From: "Jeffrey E." <jeevacation@gmail.com>
To: jeffrey epstein leevacation®gmail.com>
Subject: Fwd: Kristin Kaw from Dr. Rony Shimony re Repatha
Date: Wed, 17 Jan 2018 03:15:35 +0000
Forwarded message
From:
Date: Tue, Jan 16, 2018 at 7:39 AM
Subject: Kristin Kaw from Dr. Rony Shimony re Repatha
To: Jefffrey Epstein <jeevacation@gmail.com>
Reminder-self pay or go through insurance with Repatha? With insurance you will need another blood test, therefor
starting the drug will be delayed. If you self pay we could get the drug to you this week most likely. Below from Dr
Shimony's office with more explanation. Please advise
-Looking a labs sent from early this month, Lipids done was calculated as opposed to direct LDL. Insurance companies
look for the direct LDL when approving medications because this is a more accurate count, therefore, representing a more
accurate cardiovascular risk equivalent. When the triglycerides is high, such as in the case of Mr. Epstein, the lab cannot
provide an accurate LDL count. As you can see there was no LDL value given
-If you want to proceed with insurance approval, he will need to re-take labs with direct LDL. He cannot start Repatha
prior to rechecking labs because it will not be an accurate reflection of his baseline without medications.
-If he wants to self pay, Century Specialty Pharmacy (800-521-3949) is willing to give him a 10% discount if he purchases
minimum of 6 months. They will ship the medication over as soon as it's ordered and have it virtually the next day.
-Here is the breakdown of cost:
For the once a month injection $1,250/month (with 10% discount if he buys minimum of 6 months)
For the twice a month injection $1,150/month (with 10% discount if he buys minimum of 6 months)
Hope that answers all your questions. I will be available tomorrow if you have any questions. Please let me know what
his decision is prescription to the pharmacy is pending his ok. Thanks
KK
please note
The information contained in this communication is
confidential, may be attorney-client privileged, may
constitute inside information, and is intended only for
the use of the addressee. It is the property of
JEE
Unauthorized use, disclosure or copying of this
communication or any part thereof is strictly prohibited
and may be unlawful. If you have received this
communication in error, please notify us immediately by
return e-mail or by e-mail to jeevacation®gmail.com, and
destroy this communication and all copies thereof,
including all attachments. copyright -all rights reserved
EFTA00906493