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Support Resources for Patients Taking Austedo® (Deutetrabenazine)


At BioMatrix, we provide individualized specialty pharmacy services and support for patients requiring specialty and infused medications. We empower patients to live each day to its fullest potential.

Here we provide support resources for patients taking Austedo. This information is intended for educational purposes only and should not replace directives from your physician or pharmacist. Refer to Austedo’s Prescribing Information1, Medication Guide2, and website3 for more information. Never make any adjustments to your treatment plan without speaking to your physician or pharmacist first.


Drug Profile and Indicated Use

According to the Austedo Prescribing Information1 and its website3, Austedo is a vesicular monoamine transporter 2 (VMAT2) inhibitor indicated in adults for the treatment of the involuntary movements (chorea) of Huntington’s disease and movements in the face, tongue, or other body parts that cannot be controlled (tardive dyskinesia).

It is not known if Austedo is safe and effective for children.


Support Resources for Patients Taking Austedo

The Austedo website claims that roughly 90% of patients pay $10 or less per month for Austedo.4 Their financial assistance programs include:

  • Austedo Copay Card: As little as $0 copay per month for eligible, commercially insured patients*

  • Austedo Free Trial Voucher: Offer available for patients new to Austedo (includes sampled patients)

  • Low-income subsidy (LIS): Medicare Part D patients who qualify for and utilize the LIS may pay as little as $9.85 per month for Austedo

To enroll for the free trial voucher or the copay card, click here.

To learn more about Austedo financial support: 

  • Patients click here or call 1-800-887-8100

  • Providers click here or call 1-800-887-8100

*See Terms and Conditions


Our Commitment to Every Patient…  

To provide individualized specialty pharmacy and infusion services that improve health and empower patients to live each day to its fullest.

Learn more about the therapies we serve.


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References

  1. Teva Pharmaceuticals USA, Inc. (2020). Prescribing Information. https://www.austedo.com/globalassets/austedo/prescribing-information.pdf

  2. Teva Pharmaceuticals USA, Inc. (2020). MEDICATION GUIDE AUSTEDO® (aw-STED-oh) (deutetrabenazine) Tablets, for Oral Use. https://www.austedo.com/globalassets/austedo/medication-guide.pdf

  3. Teva Neuroscience, Inc. Austedo® (deutetrabenazine). https://www.austedo.com/

  4. Teva Neuroscience, Inc. Coverage and support. https://www.austedohcp.com/tardive-dyskinesia/cost-and-coverage-support?gclid=Cj0KCQjwjN-SBhCkARIsACsrBz4KG-4UqibPr40GXU0dz3FYmUVpab5yDtTA_K1yU6DtJsKsar4iuoUaAtbIEALw_wcB&gclsrc=aw.ds

Healing and the Art of Photography


Iconic 20th century abstract artist Paul Klee captured art’s role best when he said, “Art does not reproduce the visible; rather it makes the invisible, visible.”

And, true to form, since the earliest times, man has used art as a means to express the ineffable: cave paintings portrayed the fears of hunters; Greeks painted the afterlife to put a positive spin on death; and the Renaissance began using art to portray the feelings and emotions of the human mind. Nothing is perhaps more “ineffable” than trying to explain the infinite physical, psychological, and emotional nuances one experiences when living with a chronic illness. But art and especially photography can help.


Something as simple as viewing or creating art promotes a host of positive effects: reduction of anxiety, mood enhancement, sleep improvement, lowering of blood pressure, lessening of depression. The list is endless. One study using MRI scans even documented how viewing and creating art promoted the ability to repair and “re-channel” pathways in the brain.1

Perhaps, today, no other artform is as ubiquitous or as easily accessible as photography. Taking a slight shift away from selfies and applying a more critical eye can be more impactful to one’s health than many may think. Therapeutic photography (taking photos for the purpose of healing) does not require a therapist or counselor. It includes taking photos, looking at photos, talking about photos, and even considering photos to shoot next.

Five key features of therapeutic photography lead to its healing potential:

  1. Through the photo lens, we view the world more objectively. We become mindful of the things around us and depict an unguarded view of how we are living.
  2. Photography is a form of self-expression that can reveal a person’s true state of mind and allow a person to reach a better understanding of themselves.
  3. Photography allows us to see and think more deeply. We pay more attention to what we think, feel, hear, and, of course, see. Photography forces us to slow the world down.
  4. With photography, everyday experiences and objects can morph into something extraordinary.
  5. Photography can unleash the creative spirit. This can be especially helpful for someone with physical or mental impairments, someone who may find other ways to express themselves difficult.2

These findings and more are included in the BioMatrix education program, Camera On!: Healing and the Art of Photography—one of our top booked programs of 2021. Camera On! is appropriate for both patient and provider audiences and is centered around a hands-on photography activity.


To learn more about this and other education programs, click below:

If you are interested in booking a program please contact us at education@biomatrixsprx.com.


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References

  1. “Special Report on Art and the Brain.” Art & Creativity for Health. Sept. 2017. art4healing.org

  2. Gabriel, Michael. “Can Photography Be Used as a Form of Therapy?” Contrastly. Contrastly.com

BioMatrix Highlight: Meet Our Educational Programming Team


BioMatrix is proud to serve the bleeding disorder community. Our multidisciplinary team works together to help bleeding disorder patients gain and maintain access to prescribed therapy while providing support resources designed to make managing hemophilia or VWD a little easier.

Today we’re highlighting our education division. BioMatrix offers dynamic and interactive educational programming designed to assist patients and caregivers navigate the ups and downs of life with a bleeding disorder. Each program is intended to address key issues faced by bleeding disorders community members, providing a full spectrum of patient and caregiver support. We are pleased to offer these programs free of charge to organizations serving the bleeding disorders community.

Our programming is conducted by our phenomenal team of educators. As Bleeding Disorder Awareness Month continues, get to know our amazing education team!


Terry Rice | Director of Advocacy and Education

Terry has been a lifelong advocate within the bleeding disorder community. He’s served on the Board of Directors for local and national bleeding disorder advocacy organizations and was one of the original founders of the Hemophilia Federation of America (HFA) in 1994. Throughout the 1990s, Terry spent significant time educating members of Congress in Washington DC regarding legislative initiatives furthering the interests of persons with bleeding disorders. He served a two-year appointment as the community voting member on FDA’s Blood Products Advisory Committee. He has held various management and executive positions within the healthcare industry for 20 years. Terry is a person with a bleeding disorder, and his passion is to empower persons with chronic illness. Terry earned his bachelor’s in chemistry and has studied master’s level economics concentrating in health economics.


Kelly Gonzalez | Sr. Education Specialist and Regional Care Coordinator

Kelly Lynn Gonzalez is a patient, parent of patients, and spouse in the rare disease community. Having personal experience in bleeding disorders, autoimmune diseases, PIDD, epilepsy, and cancer—Kelly presents education drawn from nearly three decades of personal and professional experiences. Her educational presentation style shares her journey and educates and empowers the audience. She channels her past experience as a teacher and infuses her passion for persons with chronic illness into heartfelt and dynamic programs. Kelly holds an MBA and MA in Education.


Shelby Smoak | Education Specialist and Advocate   

Shelby Smoak is a tireless advocate for patients with chronic health conditions. In the 90s, his experience living with a bleeding disorder and HIV led him to become actively involved in advocacy. He’s been saturated in the ever-changing dynamics of healthcare ever since. Shelby helps others understand complicated health policy and serves as a voice for patients with rare conditions across the nation. He’s been featured on TV and radio, including NPR. Shelby served on the board for the Hemophilia Association of the Capitol Area and currently serves on the Pfizer B2B board. A former literature professor, Shelby is also a writer and a musician. Awarded a Pen/American grant for writers living with HIV, Smoak holds a PhD in Literature and an MA in English. His book, “Bleeder: A Memoir” received praise from sources as diverse as The Minneapolis Star Tribune, Library Journal, and Glamour and has won several awards, including “Best of the Best” by the American Library Association.


John Martinez | Regional Care Coordinator

John has over 20 years of experience as an educator and understands the importance of education and advocacy for the bleeding disorders community. John has applied his skills as a teacher and job counselor to enhance outreach in both the English and Spanish speaking communities. Having two adult sons with severe hemophilia and a daughter with mild hemophilia, John has been an active volunteer in his community for over fifteen years. He has coordinated numerous educational programs and worked extensively with his local hemophilia foundation. John has a B.A. in Business Administration and a California Teaching Credential.


To learn more about BioMatrix educational programming
or to book a program visit:


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Video: Singing to Heal: Music, The Brain, and Healing

This program offers research on the positive impacts of music on persons with chronic illness.

Data and research from several health-related sources provides evidence of music’s ability to reduce a patient’s experience of pain, promote quicker post-surgery recoveries, and encourage positivity when dealing with a chronic illness. By examining research on music and the brain, this program uncovers music’s effectiveness at encouraging recovery in patients with physical and emotional trauma.

