XGEVA FIRST STEP Program Card Registration

Welcome to the XGEVA FIRST STEP Program. Please complete the online form below to register your card.

If you have any questions or problems using your card after registration, please call 1-888-65-STEP1 (1-888-657-8371) from 9 a.m. to 8 p.m. ET, Monday-Friday except holidays.


ENTER CARD INFORMATION: STEP 1 OF 2


* Required Data

* Enter the last 4 digits of the 16-digit MasterCard number that appears in the middle of the card:
* Please enter the 8 digit Card number that appears on the bottom left of your card starting with DB:
Are you a resident of one of the 50 United States or Puerto Rico?
  • Yes
  • No
*Date of Birth (for verification): (DD-MM-YYYY):
Do you belong to or have prescriptions paid for by any: i) federal government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DoD) or TRICARE, or ii) any similar state-funded program such as a state pharmacy assistance program?
  • Yes
  • No
The Amgen FIRST STEP Program is not valid for patients who belong to any federal, state or government-funded healthcare program and you must have commercial or private healthcare insurance to be eligible for this program. Should you at any time begin receiving health insurance under such a federal, state or government-funded healthcare program, you will no longer be eligible to participate in the Amgen FIRST STEP Program. Do you agree with this statement?
  • Yes
  • No
Do you have commercial or private healthcare insurance?
  • Yes
  • No
Are you a patient who is enrolled in a plan offered through the Health Insurance Exchanges?
  • Yes
  • No

Indication

XGEVA® is a prescription medicine used to prevent fracture, spinal cord compression, or the need for radiation or surgery to bone in patients with bone metastases from solid tumors. XGEVA® is not used to prevent these bone problems in patients with multiple myeloma.

XGEVA® is a prescription medicine used to treat adults and some teenagers with giant cell tumor of bone that cannot be surgically removed (unresectable) or when surgery is likely to result in severe morbidity, such as loss of limbs or joint removal.

Important Safety Information

Do not take XGEVA® if you have low blood calcium (hypocalcemia). XGEVA® can significantly lower the calcium levels in your blood and some deaths have been reported. Your low blood calcium must be treated before you receive XGEVA®. Your doctor may prescribe calcium and vitamin D to help prevent low calcium levels in your blood while you take XGEVA®. Take calcium and vitamin D as your doctor tells you to. Tell your doctor right away if you experience spasms, twitches, cramps, or stiffness in your muscles or numbness or tingling in your fingers, toes, or around your mouth.

Do not take XGEVA® if you are allergic to denosumab or any of the ingredients of XGEVA®. Serious allergic reactions have happened in people who take XGEVA®. Call your doctor or go to your nearest emergency room right away if you have any symptoms of a serious allergic reaction, including low blood pressure (hypotension); trouble breathing; throat tightness; swelling of the face, lips, or tongue, rash; itching; or hives.

What is the most important information you should know about XGEVA®?

XGEVA® contains the same medicine as Prolia® (denosumab). If you are taking XGEVA® do not take Prolia®.

Severe jaw bone problems (osteonecrosis)

Severe jaw bone problems may happen when you take XGEVA®. Your doctor should examine your mouth before you start, and while you are taking XGEVA®;. Tell your dentist that you are taking XGEVA®. It is important for you to practice good mouth care during treatment with XGEVA®. In studies of patients with bone metastases, the rate of severe jaw problems was higher the longer they were being treated with XGEVA®.

Unusual thigh bone fracture

Unusual thigh bone fracture has been reported. Symptoms of a fracture include new or unusual pain in your hip, groin, or thigh.

Possible harm to your unborn baby

You should not become pregnant while taking XGEVA®. Tell your doctor right away if you are pregnant, plan to become pregnant, or suspect you are pregnant. XGEVA® can harm your unborn baby. Women of child bearing age should use highly effective contraception while taking XGEVA® and for at least 5 months after the last dose of XGEVA®

Tell your doctor if you:

  • Are taking a medicine called Prolia® (denosumab) because it contains the same medicine as XGEVA®
  • Have symptoms of low blood calcium such as muscle stiffness or cramps
  • Have symptoms of severe jaw bone problems such as pain or numbness
  • Have ongoing pain or slow healing after dental surgery
  • Are pregnant, plan to become pregnant, suspect you are pregnant, or breastfeeding

While taking XGEVA®, you should:

  • Take good care of your teeth and gums and visit a dentist as recommended
  • Tell your dentist that you are taking XGEVA®
  • Tell your doctor if you plan to have dental surgery or teeth removed
  • Women of child bearing age should use highly effective contraception while taking XGEVA® and for at least 5 months after the last dose of XGEVA®

What are the possible side effects of XGEVA®?

The most common side effects in patients receiving XGEVA® for the prevention of serious bone problems were tiredness/weakness, low phosphate levels in your blood, and nausea. The most common serious side effect of XGEVA was shortness of breath.

The most common side effects in patients receiving XGEVA® for giant cell tumor of bone were joint pain, headache, nausea, tiredness, back pain, and extremity pain. The most common serious side effects were severe jaw bone problems and swelling or infection of the bone.

These are not all the possible side effects of XGEVA®. For more information, ask your doctor or pharmacist.

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

Please see Prescribing Information for more information about XGEVA® .