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