Singing to Heal asks questions about music’s importance in our lives and works towards understanding its positive impact for persons with a chronic illness. If you are not yet a music-lover, this program will encourage you to push PLAY more often; if you are a music lover, this program teases the question as to why you are drawn to music and suggests that, maybe, there’s more to it than just the love of a good song.

Key Objectives:

  1. To educate persons about the positive effects of music

  2. To examine music as an activity that engages multiple areas of the brain when listening to or playing music and to understand why that may be important

  3. To provide research on the positive impacts of music as related to the brain and especially one’s perception of trauma

  4. To provide research on the positive effects of music within cancer and surgery patients

  5. To provide research on the positive impact of music on persons suffering from pain

  6. To examine other positive health impacts of music

Please direct any questions related to this webinar by email to: education@biomatrixsprx.com

Thank you!


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Meet the Team: Cyndy Coors


BioMatrix is dedicated to making a difference in the bleeding disorders community. Our team of Regional Care Coordinators and Patient Care Specialists provide support that draws on personal experience and a genuine commitment to the bleeding disorders community. Our Meet the Team segment invites you to get to know our incredible staff a little better. In this edition we feature Cyndy Coors.

Cyndy Coors has been an active member of the bleeding disorders community for 36 years. She is a unique blend of seasoned professional, talented care coordinator, and gal next door. She’s everyone’s pal and can make you feel like her best friend even when you have just met her. Having raised a son and daughter with hemophilia while lending support to her grandchildren, Cyndy shares experiences with her patients and anyone who can use a hand. She is a valued member of the BioMatrix family, and we are proud to introduce you to her!


How long have you worked for BioMatrix?

I am proud to be one of the legacy members of the organization. I joined the team in 2003, not long after the company was established. The founding principles resonated with me. Starting with just one patient, their vision was to provide the best possible care and make a difference in the lives of all people with bleeding disorders.


Where did your career path begin, and what brought you to BioMatrix?

My early career was in the medical field. After completing college, I worked for two general surgeons. Later, I transitioned into the specialty pharmacy field. I was caring for my son who has severe hemophilia A and could now help care for others just like him. Coming to BioMatrix offered a place where I could use my experiences and pay it forward to other families while sharing this journey with them.


Tell us a bit about your life and your connection to the bleeding disorders community.

Born in Mobile, Alabama (Go Crimson Tide!), raised in Chattanooga, I now call Soddy Daisy, Tennessee home (Go Trojans!). I am a proud mom of two adult children, Derek and Courtney, and have eight wonderful grandchildren. Both of my children and 5 of my grandchildren are affected with hemophilia A.

When my son was born, he suffered a traumatic head bleed and thus began our crash course into the world of bleeding disorders. It was so shocking and frightening as we did not have a family history of hemophilia, but as it turned out, I was a carrier. My mom was a carrier too. Despite ‘signs’ when she was young, it was never investigated. Neither of my siblings are affected.

Derek was an active kid. We became experts at infusions, insurance claims, and managing our day-to-day. We were in a good place; then I found myself going full “momma bear” mode when my daughter began having bleeding issues. I heard a lot of, “Oh, she’s just a carrier, she’ll be okay.” Through experience, I learned not to take “no” for an answer when your gut knows better.

An interesting fact about my life is that I live in a multi-generational home. That’s right! Three generations under the same roof. I joined with my son and his family to purchase a home where we could all live together under one roof. It seems to be a growing trend; there are many benefits to it! Sharing space makes it easier to share your life, help each other, and be present for so many of life’s precious moments.


How do you feel you are Making a Difference?

There is no greater teacher than life experiences. Clinical experts can tell you all you need to know from their medical perspective, but there is so much more to living well with a chronic condition. I have been there, survived that! It’s been my mission to share my knowledge and support patients so their hemophilia care is a smooth task rolled into their regular week filled with work, school, visits to the zoo, and cheer practice. When you can get to the point where having a bleeding disorder is just part of the routine, that’s when you can live your best life. And that’s what I help families do. It’s what I love!


Describe your most difficult challenge and how you overcame it.

Although hemophilia today is a rather manageable disorder, it still can present significant challenges. Some of those early days were chock-full of bleeds, injuries, and hospital stays. I wanted to hover over my son and protect him at all costs; however, I didn’t want to be a helicopter mom. So how do I protect and defend him while giving him the space and license to just be a kid? A very compassionate HTC nurse offered some of the best guidance when I needed it most. Her words were, “to overcome the worry” and let my kid live. I listened, and it is the most meaningful advice I continue to share with new families. Kids learn by exploring their world. Make their space kid-friendly, and then let them be. Don’t worry about tomorrow, LIVE for today. If you can redirect your focus from a wide lens, bring in the view, and just concentrate on today, you will be more present. You will lighten the load of worrying while taking the day’s highs and lows more easily. It really works!

Also, we all have that little bit of intuition—that gut feeling that can guide us. Don’t ignore it! If you know something doesn’t seem right, question it! You know yourself and your loved ones the best. Let that wisdom and that little voice inside of you lead you. Be your own best advocate!


What do you feel is your greatest skill?

I sincerely feel I was put on this earth to be helpful and good to people. Over the years, patients have encountered challenges that I have tried to help them remedy. It doesn’t matter whether it’s related to hemophilia or not. As a Regional Care Coordinator, I have always cared for my patients with an “all in” approach. There is more to caring for someone than just shipping them medication. Family sticks with you through the hard and the happy. Like family, I am here for it all!


As a Regional Care Coordinator, what is the most cherished part of your job?

I have made friends all over the country who I am so grateful for, and they have entered my life because of living and working in the bleeding disorders community. From clinicians and patients to community members and past and present colleagues, these many friendships have greatly enriched my life. I have learned from many, laughed with most, and have never taken for granted the blessings that have come into my life thanks to these amazing people and the common factor we share. I cherish every single friendship, and my life is better because of each one!


Outside of work and family, what is your passion?

My passion is baking. My family loves my baking! Time in the kitchen gives me joy and allows me to quiet my mind. Yes, I know my way around an orange-cranberry bundt cake, and I’m not afraid to share it!


What is your proudest achievement?

I’ve had so many joyful moments and grateful reflections because my heart is open and finds the good in even the most ordinary things. I will say, however, there is one memory that still makes me smile and feel warm. I was being introduced to someone by the mom of one of my patients; she introduced me as a member of her family. Not just their pharmacy care coordinator, but as their family member! I always treat each patient and their family as part of my own. To be introduced as part of theirs, well, there is no greater honor!


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Don’t Be Surprised Anymore: The 2022 No Surprises Act

By Shelby Smoak


In January 2022, the No Surprises Act took effect. This bill is meant to end those nefarious charges that appear on explanation of benefits (EOB) listed as “OON” or Out-of-Network and are the result of care received at in-network facilities.


What Is a Surprise Bill and How Does It Happen?

Basically, a surprise bill is an unexpected bill. These are often the result of an out-of-network charge when receiving services at an in-network facility. A majority of surprise bills are related to emergency (ER) services. In these situations, providers often have to act quickly, and they may not be fully equipped for diagnosis and treatment within the facility. They may be using contracted help—such as an X-ray being read by an outside source; hence, you have in-network services (at the ER) but an out-of-network provider (X-ray technician).


What Does the No Surprises Act Cover?

According to the Centers for Medicare & Medicaid Services (CMS), the No Surprises Act provides consumers with “billing protections when getting emergency care, non-emergency care from out-of-network providers at in-network facilities.”1


What Situations Does the No Surprises Act Not Cover?

The No Surprises Act does not protect you if your provider (ER, hospital clinic or other facility) is out-of-network. To be applicable, the out-of-network claim in question must have occurred within or at an in-network facility or provider.


Will the No Surprises Act Automatically Take Effect When I Receive an Out-of-network Bill?

No. The Act provides you with the protection to challenge the charge, but it does not require providers and insurance plans to flag out-of-network claims, nor are they required to determine if one of your out-of-network claims meets the criteria of a surprise bill.


How Can You Determine If Your Claim Was an In- or Out-of-network Claim?

On most Explanation of Benefit (EOB) claim forms, these are noted or coded as OON (out-of-network).


How Do I Dispute a Medical Claim That I Think is a Surprise Bill?

If you believe you are the victim of a surprise bill, you can challenge the charge with the insurer and provider. 

The No Surprises Act is new to 2022 and is likely to have some bumps, but it’s important to know the law and know your rights. If you have any questions, please reach out to your RCC at BioMatrix or our education team at education@biomatrixsprx.com. We hope this helps you stay protected in 2022 and forward.


