I am a Patient or CaregiverI am a US Healthcare PROFESSIONAL Prescribing Information Medication Guide Important Safety Information

How to Enroll

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Your PharmaEssentia SOURCE Nurse Case Manager is here to help guide you through enrollment. Once your completed Enrollment Form has been submitted:

PharmaEssentia SOURCE will contact your insurance company to understand the details of your coverage.

PharmaEssentia SOURCE will then call you to discuss next steps and find out how to best support your financial needs.

IMPORTANT: Please note that ALL of the information in the Enrollment Form is required to provide you with quick access to PharmaEssentia SOURCE. If any information is missing or incorrect, your PharmaEssentia SOURCE Nurse Case Manager can reach out to you or your doctor to complete your enrollment.

Once you’re ready to begin treatment, you’ll receive a Welcome Kit. This kit includes valuable resources to get you started on BESREMi (ropeginterferon alfa-2b-njft), such as:

Need help getting started?

Call us at 800-700-5053 between 8:00 AM and 8:00 PM ET,
Monday through Friday.

The SOURCE to get started on BESREMi img img