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Support
starts here

Welcome to KaryForward®, a patient support program by Karyopharm Therapeutics® Inc. dedicated to providing assistance and resources to you and your caregivers for Karyopharm medications.

KaryForward is here to help you every step of the way — from insurance coverage and financial assistance to support and resources — so you can focus on moving forward with your life.

To get started, ask your healthcare provider about enrolling in KaryForward or call KaryForward at 1-877-KARY4WD1-877-KARY4WD (1-877-527-9493),
Monday-Friday, 8 AM to 8 PM ET.

Support
starts here

Welcome to KaryForward®, a patient support program by Karyopharm Therapeutics® Inc. dedicated to providing assistance and resources to you and your caregivers for Karyopharm medications.

KaryForward is here to help you every step of the way — from insurance coverage and financial assistance to support and resources — so you can focus on moving forward with your life.

To get started, ask your healthcare provider about enrolling in KaryForward or call KaryForward at 1-877-KARY4WD1-877-KARY4WD (1-877-527-9493),
Monday-Friday, 8 AM to 8 PM ET.

Couple laughing Couple laughing

Enroll in the
KaryForward
Support Program Today

Once your healthcare professional determines a Karyopharm medication is medically necessary, enrolling in
KaryForward is the first step to gaining access to a comprehensive support program. Work with your healthcare
provider to complete and submit the Enrollment Form after signing the Consent Form below.

If you have questions, please contact us at 1-877-KARY4WD1-877-KARY4WD (1-877-527-9493),
Monday-Friday, 8 AM to 8 PM ET.

KaryForward Patient Consent Form:

Icon of tablet with signature
KARYFORWARD PATIENT CONSENT FORMS
Select and sign the KaryForward Patient e-Consent Form below. Alternatively, you may download and complete
the following printable KaryForward Patient Consent Forms to be faxed by your healthcare provider.

Translation services are available. Please call KaryForward for assistance with other languages.

Insurance coverage

If you find the insurance process confusing, you’re not alone. KaryForward will support you in navigating this complex system by helping you to:

  • Understand your benefits
  • File claims
  • Provide support during insurance appeals
  • Find out what is covered by your insurance
  • Access treatment with Karyopharm medications even if there are unexpected delays or interruptions (using the QuickStart Program or, in the case of interruptions, the Bridge Program)
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Financial
assistance*

We understand that prescriptions can sometimes be costly. KaryForward can help you with the cost of Karyopharm medications.

XPOVIO® Copay Program

If you have commercial insurance, you may qualify to receive Karyopharm medications for as little as $5 per prescription. To see if you are eligible, begin enrollment today.

COPAY PROGRAM ENROLLMENT


Patient Assistance Program

KaryForward is committed to helping you access your Karyopharm medication if you do not have insurance or lack coverage. If you meet the eligibility requirements for the Patient Assistance Program (PAP), you may be able to receive your medication at no cost. Enroll in KaryForward today to check your eligibility.

If you don’t meet the eligibility criteria for these programs, KaryForward may be able to help you find alternative sources of coverage.

To get started, ask your healthcare provider about enrolling in KaryForward or call KaryForward at 1‑877‑KARY4WD1‑877‑KARY4WD (1‑877‑527‑9493),
Monday-Friday, 8 AM to 8 PM ET.

*All programs and support are subject to eligibility requirements.

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Support & resources

Karyopharm believes that every person deserves expert, thoughtful support. When you join KaryForward, you will be assigned a dedicated Nurse Case Manager, who will be your single point of contact and will help you and your caregivers find the resources that are most important, so you can stay focused on your treatment.

Nurse Case Managers are there to support, not replace, your treatment plan and do not provide medical advice. They’re available to:

  • Explain prescription instructions
  • Provide psychosocial support and additional non-clinical education regarding Karyopharm medications
  • Highlight what to expect when taking Karyopharm medications and the importance of speaking with healthcare professionals about your treatment journey
  • Provide referrals to additional third-party support, such as transportation assistance
Patient with her Nurse Case Manager Patient with her Nurse Case Manager Patient with her Nurse Case Manager

Helpful
Organizations

Whether you’re a patient or caregiver, it’s important to take care of yourself every day. The organizations listed below can provide you with valuable support,
both online and over the phone.

Cancer Support Resources

American Cancer Society

www.cancer.org

1-800-227-2345 1-800-227-2345

CancerCare

www.cancercare.org

1-800-813-HOPE (4673) 1-800-813-HOPE (4673)

Cancer Hope Network

www.cancerhopenetwork.org

1-877-HOPENET (467-3638) 1-877-HOPENET (467-3638)

Cancer Support Community

www.cancersupportcommunity.org

1-888-793-9355 1-888-793-9355

Friend for Life Cancer Support Network

www.friend4life.org

1-866-374-3634 1-866-374-3634

International Myeloma Foundation

www.myeloma.org

1-800-452-CURE (2873) 1-800-452-CURE (2873)

Leukemia & Lymphoma Society

www.lls.org

1-800-955-4572 1-800-955-4572

Lymphoma Coalition

www.lymphomacoalition.org

Lymphoma Research Foundation

www.lymphoma.org

1-800-500-9976 1-800-500-9976

Multiple Myeloma Research Foundation

www.themmrf.org

1-866-603-MMCT (6628) 1-866-603-MMCT (6628)

Myeloma Crowd

www.myelomacrowd.org

Caregiver Support Resources

Caregiver Action Network

www.caregiveraction.org

1-202-454-3970 1-202-454-3970

Family Caregiver Alliance

www.caregiver.org

1-800-445-8106 1-800-445-8106

Friends’ Health Connection

www.friendshealthconnection.org

To maintain the independence of these organizations, Karyopharm Therapeutics® Inc. does not endorse or recommend any of the advocacy groups or services on this list and is not responsible for the content of these sites or services. Be sure to speak with a healthcare professional before making changes to your treatment plan.

KaryForward® support worker

Have any questions?
Ready to enroll?

Call us at 1-877-KARY4WD
(1-877-527-9493),

1-877-KARY4WD

(1-877-527-9493),

Monday-Friday, 8 AM to 8 PM ET.

8 AM to 8 PM ET.

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