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Reference

  1. CMS. “Surprise Billing and Protecting Consumers.” 14 Jan. 2022. https://www.cms.gov/nosurprises/Ending-Surprise-Medical-Bills

BioMatrix is Committed to the Rare Disease Community

Columbia, Maryland location


Today is Rare Disease Day. Rare disease is defined as a condition that affects fewer than 200,000 people in the United States. With as many as 7,000 conditions fitting that definition, it’s estimated that 25-30 million people in the U.S. are living with a rare disease.1 The rare disease community and the National Institutes of Health (NIH) stress, “that while individual diseases may be rare, the total number of people with a rare disease is large.”1

BioMatrix has extensive experience with orphan, rare, and ultra-rare diseases. We provide limited distribution drugs, customizable clinical management programs, and high levels of patient engagement to improve health outcomes for patients with rare disease. Our advanced pharmacy practices in the orphan, rare, and ultra-rare space have earned us a Rare Disease designation from leading health accreditation agency URAC.* This designation demonstrates to patients, manufacturers, and providers our continued commitment to attain and maintain the highest level of professional standards to best meet the individualized needs of unique patient populations. In addition to our Rare Disease designation from URAC, pharmacists serving our rare and orphan patients are CITI certified in Good Clinical Practice (cGCP).

The theme for this year’s Rare Disease Day is “Show Your Stripes.” Across the country BioMatrix staff showed their stripes and participated in activities recognizing our service to the rare disease community. Check out some photos below!

Dublin, Ohio location

Canoga Park, CA location

Plantation, Florida location


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Mental Health Transparency

By Kelly Gonzalez, Education Specialist


People don’t “fake” depression – they fake being okay.

As an educational speaker in the bleeding disorders community, anyone who has heard me present knows my family has had more than its fair share of health crises and stressful situations. It’s not surprising I have suffered and occasionally still suffer from bouts of situational depression. It took many years of enduring anxiety and internal struggles to discover what I experienced is a normal, often expected, response to high levels of stress.


After years of fighting to pretend I was okay in situations where no typical person should expect to be okay, I learned that mental health transparency was a myth. Although it’s getting better, there are not very many places or resources where people can openly speak about mental health without fear of being labeled or ignored. This revelation happened after what I refer to as my “Breakdown of 2016.”

That year several traumatic incidents took place and accumulated, causing me to experience what I believe was a breakdown. The series of taxing situations left me feeling shaken and psychologically out of sorts. Fortunately, a very compassionate friend and Hemophilia Treatment Center Nevada provider, Amber Federizo, sat me down and did not allow me to brush things aside. She explained she thought I had Situational Depression or Post Traumatic Stress Disorder (PTSD) and encouraged me to see a mental health professional. She validated to me that the emotional highs and lows, along with the anxiety and frustration, was totally normal for anyone who had been through what I had, and who faced the same issues. She let me know I had NOTHING of which to be ashamed. Amber immediately called in a referral for me to see a professional mental health provider.

Especially with overlapping medical conditions, a health crisis can cause a person to feel much more stressed and intensely worn out. I was suffering from a significant bout of what my doctor confirmed as Situational Depression, also referred to as Adjustment Disorder.

Situational Depression happens when a person feels a more exaggerated emotional response within a few months of a particularly stressful situation. As an example, many people in the bleeding disorder community have related to me they have felt especially down or despondent following the diagnosis of a bleeding disorder in their baby, an especially difficult or traumatic bleeding episode, or of learning of a health deterioration or additional condition.

The symptoms are similar to standard depression but are specifically related to a stressful incident or cause of stress. As I did more research, I realized this was exactly what I was going through.

The following from verywellmind.com provides a list of situational depression symptoms:

  • Feelings of low mood and sadness

  • Frequent bouts of crying

  • Hopelessness

  • Poor concentration

  • Lack of motivation

  • Loss of pleasure

  • Withdrawing from normal activities

  • Loneliness or social isolation

  • Thoughts of suicide

Situational depression affects men and women equally and will last until either what is causing the stress no longer exists, or you’ve learned to adjust to it—typically about 6 months.

Unfortunately it is not something many people know about or discuss openly. They may find themselves struggling to identify their emotional response or might be embarrassed or worried about the stigma attached to their feelings.

In the year 2022, I am surprised people still feel embarrassed when experiencing bouts of depression. People we know, care about, and see daily may be suffering, but they put on a brave face and keep it to themselves. How many of those closest to us have turned to us for guidance, support, or acceptance? Whether it can be contributed to social, cultural, or individual family values, many are convinced that it is not okay to show you’re struggling. We have convinced ourselves that opening up and conversing about negative emotions or depression is taboo and should be kept to ourselves.

There are not many things I can say with total and complete confidence, but I will say this—depression is NOT a dirty word. You are NOT alone. It is okay to not be okay, but it is not okay to stay silent (for long).

To those who think mental health struggles are something to be ashamed of, YOU ARE WRONG. Taking charge of your mental health by speaking up, pursuing healthy outlets, seeking professional help, or even medical intervention is beyond brave—it’s a strong step toward remedying the emotional challenges one may face.

If you are intimidated by the judgment of others for seeking mental health help, please know, undoubtedly, those people are wrong. You are strong enough to confront your mental health challenge and intelligent enough to find reinforcements and get help.

This conversation NEEDS to happen. So, let’s have it—mental health transparency. If you are not okay, speak up; do not feel embarrassed or too unimportant to seek help. Honor yourself for bravely facing the scary. Be pleased with yourself for setting an example of self-love and mental health awareness. Be proud of yourself because you are courageous!

Wishing you much love and light!


Reference:

Schimelpfening, Nancy, and Dr. Daniel B. Block. “Understanding the Difference between Situational and Major Depression.” Verywell Mind, 22 Mar. 2020, www.verywellmind.com/what-is-situational-depression-1067310.


About the Author:

Kelly Lynn Gonzalez, BioMatrix

Senior Education Specialist and Regional Care Coordinator

Kelly is a patient, parent of patients and spouse in the rare disease community. Having personal experience with bleeding disorders, autoimmune disease, primary immunodeficiency disease, epilepsy and cancer, Kelly’s extensive experience is colored by three decades of managing chronic health conditions. She draws on both her personal journey and professional expertise to educate, inspire, and empower those she serves. She channels a sincere passion for helping others facing chronic illness with previous experience as a teacher to lead and serve the bleeding disorders community. Kelly holds an MBA and MA in Education.


Stay informed on the latest trends in healthcare and specialty pharmacy.

Sign up for our monthly e-newsletter, BioMatrix Abstract.

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Life in Transition

By Jacey Gonzalez


Transition for some comes easy. Pivoting and taking another path is something they can execute with little to no thought. I am not that person.


Due to various medical conditions that included a cancer diagnosis at a young age as well as a bleeding disorder, I was kept somewhat isolated from the rest of the world. My life was kept in a bubble, and usually my mother intervened before anything got into our bubble. Stability was key in keeping a sick child as healthy as possible. This is true for many children affected by a bleeding disorder, especially those with an inhibitor or children diagnosed in families with no history of bleeding disorders. Parents are often naturally inclined to protect their child from experiencing bleeding episodes, damaged joints, extra infusions, and trips to the emergency room. Not intentional, but parents of kids with bleeding disorders sometimes hold their kids back and hinder them from being able to easily transition to adulthood. They tend to want to do for their child be it due to fear, feelings of guilt, or the need to be in control. 

When I started kindergarten, I thought I would be brave, make friends easily, and breeze through school because I was already “advanced” for my age. On the very first day of class, I hopped out of the car in front of school—I didn’t want my mom causing an emotional scene. I walked by myself to the playground where the other kindergartners were gathering; however, as I approached, I started crying silently, wishing I had a hand to hold. Nothing had prepped me in my 5 years of isolation to be able to face new kids and make friends.

If you think I grew out of it by now as an adult, you’re wrong.

Every first day of school has started with tears. Even in college when I thought I was ready to explore a new place and new experiences with new people, I drove to my mom’s hotel at 5 am the day she was leaving and sat against her door crying until she opened it. No matter what change in life came my way, I resisted—even when I knew it was for the better. 

During 2020, I felt unhappy and anxious. The pandemic had just hit the United States; like many others, I was in a constant state of fluctuation and felt like I couldn’t catch my breath. The immediate mask mandates, adjusting to working alone from home, being isolated from family and friends, and the constant fear I was going to inadvertently do something that would affect my health made me lose all sense of stability. The changes beyond my control were making me feel like I needed to rewrite my dreams and aspirations on a weekly basis. 

Finally, to keep from totally crumbling, I leaned into the changes being experienced. Step one was to leave a very negative work environment that had crushed my spirit in my 14 months of employment, with the goal to find a position where I would feel pride working for the organization and feel satisfaction in my role and contributions. I found an incredible opportunity 2700 miles away in Boston, Massachusetts and somehow convinced them to hire me.

The next step was harder. I owned my home in Nevada, which now had to be sold before I would be able to move across the country. My house meant the world to me. It was mine, my pride and joy, that made me feel safe and comforted. But in order to grow, it meant I had to take chances and let go of things (good and bad)  that may have been making me feel safe but were getting in the way of moving forward with my life. I’m sure you’ve heard the old adage, “diamonds are made under pressure”, and immense pressure is exactly what I was feeling.

