To: Dr. Rony + <u>Catherine Shimon</u>
Cc: Shimony, Rony

From:
Sent Fri 4/6/2018 4:33:40 PM
Subject Re: (EXTERNAL] Injectable medication

HI la...Jeffrey says Dr. Shimony wants to do a scan first this week...can we s

On Apr 6, 2018, at 11:48 AM, Kaw, Kristine
wrote:

Good morning= It's been a while since I heard from you. Any update on what Mr. Epstein has decided for Repatha, self pay or try insurance approval which means he needs new set of Please let us know so we can help him with the process of getting medication that will help him lower risk fol l KK

## From:

Sent: Thursday, January 25, 2018 5:37 PM
To: Kaw, Kristine
Subject: Re: [EXTERNAL] Injectable medication

Hi Kristine...I received an email from Repatha to "learn how to fill your Repatha prescription"...did Jeffrey finally decide what he wanted to do? He has not been back to me with any news, but certainly doesn't mean he hasn't spoken to Dr. Shimony or you about it! Just wondering if I need to do something!???

On Jan 19, 2018, at 7:30 AM
wrote:

Ok super

Sent from my iPhone

On Jan 18, 2018, at 5:28 PM, Kaw, Kristine wrote:

Great thank you for the update. Dr. Shimony communicated
with him
KK

From

Sent: Thursday, January 18, 2018 3:58 PM
To:Kaw, Kristine
Subject: Re: [EXTERNAL] Injectable medication

The nurse just left...they had a good talk...hoping Jeffrey will decide how he wishes to proceed soon! thanks,

## From: (cont.)

On Jan 17, 2018, at 10:42 AM, Kaw, Kristine <redacted> wrote:

Ok sounds good



Sent: Wednesday, January 17, 2018 8:11 AM
To: Kaw, Kristine
Subject: Re: [EXTERNAL] Injectable medication

Morning! Jeffrey has said yes to training tomorrow with Nurse Kristine. Do we know for sure if Jeffrey will be month or two? It should .ope ri ht? The nurse <u>knows</u> Jeffrey won't have she can train without it. He has still yet to answer RE self pay or insurance.

Sent from my iPhone

On Jan 16, 2018, at 10:47 AM, Kaw, Kristine <blackened out> wrote:
Great. Just didn't want to delay the process since I know it is difficult to find time in his very busy schedule.
KK

Sent: Tuesday, January 16, 2018 10:46 AM
To:Kaw, Kristine
Subject Re: [EXTERNAL] Injectable medication

Morning Kristine! Thank you
so much for following up...I am
still waiting for Jeffrey's
response on all of this...Hoping
to hear today but he is
traveling...will let you know the
minute I hear something.

## From: (cont.)

On Jan 16, 2018, at
10:38 AM, Kaw,
Kristine

wrote:

Good morning. Just
following  up
regarding Mr.
Epstein's decision on
how to proceed. I
believe the nurse is
scheduled to come in
this week for
teaching and ideally
it would be great if
she can teach and
observe his first
medication
administration.
Please let me know
so I can prescribe
accordingly.

KK

Sent: Thursday, January 11, 2018 6:10 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication

Hi Kristine. Thank
you for this! I
actually sent jefirey
a note about this
earlier but still ha e
not heard back
from him. He is
been in constant
meetings himself. I
will ask him again
however and use
your much more
well versed

## From: (cont.)

paragraph
tomorrow morning
early! Hope to
have an answer
soon. Thanks and
have a great
evening.

Sent from my
iPhone

On Jan 11, 2018, at 6:03 PM, Kaw, Kristine

wrote:

A response to a late reply is given stating that the user was finishing with patients. User mentions looking for labs sent from early this month, stating insurance companies look for the direct.

## From: (cont.)

Key information: A more accurate count; In the case of Mr. Epstein, the lab cannot provide an accurate count. There was no count.

