Lilly

How much should I expect to pay for Baqsimi®?

Prescription drug prices can be confusing. Two people may pay different prices for the same drug, depending on their insurance situation.

  • The list price1 of is , but the amount you pay will largely depend on your insurance plan.

The information below will give you a good idea of what to expect based on your insurance situation and support that may be available to you.

For the most accurate information, talk to your insurance provider who knows the details of your plan.

Which Option Below Best Describes Your Insurance Situation?

Want More Information?

The Got Your BAQ program is a suite of resources to help people with diabetes and their support networks feel more prepared in managing very low blood sugar. The Got Your BAQ program provides helpful educational information and tools for using BAQSIMI, including ways to help save on BAQSIMI at the pharmacy. People with diabetes can sign up for the Got Your BAQ program at www.WeGotYourBAQ.com.

Want More Information?

For personalized assistance on the most affordable options for you, please call the Lilly Diabetes Solution Center at 1-833-808-1234, Monday-Friday. Although we won’t replace the advice of your healthcare provider, we’ll do our best to find affordable options for you.

1 List price, also referred to as wholesale acquisition cost or WAC, is the price at which Lilly sells its products to wholesalers and may not represent actual transactional prices patients pay at the pharmacy. WAC from AnalySource accessed on . Reprinted with permission by First Databank, Inc. All rights reserved. . https://www.fdbhealth.com/policies/drug-pricing-policy.

2 Source: IQVIA: OPC Provider for the period reflecting estimates of real-world activity for the period. Data access as of . All rights reserved.

3 Social Security Administration (SSA). Extra Help with Medicare Prescription Drug Plan Costs. https://www.ssa.gov/benefits/medicare/prescriptionhelp/. Accessed on .

4 Centers for Medicare & Medicaid Services (CMS). Announcement of Calendar Year (CY) Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies. https://www.cms.gov/files/document/2021-announcement.pdf. Accessed on .

5 Centers for Medicare & Medicaid Services (CMS). Cost Sharing Out of Pocket Costs. Maximum Allowable Copayments for Eligible Populations by Family Income. **All out-of-pocket charges are based on the specific state's defined payment amount for that service. Certain groups, including children, terminally ill individuals, and individuals residing in an institution are exempt from cost sharing. Refer to your state agency for details about Medicaid out-of-pocket costs. https://www.medicaid.gov/medicaid/cost-sharing/cost-sharing-out-pocket-costs/index.html. Accessed on .

6 Most people have some type of health insurance coverage that includes a prescription drug benefit. According to recent data, just under of the total U.S. population is uninsured. **All out-of-pocket charges are based on the specific state’s defined payment amount for that service. Certain groups, including children, terminally ill individuals, and individuals residing in an institution are exempt from cost sharing. Refer to your state agency for details about Medicaid out-of-pocket costs. ( https://www.kff.org/state-category/health-coverage-uninsured/health-insurance-status/). Updated .

PURPOSE AND SAFETY SUMMARY

Important Facts About BAQSIMI® (BAK-see-mee). It is also known as glucagon nasal powder.

BAQSIMI is a prescription medicine used to treat very low blood sugar (severe hypoglycemia) in people with diabetes ages 4 years and above.

It is not known if BAQSIMI is safe and effective in children under 4 years of age.

WARNINGS

Do not use BAQSIMI if:

  • you have a tumor in the gland on top of your kidneys (adrenal gland) called pheochromocytoma.
  • you have a tumor in your pancreas called insulinoma.
  • you are allergic to glucagon, or any other ingredient in BAQSIMI.

BAQSIMI may cause serious side effects, including:

High blood pressure. BAQSIMI can cause high blood pressure in certain people with tumors in their adrenal glands.

Low blood sugar. BAQSIMI can cause certain people with tumors in their pancreas to have low blood sugar.

Serious allergic reaction. Call your doctor or get medical help right away if you have a serious allergic reaction including:

  • rash
  • difficulty breathing
  • low blood pressure

COMMON SIDE EFFECTS

The most common side effects of BAQSIMI include:

  • nausea
  • vomiting
  • headache
  • runny nose
  • discomfort in your nose
  • stuffy nose
  • redness in your eyes
  • itchy nose, throat, and eyes
  • watery eyes.

These are not all the possible side effects of BAQSIMI. For more information, ask your doctor.

Call your doctor for medical advice about side effects. You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

BEFORE USING

Before getting BAQSIMI, tell your health care provider about all your medical conditions, including if you:

  • have a tumor in your pancreas.
  • have not had food or water for a long time (prolonged fasting or starvation).
  • are pregnant or plan to become pregnant.
  • are breastfeeding or plan to breastfeed. It is not known if BAQSIMI passes into your breast milk. You and your doctor should decide if you can use BAQSIMI while breastfeeding.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

HOW TO TAKE

  • Read the detailed Instructions for Use that comes with BAQSIMI.
  • Use BAQSIMI exactly how your doctor tells you to use it.
  • Make sure your caregiver knows where you keep your BAQSIMI and how to use BAQSIMI the right way before you need their help.
  • Your doctor will tell you how and when to use BAQSIMI.
  • BAQSIMI contains only 1 dose of medicine and cannot be reused.
  • BAQSIMI should be given in one side of your nose (nostril) but does not need to be inhaled.
  • BAQSIMI will work even if you have a cold or are taking cold medicine.
  • After giving BAQSIMI, the caregiver should call for emergency medical help right away.
  • If the person does not respond after 15 minutes, another dose may be given, if available.
  • Tell your doctor each time you use BAQSIMI.
  • Store BAQSIMI at temperatures up to 86°F (30°C).
  • Keep BAQSIMI in the shrink wrapped tube until you are ready to use it.

Keep BAQSIMI and all medicines out of the reach of children.

LEARN MORE

For more information, call 1-800-545-5979 or go to www.baqsimi.com.

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use BAQSIMI for a condition for which it was not prescribed. Do not give BAQSIMI to other people, even if they have the same symptoms that you have. It may harm them.

This summary provides basic information about BAQSIMI but does not include all information known about this medicine. You can ask your pharmacist or doctor for information about BAQSIMI that is written for health professionals. This information does not take the place of talking with your doctor. Be sure to talk to your doctor or other health care provider about BAQSIMI and how to take it. Your doctor is the best person to help you decide if BAQSIMI is right for you.

BAQSIMI® is a trademark owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates.

GN CON BS 24JUL19