To grow, I had to part with “home.” The place that held my secrets, that helped me battle my health conditions, my parents and much younger siblings, loud laughs with close friends, and enough memories to fill a multitude of photo albums. As someone who is a culmination of all her memories, this was a struggle for me, but I needed to keep moving forward.

With a brave face, I sold my home and didn’t shed a tear. I turned in my two weeks’ notice at my job with a sincere smile. I said goodbye to my parents and to my brothers and sister who I knew would be growing up without their older sister within driving distance. I packed up 23 years’ worth of memories, put them in a trailer and drove to Massachusetts. Feeling refreshed and strong, I had finally grown out of the “anxious Jacey” stage of my life. It felt like a cheat code had been unlocked, and I was taking full advantage of it. I felt invincible.

For six days this attitude worked until I found myself standing on a train platform on my way to a new job in the middle of a new city where I didn’t know a soul. Underneath it all and with all my newfound bravado, I was still the scared little girl I had always been. Sobbing uncontrollably, I hoped my mom would answer her phone. She did, and told me something that would define my outlook on life from that day forward. “Jacey, you need to let go of the expectations you had for yourself with this transition. The expectations are killing you.”

She was right, I was killing myself for not living up to my own expectations about being fine with transition. Transition isn’t linear. There isn’t a playbook for how one should make major life decisions. You have to go with it and believe in yourself at least a little to get to the edge of the ledge. Eventually, by digging deep and taking chances, you will find the thing that pushes you to take the proverbial leap.

We need to stop comparing ourselves to what we had hoped to be and to whatever expectations others hold over us. Transition is scary, even without having to manage a health condition or a raging pandemic. Life around us is always changing, and we all need to embrace it to have the ability to move forward.

Take transition at your own pace. Set boundaries and attainable goals. Recognize that parents, loved ones, doctors, and others in your life are just working with what they know and with what they are going through at the moment. Don’t bother to regret or blame the situations of your past or your health challenges.

Understand that you’re not alone. Appreciate that others who live with a health condition like hemophilia and von Willebrand may be struggling as well. Reach out to others who may be going through what you are and see how they handle their transitions. Sometimes just sharing your experiences with a like-minded person can be insightful and healing and provide strength. Offer support to one another, and let’s learn to pivot and move forward. We’ve got this!


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BioMatrix Specialty Pharmacy Granted Preferred Status with AscellaHealth for Home Infusion Therapies


BioMatrix Specialty Pharmacy Granted Preferred Status with AscellaHealth for Home Infusion Therapies

Designation Part of Strategy to Optimize Site of Care, Improve Outcomes, and Reduce Cost

Media Contact: Tara Marchese
Corporate Director of Marketing
Tel: 954-908-7636
Email: tara.marchese@biomatrixsprx.com

February 8, 2022 – Plantation, FL - BioMatrix Specialty Pharmacy announced today inclusion as a preferred provider in AscellaHealth’s home infusion pharmacy network. AscellaHealth, a global specialty pharmacy and healthcare solutions company, has launched a site of care optimization strategy designed to cut costs for third-party payers without compromising quality of care. BioMatrix was included in the network to help the organization achieve its goals of improving drug affordability; increasing price transparency; reducing disparities in quality of care and safety; enabling care delivery in the highest-quality, lowest-cost care setting; and increasing patient convenience.

AscellaHealth Logo

Determining the optimal site of care for patients to receive therapy is an important component of treatment success. BioMatrix Specialty Pharmacy provides robust specialty infusion services, including site of care coordination. Whether administering in-home with assistance from one of our home infusion nurses, in-office, or at an ambulatory infusion center, our clinical team works with patients, payers, and prescribers to make therapy administration as safe and convenient as possible. Using a nationwide network of highly trained specialty infusion nurses, BioMatrix coordinates over 1,200 home nursing visits every month.

“We are pleased to be included as a preferred provider in AscellaHealth’s home infusion network,” said Ken Trader, BioMatrix VP of Managed Markets. “Our shared focus on positive outcomes for all patients, reduced cost, and price transparency will help AscellaHealth’s members effectively manage their specialty infusion spend without compromising quality care.”

“By selecting top pharmacies for preferred status, we are taking an important step toward reducing the cost of specialty biologic medications and encouraging patients to move from higher-cost settings, like big hospitals and institutions, to lower-cost settings, such as physician’s in-office infusion suites or stand-alone infusion centers,” says Dea Belazi, president and CEO, AscellaHealth. “As part of our mission to help our clients better manage the high costs of specialty medication, this initiative exemplifies our efforts to increase care accessibility by encouraging the use of clinically appropriate, lower-cost care settings.”


About BioMatrix Specialty Pharmacy
BioMatrix Specialty Pharmacy, an Inc. 5000 company, offers comprehensive, nationwide specialty pharmacy services and digital health technology solutions for patients with chronic, difficult to treat conditions. Our commitment to every patient is to provide individualized pharmacy services, timely access to care, and focused education and support. We offer a tailored approach for a wide range of therapeutic categories, improving health and empowering patients to experience a higher quality of life.


About AscellaHealth LLC
AscellaHealth is a global Specialty Pharmacy and Healthcare services organization serving patients, payers, life sciences and providers, offering a comprehensive portfolio of customized, tech-enabled specialty pharmaceutical and medical management services. An Inc. 5000 2021 winner, AscellaHealth’s unique, patient-centric approach is built upon proprietary technology processes for innovative programs and services optimizing health outcomes and quality of life for patients with complex chronic conditions or rare diseases that require specialty medications and/or gene and cell therapies. Visit www.ascellahealth.com.

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Black History Month Spotlight: Dr. Charles Richard Drew, “Father of the Blood Bank”

Charles Drew in the lab at Howard University, 1942. Photo credit: curlock Studio Records, ca. 1905–1994, Archives Center, National Museum of American History, Smithsonian Institution


As we celebrate Black History Month, it’s important to pause and remember the achievements of Black Americans and their critical, central role in United States history. Here, we spotlight Dr. Charles Richard Drew who, in the face of much adversity and segregation, first discovered a method for long-term storage of blood plasma and organized America’s first large-scale blood bank. This not only saved thousands of lives during WWII, but also standardized long-term blood preservation techniques used by the American Red Cross.


Medical Career and Professional Life

In the early to mid-1900’s, the field of medicine was greatly limited for Black Americans. As one of 13 Black Americans in a student body of 600, Drew began his undergrad education in 1922 at Amherst College in Massachusetts. During his residency at McGill University College of Medicine in Montreal with his professor John Beattie, his interest in transfusion medicine began. Beattie trained Drew on ways to treat shock with fluid replacement. Drew then went on to work as a pathology instructor at Howard University College of Medicine.

In 1938, Drew was recommended and assigned a Rockefeller fellowship under John Scudder in experimental blood bank work at Presbyterian Hospital in New York while he earned a doctorate at Columbia University. During this time working with Scudder, Drew conducted extensive original research on blood chemistry, fluid replacement, and variables affecting blood preservation, culminating in a seven-month trial blood bank that was a great success. Drew was considered by Scudder as a “naturally great” and a “brilliant pupil”. Drew based his seminal dissertation on this research titled “Banked Blood: A Study in Blood Preservation." Scudder called this thesis “a masterpiece” and “one of the most distinguished essays ever written, both in form and content.”

During WWII, Drew was chosen to lead a U.S. relief program known as the Blood for Britain project (BFB) where blood was collected, and plasma was sent overseas. Drew, along with Scudder, and E. H. L. Corwin planned the safe process of extracting, collecting, processing, storing, and transporting contaminated-free plasma for Britain’s soldiers. Using centrifuging and sedimentation techniques, they were able to separate plasma from blood cells and preserve it against contamination. Plasma was ideal for the battlefield in that it could be used as a substitute for blood, could be used on any blood type, and was less likely to transmit diseases. It was also better for transport due to keeping longer without refrigeration and deterioration.

While leading efforts for the BFB project, Drew passed the American Board of Surgery exams with a ‘legendary’ oral portion in which he gave a lecture on the fluid balance and management of shock. After being called back to Howard briefly, Drew continued to supervise the BFB project which went on to become the model for the mass production of dried plasma via a pilot program of the American Red Cross. Drew became the assistant director of this undertaking, later becoming assistant director for the National Blood Service. During this time, Drew invented mobile blood donation trucks with refrigerators known as “bloodmobiles” which earned his title “Father of the blood bank.”

In 1941, Drew went back to Howard University for the next nine years to pursue his passion and life-long goal of helping Black Americans advance their rights and careers in medicine. Soon after returning, he was appointed Head of the Department of Surgery and Chief of Surgery at Freedmen's Hospital. In 1948, his first group of surgery residents passed their board exams. Drew believed his greatest mission and “greatest and most lasting contribution to medicine” was to “train young African American surgeons who would meet the most rigorous standards in any surgical specialty” and “place them in strategic positions throughout the country where they could, in turn, nurture the tradition of excellence.”

At the age of 46, Drew tragically died in a car accident after falling asleep while driving to a conference.


