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Not actual size.Neffy  intranasal epinephrine device

Neffy NOW AVAILABLE

For the treatment of type I allergic reactions1

Not actual size.Neffy  intranasal epinephrine device

neffy® is the first and only FDA-approved needle-free way to administer epinephrine.1,2 It's a nasal spray that is now approved for emergency treatment of type I allergic reactions, including anaphylaxis, in adult and pediatric patients who weigh 30 kg (66 lb) or greater.

New from the American College of Allergy, Asthma and Immunology: Prior Authorization Appeal Letter Generator

Learn more

ABOUT

INTRODUCING neffy

Innovative intranasal delivery of epinephrine at the first sign of a severe allergic reaction

For patients with a severe allergic reaction, neffy is the first and only FDA-approved needle-free way to administer epinephrine1,2

  • Rapid effects on blood pressure and heart rate (key PD surrogate markers) within 1 minute, delivering changes comparable to IM injection products1,3,4*
  • Well tolerated in clinical trials1
  • Designed to be small, easy to carry, and easy to use5,6

The clinical meaning of PD responses observed in healthy subjects is unclear in the context of treating anaphylaxis. Clinical studies have not been conducted in patients with anaphylaxis.

All trademarks are property of their respective owners.
FDA, US Food and Drug Administration; IM, intramuscular; PD, pharmacodynamic; Rx, prescriptions.
Not actual size.Hand holding neffy intranasal epinephrine

DOSING AND ADMINISTRATION

IN ACCORDANCE WITH ITS INSTRUCTIONS FOR USE,

Patients insert and press to administer neffy

Preparing for administration of neffy:

  • Patients should be advised on when to seek emergency medical assistance for close monitoring of the anaphylactic episode and in the event further treatment is required1
  • Each single-use neffy spray device delivers an intranasal dose containing 2 mg of epinephrine. Patients should not prime or attempt to reuse neffy for more than one administration1
  • It is recommended that patients are prescribed and have immediate access to 2 neffy devices at all times, so that they are always prepared with a primary and a backup1
  • Single-use neffy can be administered while the patient is in any position (ie, supine, semi-supine, standing, or sitting)1
  • Remove neffy spray device from packaging before use8

During administration of neffy1:

Patients should use the right hand to administer neffy to the right nostril and use the left hand to administer neffy to the left nostril.

To administer neffy, patients or caregivers should:

  • HOLD the device with your thumb on the bottom of the plunger and a finger on either side of the nozzle
  • INSERT the nozzle of the nasal spray device fully into one nostril until their fingers touch the nose; they must not angle the nasal spray to the inside septum or outer wall of the nose, as some medication may be lost
  • PRESS the plunger firmly to activate. Do not sniff during or after administration

Following administration of neffy1:

  • In the absence of clinical improvement or if symptoms worsen after the initial treatment, a second dose of neffy may be administered in the same nostril with a second nasal spray starting 5 minutes after the first dose
  • More than 2 sequential doses of epinephrine should be administered under direct medical supervision

In studies designed to evaluate success of administration, 100% of adults and pediatric participants (N=16; N=42) were able to administer neffy without error5,6
Place and Press administration intranasal delivery instructions for neffy

PROGRAMS & RESOURCES

Streamlined neffy prescription fulfillment with BlinkRx

Follow these steps:

  • 1. In your EMR, ePrescribe neffy to BlinkRx US, Boise, Idaho
    Phone: 1-833-914-4805
    Fax: 1-866-585-4631
  • 2.BlinkRx contacts your patient with a confidential text message and analyzes your patient’s insurance. BlinkRx will apply available savings offers to eligible patients, including the neffy commercial co-pay savings*
  • 3. Your patient’s prescription is delivered through free home delivery. Payment is collected over the phone or through the patient’s mobile platform

BlinkRx supports neffy with:

  • Convenient application of savings
  • Free shipping
  • Smart refill reminders
  • Support processing formulary exceptions/prior authorization requests

*Terms and conditions apply.

EMR, electronic medical record.
Hand extended holding neffy intranasal device in palm of handNot actual size.

