Frequently Asked Questions
What is REACH?
Reata Education, Access, and Care Helpline (REACH) is a centralized resource for patients and healthcare providers to receive information on insurance requirements and affordability options for prescribed Reata medicines. REACH provides personalized support for enrolled patients, including evaluation for available financial assistance and educational materials. REACH is administered by Biologics, which is currently the exclusive specialty pharmacy used to dispense prescribed Reata medicine.
Enrolling in REACH
How do I get a patient started on their Reata medicine?
Prescriptions should be submitted to REACH using the Start Form. As an alternative, prescribers can send electronic prescriptions directly to Biologics using NPI 1487640314. Please note that prescriptions received without the Start Form may require additional follow-up from the pharmacy to capture additional information.
How do I enroll a patient in Reata REACH?
To enroll a patient who has been prescribed a Reata medicine into REACH, you must:
- Complete the Start Form and sign the prescription and authorization, or submit an electronic order to Biologics
- If the patient is in the office, the patient reviews and signs the consent section of the Start Form. If the patient is not available when the form is being submitted, REACH can contact the patient or caregiver to offer enrollment into program services and obtain consent
- Submit the Start Form to REACH by faxing it to 1-844-806-1718 or mailing it to Reata REACH, 11800 Weston Parkway, Cary NC 27513
Why must my patient sign the Start Form?
By signing the Start Form, your patient consents to allowing REACH to discuss relevant personal health information for their prescribed Reata medicine including with their healthcare providers, their healthcare insurance company, and Biologics, the exclusive specialty pharmacy. Patient access to Care Navigators and information about their prescribed Reata medicine cannot be provided to patients unless we receive this permission. Please refer to the guidance provided in the Start Form for more information.
The patient and provider sections of the REACH Start Form are completed. How can I submit the form?
There are 2 ways to submit the Start Form:
- Fax to 1-844-806-1718
- Mail to Reata REACH, 11800 Weston Parkway, Cary NC 27513
Who are REACH Care Navigators?
Once your patient is enrolled in REACH, these dedicated professionals are your patient’s REACH point of contact during their treatment with a prescribed Reata medicine.
What information does the Care Navigator provide?
Care Navigators can help with questions about your patient’s insurance coverage, eligibility criteria for copay assistance, at-home prescription delivery, and options to speak with a specialty pharmacy representative, including pharmacy staff and nurse educators. They can also provide helpful information for other support programs, including patient advocacy groups.
Insurance Approval for a Prescribed Reata Medicine
How long does insurance approval for coverage of a prescribed Reata medicine take?
This depends on the patient’s insurance plan. REACH will work to understand documentation requirements to support your patient’s approval. Once all information has been submitted to your patient’s insurance plan, the REACH program will follow up regularly until a determination has been made. Sometimes the process is quick; however, in some cases, it can take up to several weeks.
Insurance Denial for a Prescribed Reata Medicine
My patient’s healthcare/prescription drug insurance will not cover the prescribed Reata medicine. Whom should I contact?
If your patient’s insurance plan will not cover a prescribed Reata medicine, you may contact REACH to discuss what additional documentation may be needed to potentially appeal the denial. If the plan requests a letter of medical necessity for your patient, a template letter is available here. You may also request a peer-to-peer discussion with a medical director at the healthcare insurance plan to discuss your patient’s eligibility for coverage of the prescribed Reata medicine.
Will REACH contact my patient’s healthcare/prescription drug insurance to discuss insurance coverage denial of a Reata medicine?
REACH may be able to provide information to you and your staff about options to appeal a denial. REACH can share that information with you, but the program cannot directly interact with your patient’s insurance plan. If the plan requests a letter of medical necessity for your patient, a template letter is available here.
Once insurance approves coverage for a prescribed Reata medicine, how long will it take for the first fill of the prescribed Reata medicine to be delivered?
Once the insurance plan approves coverage of a Reata medicine, REACH will contact your patient to arrange shipment and delivery. Most prescriptions are delivered within 2 business days.
Which pharmacy options are available for prescribed Reata medicines?
Reata specialty medicines are available only through Biologics, the exclusive specialty pharmacy for Reata medications. Prescriptions cannot be filled at retail pharmacies or through retail mail order.
My patient has concerns about paying for their prescribed Reata medicine. How can REACH help?
There are options to help make the Reata medicine you prescribed more affordable for your patient. Care Navigators can help your patient explore their eligibility for affordability programs.
Insurance Changed or Ended
My patient’s insurance plan has changed. What can I do so my patient can continue the prescribed Reata medicine under the new insurance plan?
If your patient’s insurance changes while taking a prescribed Reata medicine, you or your patient should call REACH to provide the new insurance information as soon as it is available. REACH will contact your patient's new insurance company to inquire about coverage for their Reata medicine and work with you to provide any necessary documentation.
My patient no longer has a healthcare/prescription drug insurance plan. How can REACH help?
If your patient loses healthcare/prescription drug insurance coverage while taking a prescribed Reata medicine, your patient should call 1-844-98-REACH to speak with a Care Navigator to understand available options.