Overcoming Adversity

Like fellow Black Americans, Drew faced adversity and discrimination at every step of his personal and career development. In 1922, on a football and track and field scholarship by Amherst College, despite being his team’s best football player, he was overlooked as captain while also facing hostility from other teams. After receiving his MD and CM (Master of Surgery) degrees in 1933, Drew was barred from continuing his training in transfusion therapy at the Mayo Clinic because of racial prejudices. In 1938, during his fellowship in experimental blood bank work at Presbyterian Hospital in New York, he was prevented from the many privileges of his white peers like having direct access to patients. And even though Drew helped direct the program and his work became a model for the Red Cross’ mass production of plasma in 1941, he himself was excluded from donating blood because of his skin color. After much advocating, Drew resigned in 1942 after the armed forces ruled that the blood of Black Americans would be accepted but would have to be stored separately from that of whites.


Achievements and Lasting Legacy
  • At the McGill University College of Medicine in Montreal
    • Won the annual scholarship prize in neuroanatomy
    • Elected to the medical honor society Alpha Omega Alpha
    • Won the J. Francis Williams Prize in medicine after beating the top 5 students in an exam competition
    • Received his MD and CM (Master of Surgery) degrees, graduating second in a class of 137
  • The first Black American to earn a medical doctorate from Columbia
  • Won a fellowship to train at Presbyterian Hospital in New York with eminent surgeon Allen Whipple
  • Supervised the Blood for Britain project (modeled after Drew’s research) which collected 14,556 blood donations and shipped (via the Red Cross) over 5,000 liters of plasma saline solution to England
  • Advocated for authorities to stop excluding the blood of Black Americans from plasma-supply networks
  • Appointed Assistant Director of the First American Red Cross Blood Bank (1941)
  • Invented the first mobile blood donation trucks with refrigerators
  • Earned the title, “Father of the blood bank”
  • Appointed Head of Department of Surgery at Howard University in Washington, D.C., and Chief Surgeon at Freedmen’s Hospital (1941)
  • Awarded E. S. Jones Award for Research in Medical Science from the John A. Andrew Clinic in Tuskegee, AL (1942)
  • Appointed Chief of Staff at Freedmen’s Hospital (1944)
  • Awarded Spingarn Medal from the National Association for the Advancement of Colored People for his work on blood plasma (1944)
  • Awarded honorary doctorates from Virginia State College (1945) and Amherst College, his undergraduate alma mater (1947)
  • Elected fellow of the International College of Surgeons (1946)
  • First Black American to be appointed Examiner for the American Board of Surgery (1948)
  • Appointed Surgical Consultant for the United States Army's European Theater of Operations (1949)
  • In addition to training young Black American surgeons, Drew campaigned against the exclusion of black physicians from local medical societies, medical specialty organizations, and the American Medical Association

The life of Dr. Charles Richard Drew needs to be remembered and celebrated. Despite much adversity, not only did his brilliant work and research save countless lives then and now, he used his talent to advocate and forge a path for others to do the same.


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Sources and further reading:

  1. Charles Richard Drew. ACS. https://www.acs.org/content/acs/en/education/whatischemistry/african-americans-in-sciences/charles-richard-drew.html

  2. Charles Richard Drew. Britannica. https://www.britannica.com/biography/Charles-Richard-Drew

  3. Charles Richard Drew. Science History Institute. https://www.sciencehistory.org/historical-profile/charles-richard-drew

Singing to Heal


“Why is music so pervasive and important to us?” asks a Scientific American article on music and healing. Music’s pervasiveness speaks not only to its infusion in our own daily lives (in restaurants, stores, at home, and almost everywhere we go), but it also nods to music’s existence in every known human culture.

When we think about elements of survival everyone quickly names off the three vital ones: shelter, food, water. Without surprise, these are each found in every studied human society. Yet, there’s music, too, always lurking about with man but never being grouped in as “essential to survival”; however, even without such credit, music still provides us with the oldest known artifact: a bone flute from 40,000 BCE. The question then presents itself: Is music more important to us than we recognize?


Numerous studies suggest music’s positive impact on and importance to our minds, our bodies, and our health. Music is a whole brain activity with brain’s cerebellum sparking activity in multiple areas simultaneously, which as several studies note, contributes to gains in memory, cognition, and brain activity. The auditory cortex located at the back of the brain is immediately engaged; the amygdala provides emotional responses to music, which are then presented by the prefrontal cortex in our facial expressions; the motor cortex tells us how to dance, kick our legs, shake our hips, clap our hands; the occipital lobe helps us see ourselves dancing and clapping and, if we are trained, read music; the cerebellum pulls all our emotions and movement together in synchronicity; and the hippocampus feeds us those music memories from oh-so-long-ago. There’s more, but you get the point. Music is a whole-brain activity, and that concept lends itself into understanding how it may impact other processes in our bodies, including those related to health.

If we take a moment and simply focus on the positive impacts of music with cancer patients, the results are impressive. Cancer therapy patients who engaged with music were found to experience less fatigue than control groups and showed reductions in pain medication usage with one study concluding that listening to music 2x day evidenced a “statistically significant” reduction in pain. Imagine a world where part of your recovery was simply, “Go home and push play!”

Positive outcomes also were shown when music was introduced in surgery units. A key study in the Florida Atlantic College of Nursing Journal uncovered significant post-surgery gains within the experimental, music group of patients undergoing knee and hip surgeries. For example, the control group was experiencing the same amount of pain on Day 3 of the study that the music group noted on Day 1, with the music group on Day 3 expressing 60% less pain overall. While pain can be subjective, the study also measured post-surgery ambulation. On Day 1, the music group ambled 40 feet vs. the control group’s 27 feet; and by Day 3, the music group achieved 67 feet against the control group’s 46. The primary difference between the two groups: music.

But wait there’s more! Music improves sleep, increases optimism, improves cognitive function and verbal memory, reduces pain, reduces stress and anxiety, and even improves venous access. But wait again, there’s more! These findings and more are included in the BioMatrix education program, Singing to Heal—one of our top booked programs of 2021. Singing to Heal is appropriate for both patient and provider audiences.

If you are interested in booking a program please contact us at: education@biomatrixsprx.com


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Meet the Team: Shelby Smoak, Ph.D.


Shelby Smoak is a tireless advocate for patients with chronic health conditions. In the 90s, his experience living with a bleeding disorder and HIV led him to become actively involved in advocacy, especially as it pertains to the ever­-changing dynamics of healthcare.


Shelby helps others understand complicated health policy and serves as a voice for patients with rare conditions across the nation. He’s been featured on TV and radio, including NPR. Shelby served on the board for Hemophilia Association of the Capitol Area and currently serves on the Pfizer B2B board.

A former literature professor, Shelby is also a writer and a musician. Awarded a Pen/American grant for writers living with HIV, Smoak holds a Ph.D. in Literature and an MA in English. His book, Bleeder: A Memoir received praise from sources as diverse as The Minneapolis Star Tribune, Library Journal, and Glamour, and has won several awards, including Best of the Best by the American Library Association.


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Pharmacy Times Featured Article: 340B Program Helps Reduce Health Care Disparities


Although the performance of the US health system affects all Americans, certain populations are at greater risk for health disparities based on their age, disability, ethnicity, gender, race, sexual identity, and socioeconomic status.1

Health disparities include, but are not limited to, differences in access to care, disease burden, life expectancy, mental health, and mortality.2

The 340B program was designed to “stretch scarce federal resources as far as possible, reaching more eligible patients and providing more comprehensive services,” according to the Health Resources & Services Administration.3

This article featured in Pharmacy Times examines some of these disparities in U.S. Healthcare and how cost-savings from the 340B program can be used to expand services, invest in community health initiatives, provide care for individuals who are underinsured or uninsured, and offer discounted or free medications.


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References

  1. Disparities. HealthyPeople.gov. Accessed November 29, 2021. https://www.healthypeople. gov/2020/about/foundation-health-measures/Disparities

  2. 6 examples of health disparities and how potential solutions. University of Southern California Sol Price School of Public Policy. Accessed November 29, 2021. https://healthadministrationdegree.usc.edu/blog/examples-of-health-disparities/

  3. 340B drug pricing program. Health Resources & Services Administration. November 2021. Accessed November 30, 2021. https://www.hrsa.gov/opa/index.html

How Specialty Pharmacies Can Help Overcome Insurance Plan Barriers to Care in the New Year


The New Year can be an exciting time—a time to reset goals and commit to forming new habits. But for those with chronic conditions, the New Year can also bring some unforeseen challenges and barriers to healthcare. In addition to resetting personal goals and habits, health insurance plans and deductibles reset too. In this article, we’re going to review common coverage terms and barriers to care, what you can do to potentially overcome some of these barriers, and how specialty pharmacies can help.


Prior Authorizations

Prior authorizations are a cost-control process that requires advance approval for certain healthcare needs, especially specialty medications. This process can take 5-10 days (though typically fewer with BioMatrix), needs to be reviewed by clinical pharmacists and medical doctors, and may require a letter of “medical necessity”.