## From: (cont.)

want to proceed with insurance approval, he will need to re-take labs with

a prior
to
recheck
ing labs
because it will
not be
an
accurat
e
reflecti
on of
his
baselin
e
without
medica
tions.
-If he
wants
to self
pay,
Century
Specialt
y
Pharma
willing
to give

## From: (cont.)

<table><tr><th>him a
10%
discoun
t if he
purchas
es
minimu
m of 6
months
. They
will
ship the
medica
tion
over as
soon as
it's
ordered
and
have it
virtuall
y the
next
day.
-Here is
the
breakd
own of
cost:
For the
once a
month
injectio
n
$1,250/
month (
with
10%
discoun
t if he
buys
minimu
m of 6
months
)
For the
twice a
month</th></tr></table>

## From: (cont.)

<table><tr><th>injectio
n
$1,150/
month(
with
10%
discoun
t if he
buys
minimu
m of 6
months
)

Hope
that
answer
s all
your
questio
ns. I
will be
availabl
e
tomorr
ow if
you
have
any
questio
ns.
Please
let me
know
what
his
decisio
n is
prescri
ption to
the
pharma
cy is
pendin
g his
ok.
Thanks
KK</th></tr></table>

## From: (cont.)

From:

Sent: Thursday, January 11, 2018 12:34 PM To: Kaw, Kristine Subject: Re: [EXTERNAL] Injectable medication

Hello Kristin e! I wanted to let you know I DID get Jeffrey's approval confirmed with Repatha and have been able to speak with a nurse on Jeffrey's behalf! A registered nurse is to call me

## From: (cont.)

## within

<table><tr><th>1-2
busines
s days
to set
up his
trainin
g...trul
y
hoping
for
next
We, Th
or Fri!
I will
be sure
to let
you
know.

Some
more
questio
ns:
-I
underst
ood
from
Dr.
Shimo
ny you
will be
contact
ing
Jeffrey'
S
insuran
ce to
find
out
about
covera
ge and
getting
the $5
co-pay
card?</th></tr></table>

## within (cont.)

-Once insurance approves the medication, when will Jeffrey receive his meds? Hoping he can get 3 months of the medication at a time.... let me know if his insurance approves this or how many months we can receive at a time... maybe it is more!?
-will you order Jeffrey

## within (cont.)

The

nurse was asking me with type of injectio n he will be getting and I do not know ...she said there are 3 differe nt ones...

I know
you are
busy
and
will get
back to
me
when
you
can!!
Thank
you!
Lesley

<u>On Jan 10, 2018, at 4:08 PM, Kaw,</u> Kristine ate:

I am so sorry if I can't respond right away since am seeing patients with Dr. Shimony. I am on the phone now with Repatha. It must have been a misunderstanding, they need the patient, Mr.

## within (cont.)

Epstein, to give permission for you to set up his appointment. Repatha needs to be called again and choose reimbursement services for Mr. Epstein to give you permission moving forward with his training. I will also be faxing you a form to fill out and for Mr. Epstein to sign. This gives Repatha permission to assist him. Are you free to talk to avoid misunderstandings? Thanks KK

Sent: Wednesday, January 10, 2018 2:43 PM
To: Kaw, Kristine
Subject: Re: [EXTERNAL] Injectable medication

Hi Kristine.

-I found Erica Peltz so no worries there! :)
-I called REPATHA to organize training, but they do not have him registered (which I did) and they tell me you must call them to give me permission to schedule the appointment?!
Sounds like silliness to me, but what can I do!? She let me register Jeffrey so when you call give them his Acct:  and tell them  Jeffrey Epstein's personal assistant, may coordinate the training session for him. Once you do this let me know and I will call them back. Would greatly appreciate it.

Thanks

On Jan 9, 2018, at 5:37PM, Kaw,
Kristine
wrote:

Great thank you. Dr. Shimony states he had recent labs just don't know what his definition of "recent" is. Should be within the past 30 days. Please let me know if any issues and contact by email or office number.

KK

From:

## within (cont.)

Sent: Tuesday, January 09, 2018 5:27 PM
To: Kaw, Kristine
Subject: [EXTERNAL] Re: Injectable
medication

Hi Kristine. Thank you so much for this. Let me find out from Jeffrey if he has lab work that in days. I don't think he does but he has gone without me knowing before . I'll call the number below to set up training. Have a good evening.

Sent from my iPhone

On Jan 9, 2018, at 5:10 PM, <u>Kaw,</u> Kristine rote:

Ha= Before we get started with the process, I need a copy of Mr. Epstein's recent labs including

not have one so I can send an rx to get it done. We will try to get approval for his medication to avoid paying out of pocket and the company is willing to provide samples while working on his approval. Please cal to set up a training session an a so 5 copay card if medication approved. Please let me know if you have any questions. Thank you Kristine