Help your patients access neffy

If you are having trouble getting neffy approved for your patients with type 1 allergic reactions, the American College of Allergy, Asthma and Immunology’s Prior Authorization (PA) Appeal Letter Generator may be able to help. This easy-to-use tool will create an evidence-based PA appeal letter, customized for your patient, in a few simple steps.

Try it now

For patients with commercial insurance, pricing may be as low as
$25 per prescription*

Support services designed for your patients

With neffyconnect, your patients can receive access support, financial assistance, and education

  • ACCESS: Helps patients get the neffy they need, even if insurance barriers arise

    • Patients can have their neffy filled by BlinkRx or a pharmacy of their choice
    • BlinkRx can help with formulary exceptions/prior authorizations and appeals
  • ASSISTANCE: Helps patients afford their neffy

    • Co-Pay Savings Program:

      • Eligible, commercially insured patients may pay as little as $25 per prescription*
      • Eligible patients will be able to access the universal co-pay card in September
    • ARS Patient Assistance Program:

      • ARS provides medically necessary neffy free of charge to qualifying applicants through its Patient Assistance Program. Restrictions apply
  • EDUCATION: Dedicated support staff, resources, and tools for your patients

    • Patients can connect with case managers and receive emails from neffyconnect with helpful resources and tools
Access neffyconnect
Hand holding neffy intranasal epinephrine deviceNot actual size.

Inform your patients about the comprehensive support, resources, and financial assistance they may receive by signing up for neffyconnect

For assistance prescribing neffy through BlinkRx, call BlinkRx at 1-833-914-4805 or visit blinkrx.com

Get your neffy demonstration kit today

Help improve the patient experience with neffy demonstration devices*

Demonstration devices can be a valuable tool for ensuring patient education and compliance. neffy demonstration devices are delivered in a compact box that’s easy to store. Each kit includes 2 spring-loaded reusable devices and 10 air-filled disposable devices, along with supportive educational materials. neffy demonstration devices provide the perfect opportunity for patients, caregivers, school nurses, and pharmacists to become familiar with administering neffy and gain confidence in its ease of use during an emergency situation.

Sign up now

*Demonstration devices are for demonstration and training only. Does not contain active ingredient.
Demo of neffy intranasal epinephrine deviceNot actual size.

Looking for neffy resources?

Download our neffy Introduction & How to Use Presentation to learn more

Download

CONNECT WITH US

Learn more about neffy—for your patients with type I allergic reactions

Request information by checking the appropriate box(es) below:

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References:

  1. neffy [prescribing information]. San Diego, CA: ARS Pharmaceuticals Operations, Inc.
  2. Data on file. neffy press release. ARS Pharmaceuticals. 2024.
  3. Data on file. CSR EPI 15. ARS Pharmaceuticals Operations, Inc. 2023.
  4. Data on file. CSR EPI 16. ARS Pharmaceuticals Operations, Inc. 2023.
  5. Casale TB, Lockey R, Portnoy J, et al. Pharmacokinetics of self-administration of ARS-1 (neffy® Nasal Spray) 2.0 mg versus manual intramuscular (IM) epinephrine 0.3 mg by health care provider (HCP). Presented at the American Academy of Allergy, Asthma & Immunology (AAAAI) Annual Meeting; February 24, 2023: San Antonio, TX.
  6. Data on file. Human Factors Study. ARS Pharmaceuticals Operations, Inc. 2024.
  7. Ellis AK, Casale TB, Kaliner M, et al. Development of neffy, an epinephrine nasal spray, for severe allergic reactions. Pharmaceutics. 2024; 16(6):811. doi.org/10.3390/pharmaceutics16060811
  8. Instructions for use. ARS Pharmaceuticals Operations, Inc. 2024.

INDICATION AND IMPORTANT SAFETY INFORMATION

INDICATION
neffy 2 mg is indicated for emergency treatment of type I allergic reactions, including anaphylaxis, in adult and pediatric patients who weigh 30 kg or greater.