What You Can Do

Don’t wait until you are critically low on medication to place your first order with your new health plan. Placing your order in a timely manner will give your medical provider and specialty pharmacy enough time to resolve any issues before it potentially disrupts your care.

How Specialty Pharmacies Can Help

Specialty pharmacies, like BioMatrix, can work together with your medical provider and health plan to obtain timely prior authorization for service and assist when and if an appeal is necessary.

Asking your provider to send a referral to BioMatrix or another reputable specialty pharmacy is a good first step in avoiding coverage issues.


Step Therapy

Also known as a “fail-first” policy, step therapy requires the patient to try one or more preferred medications to treat a condition. The patient must first “fail” medication before “stepping up” to another drug. The issues with step therapy may include potential side-effects, insurer vs physician control over patient care, and delay of therapy if the patient appeals. The implementation of step therapy has been steadily increasing.

What You Can Do

When it comes time for open enrollment, check whether you have any available plan options that don’t include step therapy. For example, in an interview with Specialty Pharmacy Times, Community Oncology Alliance Executive Director Ted Okon, MBA, advises that “...patients reconsider Medicare Advantage and instead choose a Medicare fee-for-service plan to avoid being subjected to step therapy.”1

How Specialty Pharmacies Can Help

In the same interview as mentioned above, if a patient’s plan does include step therapy, Okon advises pharmacists to “...make sure that there are no contraindications or anything else that would harm the patient. The pharmacist is on the front line in getting the right drug to the patient.”1 At BioMatrix, even if the patient must be prescribed an alternative treatment, our pharmacists make sure that it won’t be harmful or have adverse effects for the patient.


Denied Claims and Appeals

In the event of a health insurance claim denial, an insurer refuses to pay for a procedure, test, or prescription. This could be due to a number of reasons including an error in how the claim was entered or due to missing information.

What You Can Do

When an insurance claim is denied, you have the right to appeal. To proactively make the appeal process easier, keep detailed records, and document every call you have with your insurer. Take notes on the following:

  • Date/time of call
  • Reason for call
  • Name of the employee(s) you spoke with
  • Reference number for call (you may need to specifically request a reference number)
  • Result of the call and any impact on your health resulting from the issue/call

Check with your insurance provider to determine their specific appeal process. Don’t hesitate to involve your medical provider and specialty pharmacy for additional assistance.

Investigate the explanation of benefits and use (EOB) to understand any claims and/or denials of coverage. If there is a denial, use the denial of coverage code found on the EOB or denial letter in all correspondence.

How Specialty Pharmacies Can Help

Specialty pharmacies can minimize denied claims and provide support for appeals by:

  • Conducting a thorough benefits investigation on your behalf
  • Providing a detailed outline of coverage specific to your therapy, including whether it is covered under the medical or pharmacy benefit and if a prior authorization is required
  • Outlining financial responsibility for prescribed therapy and referring to appropriate financial assistance programs
  • Identifying specialty pharmacy service providers available under your plan
  • Providing support for timely prior-authorization and appeals

High Out-of-Pocket Costs

Chronic conditions are costly. When patients are forced to pay high out-of-pocket costs, they are more inclined to skip optional treatment and delay critical care.2 This leads to both poorer treatment outcomes and overall health.

How Specialty Pharmacies Can Help

Research shows specialty pharmacies drive down the cost of care in a variety of ways by promoting adherence to therapy, identifying utilization or dosing mistakes, helping to avoid unnecessary hospitalizations, and connecting patients with financial support programs.3

Out-of-pocket (OOP) costs are covered for 93% of BioMatrix patients by either manufacturer copay or 501c3 foundation support, and 44% of BioMatrix patients have achieved $0 OOP associated with their prescribed therapy.


Copay Accumulator Adjustors

A copay accumulator adjustor is an insurance-designed policy meant to control a patient’s cost sharing agreement with the insurer. The insurer will accept the drug manufacturer copay cards towards prescribed drugs but will not apply that amount toward a patient’s OOP. The pharmacy will be required to collect these cost shares again and can use the drug copay card until the card is at $0. Then the OOP cost will be the patient’s responsibility.

What You Can Do

Find out if you have a copay accumulator by calling your plan. Recent CMS rulings require that insurers provide “clear and transparent” information to consumers about copay accumulator policies.4 It also goes by different names depending on the plan:

  • Copay Maximizer
  • Coupon Adjustment Program
  • Benefit Plan Protection Program
  • Out of Pocket Protection Program

If you have to choose between a plan with a copay adjustor and a copay maximizer, a copay maximizer, while still not ideal, is potentially better. With a copay maximizer, the insurer will accept the drug manufacturer copay card towards a prescribed drug and will apply that amount toward a patient’s OOP for that drug only. So, while the OOP for that particular drug doesn’t apply to other healthcare costs, at least it will apply to that drug which may account for a high percentage of your healthcare expenditure.

Another thing you can do is choose a health savings account (HAS) or flexible savings account (FSA) plan where you can put pre-taxed money away for your deductibles and OOP costs.

While an increasing number of plans now have copay adjustors, making a personal decision about your plan choice based on an accumulator adjuster is an example of private, personal advocacy, and is of vital importance to your continued access to affordable healthcare. You may be locked into your current plan if open enrollment has passed, but keep this in mind for the next open enrollment period. This article gives more information on how you can become an advocate regarding copay accumulators at a state and national level.

How Specialty Pharmacies Can Help

Specialty pharmacies can help minimize the burden of copay accumulators by outlining financial responsibility for prescribed therapy and referring to appropriate financial assistance programs. Beyond manufacturer co-pay programs, there are many charity-based financial assistance programs that specialty pharmacies like BioMatrix can connect you with. These charity-based financial assistance programs can help cover both medical expenses and, in some cases, some living expenses.


In summary, you can be your own advocate when it comes to health insurance coverage. Be proactive when ordering medication, stay organized, and be aware of what your policy entails. Also remember that specialty pharmacies can help you cut through the red tape of coverage issues. 

At BioMatrix, our employees have a great deal of experience with specific health conditions. By utilizing this experience and knowledge, we can obtain authorization for therapy and resolve coverage issues promptly. We ensure patients understand their specialty medication insurance coverage, conduct comprehensive benefit investigations, help with prior authorizations and appeals, and coordinate care to help patients quickly begin therapy and maintain access to their specialty medication.


Stay informed on the latest trends in healthcare and specialty pharmacy.

Sign up for our monthly e-newsletter, BioMatrix Abstract.

By giving us your contact information and signing up to receive this content, you'll also be receiving marketing materials by email. You can unsubscribe at any time. We value your privacy. Our mailing list is private and will never be sold or shared with a third party. Review our Privacy Policy here.

References

  1. S. Fyfe. (2019). What Pharmacists Should Know About the Pitfalls of Step Therapy. Pharmacy Times. https://www.pharmacytimes.com/view/what-pharmacists-should-know-about-the-pitfalls-of-step-therapy

  2. Stacie B. Dusetzina , Aaron N. Winn, Gregory A. Abel , Haiden A. Huskamp , Nancy L. Keating. (2013). Cost sharing and adherence to tyrosine kinase inhibitors for patients with chronic myeloid leukemia.Journal of Clinical Oncology. 32, no. 4 (February 01, 2014) 306-311. DOI: 10.1200/JCO.2013.52.9123

  3. ​​Joo EH, Rha SY, Ahn JB, Kang HY. Economic and patient-reported outcomes of outpatient home- based versus inpatient hospital-based chemotherapy for patients with colorectal cancer. Support Care Cancer. 2010;19(7):971-978. doi:10.1007/s00520-010-0917-7

  4. CMS. “Patient Protections and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2021.” https://s3.amazonaws.com/public-inspection.federalregister.gov/2020-10045.pdf

Plasma: The Need for Donors & What You Can Do to Help

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America needs blood and plasma donors.

This article discusses what plasma is, the important functions it serves, and who’s eligible to donate.


Plasma is the liquid part of your blood that carries cells and proteins throughout the body. It’s made up of mostly water (92%+), but contains vital proteins and antibodies such as albumin, gamma globulin, and anti-hemophilic factor along with mineral salts, sugars, fats, hormones, vitamins, carbon dioxide, and oxygen.

According to The American Red Cross, plasma serves four important functions in our bodies:

  1. Helps maintain blood pressure and volume.

  2. Supplies critical proteins for blood clotting and immunity against certain diseases.

  3. Carries electrolytes such as sodium and potassium to our muscles.

  4. Helps maintain a proper pH balance in the body, which supports cell function.

The Plasma Protein Therapeutics Association (PPTA) says that “plasma often is referred to as the ‘gift of life’ because it’s the essential starting material needed to manufacture therapies that help thousands of people worldwide with rare, chronic diseases to live healthier, productive and fulfilling lives.”

