| Field | Value |
|---|---|
| To | [redacted in image] |
| Cc | [two recipients; names redacted/obscured in image] |
| From | [redacted in image] |
| Sent | Fri 4/6/2018 4:39:05 PM |
| Subject | RE: [EXTERNAL] Injectable medication |

Mary helps us schedule CTAs. She is cc'd here and will contact you. Please provide best contact info

Thanks, KK

From:

Sent: Friday, April 06, 2018 12:35 PM
To: Kaw, Kristine
Cc: Shimony, Rony
Subject: Re: [EXTERNAL] Injectable medication

HIKK...Thanks for following up! Jeffrey says Dr. Shimony wants to do a scan first....can we schedule the scan for Tucs April 10 or Wed. April I I?

On Apr 6, 2018, at 11:48 AM, Kaw, Kristine <blackened out> wrote:

Good morningM. 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 lipid profile. Please let us know so we can help him with the process of getting medication that will help him lower risk for cardiac events.

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 5:26 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 <u>Jeffiiill</u> decide how he wishes to proceed soon! thanks,

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

0k sounds good

From:

## From (cont.)

Morning! Jeffrey has said yes to training tomorrow with Nurse Kristine. Do we know for sure if Jeffrey will be doing one dose a month or two? It should hopefully be one right? The nurse knows Jeffrey won't have the actual drug but says 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
<██████████████> 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

From: ███████
████████████████

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. Lesley

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

## From (cont.)

## 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

<u>From:</u> 

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 jeffrey 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
paragraph
tomorrow morning

## wrote: (cont.)

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, <u>Kristine</u>

wrote:

Sorry for the late response. Just finished with patients.

Looking a labs sent from early this month, Lipids done was calculat ed as oppose d to direct LDL. Insuran ce compan ies look for the direct LDL when

## wrote: (cont.)

<table><tr><th>approvi
ng
medica
tions
becaus
e this is
a more
accurat
e count,
therefo
re,
represe
nting a
more
accurat
e
cardiov
ascular
risk
equival
ent.
When
the
triglyce
rides is
high,
such as
in the
case of
Mr.
Epstein,
the lab
cannot
provide
an
accurat
e LDL
count.
As you
can see
there
was no
LDL
value
given

-If you
want to</th></tr></table>

## wrote: (cont.)

<table><tr><th>procee
d with
insuran
ce
approv
al, he
will
need to
re-take
labs
with
direct
LDL. He
cannot
start
Repath
a prior
to
recheck
ing labs
becaus
e 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
cy (800-
521-
3949) is
willing
to give</th></tr></table>

## wrote: (cont.)

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

)

## wrote: (cont.)

For the twice a month injection $1,150/ month ( with 10% discoun t if he buys minimu m of 6 months

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

## wrote: (cont.)

pendin
g his
ok.
Thanks

KK

From:

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

Hello Kristine! I wanted to let you know I DID get
Jeffrey’
s
approv
al
confir
med
with
Repath
a and
have
been
able to
speak
with a
nurse
on
Jeffrey’
s
behalf!
A
register
ed
nurse

## wrote: (cont.)

is to
call me
within
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 questions:

-I understood from Dr. Shimony you will be
contact
ing
Jeffrey'
s
insuran
ce to
find
out
about
covera
ge and
getting
the $5
co-pay
card?

-Once insurance approves the medication, when will
Jeffrey
receive
his

## wrote: (cont.)

meds?
Hopin
g he
can get
3
months
of the
medica
tion at
a
time....
let me
know
if his
insuran
ce
approv
es this
or how
many
months
we can
receive
at a
time...
maybe
it is
more!?

-will you order Jeffrey a Sharps Container? The
nurse
was
asking
me
with
type of
injectio
n he
will be
getting
and I
do not
know
…she
said
there
are 3

## wrote: (cont.)

differe
nt
ones...

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

On Jan 10, 2018, at 4:08 PM, Kaw, Kristine <blackened out> wrote:

I am so sorry if I can't respond right away since I 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. 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

<u>From:</u> 

nt: We nes ay, January 1

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

Hi Kristine.

## wrote: (cont.)

-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 5:37 PM, 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

<u>From:</u>

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

## wrote: (cont.)

Hi Kristine. Thank you so much for this. Let me find out from Jeffrey if he has lab work that includes cholesterol within past 30 days. I don't think he does but he has gone without me knowing before A. I'll call the number below to set up training. Have a good evening. Lesley

Sent from my iPhone

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

Hi = Before we get started with the process, I need a copy of Mr. Epstein's recent labs including cholesterol with in the past 30 days. Please let me know if he does 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 call to set up a training session and also $5 copay card if medication approved.

Please let me know if you have any questions. Thank you

Kristine