Make a one-time call to the Register Terminal

• Call 1-888-65STEP1
• Submit your merchant ID for the credit card terminal your office will use to swipe Amgen FIRST STEP™ co-pay cards

For patients prescribed an eligible Amgen product, identify patients prior to treatment initiation

Eligibility requirements and a list of brands covered by the Amgen FIRST STEP™ program are available at AmgenFIRSTSTEP.com.

Assist patients with registration by having them fill out required forms, available at AmgenFIRSTSTEP.com:

1. Enrollment form with eligibility questions

   • Help your patient complete and submit
   • Remember that the patient must be the one completing or reviewing and confirming eligibility questions themselves

2. Privacy Notice and Patient Authorization form

   • Submit signed Privacy Notice and Patient Authorization form online or by fax (click on "Prefer to fax" button online and follow instructions)

3. Register patient before any treatment.

   • Upon approval, card will be activated

Swipe patient's card to collect deductible, co-insurance, or co-payment for one dose of the Amgen product

• First swipe: patient OOP cost share = $0

• Subsequent swipe: Patient share = $5 (except for Prolia^® (denosumab), which is $25)

To submit Explanation of Benefits (EOB) and other relevant documentation, please fax 1-866-653-2972 or mail to: ConnectiveRx at 100 Passaic Avenue, Suite 245, Fairfield, NJ 07004 - ATTN: Amgen FIRST STEP™ Program. Submit EOB within 45 days of initial swipe.