Donated plasma is typically used to manufacture therapies to treat people with (but not limited to):

  • Bleeding disorders

  • Cancer

  • Organ transplant recipients

  • Immune deficiencies

  • Severe liver disease

  • Trauma and burns

Our specialty pharmacy manages several medications manufactured from plasma. These treatments include Immune Globulin (IG) for neurology, immunology, and transplant patients as well as factor replacement products for bleeding disorders.


Our IG medication guides make it easy to compare products and reach decisions to fit the needs of your patients. Download these free charts now.


The Growing Need for Plasma

Because of the number of people who rely on plasma for medical treatment, there has been a growing need for years.

Nearly 10,000 units of plasma are needed daily in the U.S.


Who is Eligible to Donate Plasma?

The FDA provides guidelines for eligibility and recently announced expanded guidance to address the urgent need for donations.

In general, you must be at least 18 yrs old, weigh at least 110 lbs, and be in general good health. As a new donor, you must also possess and present both a document with your Social Security number or an INS number and a valid picture ID (driver’s license, student or military ID) with your current local address. There may be some additional restrictions preventing you from donating such as recent tattoos, body piercings, prolonged residence in certain parts of the world, and/or other medical conditions. Check with your local donation center regarding restrictions or questions regarding your ability to donate.

It’s also important to note that as a new donor, you must donate twice within 6 months for your plasma to be used.

Both donations must pass certain tests and screenings needed to assure the safety and quality of the supply. Because of the time commitment it takes to donate plasma, plasma donation is eligible for compensation. The amount of compensation depends on the donation center.

If you have type AB blood, American Red Cross urges you to donate. AB is the only universal plasma that can be given to patients of any blood type. It can be given to patients immediately without determining compatibility. This time saved can mean the difference between life and death. 

Type AB plasma donations – which the Red Cross calls “AB Elite” – can be made every 28 days, up to 13 times per year. The average donation takes one hour and 15 minutes, just a few minutes longer than donating whole blood.


Where Can I Donate Plasma?

To find a plasma donation center in your area, click the button below to visiting donatingplasma.org.


DISCLAIMER: THIS IS NOT MEDICAL OR LEGAL ADVICE. All information, content, and material is for informational purposes only and is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider or as legal advice. Please consult a physician or other health care professional for your specific health care and/or medical needs or concerns and never disregard professional medical advice or delay in seeking it because of something you have read here or on our website.

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Meet the Team: Kelly Lynn Gonzalez


BioMatrix is dedicated to making a difference in the bleeding disorders community. Our team of Regional Care Coordinators and Patient Care Specialists provide support that draws on personal experience and a genuine commitment to the bleeding disorders community. Our Meet-the-Team segment invites you to get to know our incredible staff a little better.

In this edition we feature Kelly Lynn Gonzalez.


Kelly Gonzalez is a patient, the parent of patients, and the spouse in the rare disease community. Having personal experience in bleeding disorders, autoimmune diseases, PIDD, epilepsy, and cancer, Kelly presents education drawn from a lifetime of personal and professional experiences.


Kelly has traveled nationwide presenting for various non-profit organizations within the bleeding disorders community.

Her educational presentation style shares her journey and educates and empowers the audience. She channels her past experience as a teacher and infuses her passion for persons with chronic illness into heartfelt and dynamic programs. Kelly holds an MBA and MA in Education.


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Tragedy to Triumph: The Story of Tom’s Heart


Tragedy to Triumph—The Story of Tom's Heart is a new book outlining the emotional journey of the donor family and the heart recipient to encourage organ and tissue donation. BioMatrix is a transplant-focused specialty pharmacy dedicated to the unique needs of the transplant community. We supported this book to help authors Janet and Pete share their exceptional story and raise awareness about the importance of organ donation. We recently caught up with the book’s authors to bring you this interview.


What inspired you to team up and co-author Tragedy to Triumph, the Story of Tom’s Heart?

Pete: The journey started 24 years ago when I received my heart transplant—Tom’s heart. Even though Tom’s mom, Janet, and I exchanged some letters, we did not actually speak until about 2 years after the transplant. When you receive such a lifesaving gift, there is an inherit guilt that someone had to die so you could live. When a transplant recipient writes to their donor family, how do you say thank you for a gift resulting from tragedy? The words come off as hollow. I felt the book would provide a great opportunity to leave a written legacy honoring my donor and his family while encouraging others to consider organ donation.

Jan: I was ecstatic to receive a thank you letter from Pete in July of 1998, one year after my son’s death. We continued these letters which helped us get to know each other and feel more comfortable. Without expressed consent, all donor and recipient contact information remains confidential, and correspondence occurs through the organ procurement agency (OPO). I requested the OPO provide my personal information to Pete so he could contact me directly. Pete called me immediately after receiving my contact information, on December 22nd. He thanked me for the gift of life. It was incredible and hard to believe that I was speaking to the man that received Tom’s heart. I felt an immediate bond. Christmas was a few days later, a very difficult time because I missed Tom. Pete called me again on Christmas, and I had the opportunity to speak with his entire family. They could not thank me enough. It was the best gift I received that year. During my conversation with Pete, he asked if I would be willing to do two things. Pete first wanted to know if I would be willing to write a book together with him. Second, he asked if I would be willing to speak with him publicly to promote the importance of organ donation. I immediately said yes.


What was it like meeting each other for the first time?

Pete: You have no idea how many emotions can coexist at one time during such a moment. It’s difficult to describe. After our initial embrace, I asked if she wanted to listen to my heartbeat. Time seemed to stand still. That moment was a culmination of so many experiences and absolute raw emotion. I will never forget it.

Jan: It was absolutely surreal. Even though I knew a heart transplant was medically possible, how do you believe your son’s heart is in someone else? To know I carried, birthed, and cared for Tom and that his heart now allowed Pete’s life to be restored was both a miracle and a joy. Putting my head on Pete’s chest and listening to my son’s heart, now Pete’s, brought a connection to Tom that I thought I’d lost forever. The sound of that beating heart brought comfort and joy to my soul, a tear to my eye, and immediately strengthened my bond with Pete. My thoughts and feelings are reflected in a poem I wrote on pages 182-184 of the book.


What’s the key message you hope to convey with the book?

Pete: Without a doubt, the goal is to establish organ donation as the norm. For too long choosing to be an organ donor has been the exception and not the rule. This is a guidebook that I hope acts as a catalyst to encourage more organ donation. This is the first book including the perspective from both the recipient and donor family. In addition to encouraging donation, I hope this book provides comfort and support for other donor families and transplant recipients in the community.

Jan: Saying yes to donation is definitely the key message. I hope the book encourages people to consider giving the gift of life to others. I also hope the book helps donor families see a purpose in their tragedy and aid in their future healing. If this book encourages, inspires, or helps others in any way I would be most honored. My wish is that transplant recipients value and care for their lifesaving gift because it was given at a high cost. Pete has indeed cared for his heart!


Learn More

In tragedy there is also hope. Help make organ donation the norm as opposed to the exception. Please click the button below for more information and to order your copy of the book.


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Meet the Team: Jeff Johnson


BioMatrix is dedicated to making a difference in the bleeding disorders community. Our team of Regional Care Coordinators and Patient Care Specialists provide support that draws on personal experience and a genuine commitment to the bleeding disorders community. Our Meet-the-Team segment invites you to get to know our incredible staff a little better.

In this edition we feature Jeff Johnson.


“As a hemophiliac, my role as a Regional Care Coordinator has allowed me to continue a lifelong passion of advocating, educating, and looking out for members of the bleeding disorders community.

Working as a member of the care team has given me joy as I help my community thrive by supporting therapy adherence, minimizing bleeding episodes, navigating insurance and coverage challenges, and working one-on-one to help patients stay bleed free.”


Jeff Johnson is a dedicated, active member of the bleeding disorders community. His commitment to those he serves is evident in the exemplary service and support he provides. Jeff works tirelessly to build community and create a larger voice for a group with unique and essential needs, which has not always been heard.

His extensive leadership experience includes serving as the bleeding disorders camp activities coordinator in Oregon, as a counselor at numerous other camps, as a previous board member for Hemophilia Foundation of Oregon, and working with the Hemophilia Federation of America (HFA) to set up a local Blood Brotherhood program.

Jeff is also a writer whose work has appeared in HFA’s newsletter, PEN from LA Kelley Communications, and various chapter and community publications. In whatever capacity he can make a difference, Jeff is passionate about advocating for and serving the interests of the bleeding disorders community at a local and national level.


Tell us about yourself.

I was born in Denver, Colorado to a couple of teenage sweethearts who were not ready for a kid, especially one with hemophilia. My first few weeks were with a foster family as I was passed over for adoption. My parents came along and were told they could wait three years or take this little hemo-baby right away. They jumped at the chance.

We moved around a bit until my folks put down roots in Vancouver, Washington. Growing up, our home was generational—there were always elders, cousins, nieces and nephews, grandbabies, and a variety of scruffy dogs and cats running around. My family was always bursting with life, love and laughter! The first time I ever lived in a home of fewer than 12 was after high school when I moved out to pursue college, make music, and see the world.

