neck, or jaw, pain or discomfort in your arms, back, neck, jaw, or stomach, shortness of breath with or without chest discomfort, breaking out in a cold sweat, nausea or vomiting, feeling lightheaded, weakness in one part or on one side of your body, slurred speech

Increased risk of blood clots: Blood clots in the veins of your legs (deep vein thrombosis, DVT) or lungs (pulmonary embolism, PE) have happened in people taking another JAK inhibitor for rheumatoid arthritis and may be life-threatening. Tell your healthcare provider right away if you have any signs and symptoms of blood clots during treatment with Jakafi, including: swelling, pain, or tenderness in one or both legs, sudden, unexplained chest or upper back pain, shortness of breath or difficulty breathing

Possible increased risk of new (secondary) cancers: People who take another JAK inhibitor for rheumatoid arthritis have an increased risk of new (secondary) cancers, including lymphoma and other cancers. People who smoke or who smoked in the past have an added risk of new cancers.

The most common side effects of Jakafi include: for certain types of myelofibrosis (MF) and polycythemia vera (PV) – low platelet or red blood cell counts, bruising, dizziness, headache, and diarrhea; for acute GVHD – low platelet counts, low red or white blood cell counts, infections, and swelling; and for chronic GVHD – low red blood cell or platelet counts and infections including viral infections.

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

Before taking Jakafi, tell your healthcare provider about: all the medications, vitamins, and herbal supplements you are taking and all your medical conditions, including if you have an infection, have or had low white or red blood cell counts, have or had tuberculosis (TB) or have been in close contact with someone who has TB, had shingles (herpes zoster), have or had hepatitis B, have or had liver or kidney problems, are on dialysis, have high cholesterol or triglycerides, had cancer, are a current or past smoker, had a blood clot, heart attack, other heart problems or stroke, or have any other medical condition. Take Jakafi exactly as your healthcare provider tells you. Do not change your dose or stop taking Jakafi without first talking to your healthcare provider.

Women should not take Jakafi while pregnant or planning to become pregnant. Do not breastfeed during treatment with Jakafi and for 2 weeks after the final dose.

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.

You may also report side effects to Incyte Medical Information at 1-855-463-3463.