IMPORTANT SAFETY INFORMATION

It is recommended that patients are prescribed and have immediate access to two neffy nasal sprays at all times. In the absence of clinical improvement or if symptoms worsen after initial treatment, administer a second dose of neffy in the same nostril with a new nasal spray starting 5 minutes after the first dose.

neffy is for use in the nose only.

Advise patients when to seek emergency medical assistance for close monitoring of the anaphylactic episode and in the event further treatment is required.

Absorption of neffy may be affected by underlying structural or anatomical nasal conditions.

Administer with caution to patients who have heart disease; epinephrine may aggravate angina pectoris or produce ventricular arrhythmias. Arrhythmias, including fatal ventricular fibrillation, have been reported, particularly in patients with underlying cardiac disease or taking cardiac glycosides, diuretics, or anti-arrhythmics.

The presence of a sulfite in neffy should not deter use.

neffy may alter nasal mucosa for up to 2 weeks after administration and increase systemic absorption of nasal products, including neffy.

Patients with certain medical conditions or who take certain medications for allergies, depression, thyroid disorders, diabetes, and hypertension, may be at greater risk for adverse reactions.

Epinephrine can temporarily exacerbate the underlying condition or increase symptoms in patients with the following: hyperthyroidism, Parkinson’s disease, diabetes, renal impairment. Epinephrine should be administered with caution in patients with these conditions, including elderly patients and pregnant women.

Adverse reactions to neffy may include throat irritation, intranasal paresthesia, headache, nasal discomfort, feeling jittery, paresthesia, fatigue, tremor, rhinorrhea, nasal pruritus, sneezing, abdominal pain, gingival pain, hypoesthesia oral, nasal congestion, dizziness, nausea, and vomiting.

These are not all of the possible side effects of neffy. To report suspected adverse reactions, contact ARS Pharmaceuticals Operations, Inc. at 1-877-MY-NEFFY (877-696-3339) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see the full Prescribing Information for neffy® (epinephrine nasal spray).

INDICATION
neffy 2 mg is indicated for emergency treatment of type I allergic reactions, including anaphylaxis, in adult and pediatric patients who weigh 30 kg or greater.

IMPORTANT SAFETY INFORMATION

It is recommended that patients are prescribed and have immediate access to two neffy nasal sprays at all times. In the absence of clinical improvement or if symptoms worsen after initial treatment, administer a second dose of neffy in the same nostril with a new nasal spray starting 5 minutes after the first dose.

neffy is for use in the nose only.

Advise patients when to seek emergency medical assistance for close monitoring of the anaphylactic episode and in the event further treatment is required.

Absorption of neffy may be affected by underlying structural or anatomical nasal conditions.

Administer with caution to patients who have heart disease; epinephrine may aggravate angina pectoris or produce ventricular arrhythmias. Arrhythmias, including fatal ventricular fibrillation, have been reported, particularly in patients with underlying cardiac disease or taking cardiac glycosides, diuretics, or anti-arrhythmics.

The presence of a sulfite in neffy should not deter use.

neffy may alter nasal mucosa for up to 2 weeks after administration and increase systemic absorption of nasal products, including neffy.

Patients with certain medical conditions or who take certain medications for allergies, depression, thyroid disorders, diabetes, and hypertension, may be at greater risk for adverse reactions.

Epinephrine can temporarily exacerbate the underlying condition or increase symptoms in patients with the following: hyperthyroidism, Parkinson’s disease, diabetes, renal impairment. Epinephrine should be administered with caution in patients with these conditions, including elderly patients and pregnant women.

Adverse reactions to neffy may include throat irritation, intranasal paresthesia, headache, nasal discomfort, feeling jittery, paresthesia, fatigue, tremor, rhinorrhea, nasal pruritus, sneezing, abdominal pain, gingival pain, hypoesthesia oral, nasal congestion, dizziness, nausea, and vomiting.

These are not all of the possible side effects of neffy. To report suspected adverse reactions, contact ARS Pharmaceuticals Operations, Inc. at 1-877-MY-NEFFY (877-696-3339) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see the full Prescribing Information for neffy® (epinephrine nasal spray).