Today I live with my wife of 16 years, Stephanie, and our toddler, Lily. In 2008, we packed up and made the long and arduous trek east from Vancouver to Camas, 10 minutes down the highway, where we currently reside.

Due to hepatitis C contracted from tainted clotting factor, I was unsure of ever having a baby. I did not want to pass the virus to my wife, nor risk not being there for a child. Thanks to a new effective medication, my hep C was cleared in 2017. Soon after, Lily was on her way! We are open to adopting a child in the next couple of years. The gratitude I have for my adoptive family is indescribable, and I want to pay that forward.

The most noteworthy things about myself are as follows: I was born in the 1970s with hemophilia and am still alive today. I spent a summer living in a small town just outside Paris and was conversationally fluent in French. I was a jazz musician for many years and served as Master of Ceremonies at the largest high school jazz festival in the Pacific Northwest for two decades.

I once had a life-threatening GI bleed, and nine days after treatment, I was hiking the Great Wall of China after a jazz gig in downtown Beijing. As a writer, I’ve had several articles about hemophilia and living with a disability published. I am an ordained secular minister and have performed 15 wedding ceremonies. And I love Star Wars, which is neither unique nor remarkable, but I had to put it out there!


What is your connection to the bleeding disorders community?

I have severe hemophilia A and very much consider the community to be my family. I learned my birth uncle had hemophilia and it was suspected I would too, which is partially why I was placed for adoption. Coming of age during the “hemo-caust” of the early 80s, I was a young camper who saw nearly all my early friends and heroes with hemophilia succumb to AIDS and HCV. I have been involved in the community in various capacities most of my life. Wherever and whatever I’ve been up to, the community has always been as much my family as the wonderful knuckleheads who adopted me.


What brought you to BioMatrix?

I loved the idea of caring for my fellow hemos and participating in more community events. I also wanted to learn about the industry from the inside, hoping it would make me a better advocate. So, I called a friend who had reached out to me previously about coming to the company, and after interviewing, I accepted a position with BioMatrix. Soon after, an opportunity was presented to work closely with the Boise, Idaho Hemophilia Treatment Center—it’s been a wonderful experience!


What part of being a Care Coordinator do you cherish the most?

That’s a tie between my patients and my peers. Nothing beats chatting daily with other bleeding disorders families. It’s sometimes challenging because I have to switch when interacting with my patients from my “Care Coordinator” hat to my “hemo-Yoda” hat that I’d wear if they were just a community friend, but I cherish it all, nonetheless.

Equally important to me are the people I work alongside. I trust my co-workers to take care of my hemophilia family and to do it correctly and compassionately. I am often humbled by the dedication, understanding, and care I see my fellow RCCs direct towards their patients. It makes me immensely grateful to know these are the people who are looking after my people. The people I work with are the best, and the people they care for, I consider my dearest family.


Describe your most difficult challenge.

In the past and still today, having hemophilia has been my most difficult challenge. It was the reason I was orphaned, caused the loss of my childhood camp friends, gave me hep C, and has inflicted daily pain since grade school. I overcame the challenges because of the examples I had to look up to—those who taught me to make hemophilia my strength instead of my weakness.

My health condition has made me stronger, shown me how truly precious life is, armed me with a sense of empathy and humor, and connected me to the most amazing people who walk this Earth. So hemophilia is definitely the highest hurdle I’ve ever had to jump, which is ironic because it’s also the reason my arthritic body is incapable of jumping. I manage to overcome it, again and again, every day because it also drives me, gives me purpose, and allows me a way to serve others.

To contact Jeff, call or email: 360-553-6402, jeff.johnson@biomatrixsprx.com


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BioMatrix Announces 2021 Academic Scholarship Recipients


BIOMATRIX ANNOUNCES 2021 ACADEMIC SCHOLARSHIP RECIPIENTS

Program Honors Memory of Bleeding Disorder Community Members

Media Contact: Tara Marchese
Corporate Director of Marketing
Tel: 954-908-7636
Email: tara.marchese@biomatrixsprx.com

Plantation, Florida – December 2nd, 2021 - BioMatrix Specialty Pharmacy announced today recipients of their 2021 memorial scholarship program. BioMatrix annually provides six $1,000 scholarships for bleeding disorders community members seeking higher education. The scholarships honor the memory of several individuals who impacted the bleeding disorder community in unique ways. BioMatrix partners with the Hemophilia Federation of America for administrative support and independent, third-party evaluation of applicants. It is with great pleasure we announce the 2020/2021 recipients of our Memorial Scholarship Program.


BioMatrix Memorial Scholarship Winners:

LUKE CASTALDO
Junior at Moody Bible Institute: Music-Worship and Media Arts
BioMatrix Ron Neiderman Memorial Scholarship

At an early age, Luke learned that having hemophilia can present a host of obstacles, such as the pain that comes with bleeding episodes, infusing, and being teased by other kids. Luke accepted these challenges and grew resilient. His life lessons taught him to communicate about his bleeding disorder and advocate for himself, to be creatively adaptable, and to appreciate the sacrifices of his mentors in the community. “These obstacles, hard as they were, prepared me for life, which has been influenced by hemophilia in three major ways: resilience, leadership, and hope for the future.”

Congratulations, Luke!


JARETT GUILLOW
Doctoral Degree at University of California Riverside School of Medicine
BioMatrix Joe Holibaugh Memorial Scholarship

Jarett embraces his hemophilia wholeheartedly – looking past the negative and strictly focusing on the positive influences of his bleeding disorder. He has a deep appreciation for the community friendships he’s made, the lessons he’s learned and the experiences he’s had that have all influenced his life goals. “I aspire to be a pediatric hematologist because of my experiences with hemophilia. From being my guiding force towards studying to being physically active and to finally being accepted into medical school, hemophilia has made a beneficial impact on my life.”

Congratulations, Jarett!


LUKE LUCKEY
Junior at University of Michigan-Ann Arbor: Biopsychology, Cognition, and Neuroscience
BioMatrix Mark Coats Memorial Scholarship

Circumstances were not easy early in Luke’s life when he was diagnosed with severe hemophilia. Born in China, he was placed for adoption and spent 9 years at an orphanage experiencing severe pain and subpar medical treatment. Adopted at age 10 and coming to the US, life became much better as did his health. “Hemophilia has greatly influenced my life in various ways. I’ve developed empathy, compassion, and care for others. I am also optimistic for the future, as I believe that I am capable of achieving anything if I work very hard. Having hemophilia gives me a sense of purpose to do good things in the world.”

Congratulations, Luke!


STEVEN SCLAFANI
Sophomore at Utica College: Physical Therapy
BioMatrix Tim Kennedy Memorial Scholarship

Steven makes no bones about the challenges of living with severe hemophilia; however, he has a confidence that does not allow him to be defined or limited by its so-called “disadvantage.” He’s a fighter and has a healthy sense of humbleness! “Living with a bleeding disorder doesn’t make me special. I have never wanted to be looked at as the kid who will die from a paper-cut or the kid who has to walk around with bubble wrap on. Everybody has their struggles. Luckily, mine pushed me to be successful in life. So, in a weird way, I am very thankful for hemophilia.”

Congratulations, Steven!


Laikyn Dae Tyson
Freshman at North Carolina State: Criminology
BioMatrix Millie Gonzalez Memorial Scholarship

Born into an energetic family, Laikyn was just as physically active and athletic as her brothers. However, her diagnosis of hemophilia and anemia had her parents, doctors and even her friends worrying over her and encouraging her to be more careful. Laikyn initially pushed back and rebelled against the notion of having to be more cautious. However, after a significant health scare, she came to understand the importance, “I realized I did need to be more careful. I could not ignore my disease any longer. I came to the conclusion that just because I have to “be careful” does not mean I have to give up my life.”

Congratulations, Laikyn!


TIMOTHY WOHL
Clinical Doctorate at Ohio State University: Physical Therapy
BioMatrix Mike Hylton Memorial Scholarship

When Timothy was diagnosed with von Willebrand disease at age 5, fearing an injury, his parents were protective and limited his physical activities. This caused him to be fearful of participating in typical childhood activities such as playtime and recess at school. Through years of interacting with doctors and physical therapists, Timothy gained an understanding of his bleeding disorder and became a competitive swimmer in high school and college. This inspired him to become a physical therapist, “My long-term career goal is to work with children who face barriers to exercise like I did, so I can help them regain a sense of autonomy in their lives.”

Congratulations, Timothy


About BioMatrix Specialty Pharmacy

BioMatrix Specialty Pharmacy, an Inc. 5000 company, offers comprehensive, nationwide specialty pharmacy services and digital health technology solutions for patients with chronic, difficult to treat conditions. Our commitment to every patient is to provide individualized pharmacy services, timely access to care, and focused education and support. We offer a tailored approach for a wide range of therapeutic categories, improving health and empowering patients to experience a higher quality of life.

For more information on BioMatrix Specialty Pharmacy and the services we provide, please visit www.biomatrixsprx.com.