NUEDEXTA has extensive nationwide coverage

  • Now Preferred, No Restrictions for 80% of Medicare Part D Patients Nationwide*17
  • Over 140 million lives covered without restrictions on NUEDEXTA†17

*No restrictions means no prior authorizations or step edit is required.17 
Lives covered without restrictions on NUEDEXTA include: over 126 million Commercial lives plus over 17 million Medicare lives.17

AVANIR Pharmaceuticals is committed to helping patients get the therapy they need through Advanced Patient Services*

The Advanced Patient Services program is designed to help patients and caregivers appropriately navigate the complexities of the managed care landscape to obtain NUEDEXTA. Our professionally trained and experienced Reimbursement Specialists are committed to helping with eligibility for coverage, cost, and formulary authorization if necessary.

*Some services are limited to on-label diagnosis.

More than 3500 patient cases successfully completed for NUEDEXTA in the last year17

95% Average Approval Rate17

One-Stop Access and Benefits Support

 

VerfiedBenefits Verification

CertificatePrior Authorization and Formulary Exception Support

SavingsSavings Cards*

AssistancePatient Assistance Programs (PAP)

ReferalsReferrals to Independent Foundations

PackageHome Delivery Option


What You Need to Get Patients Started

1

APS Enrollment Form:
Prescriber Section and Patient Section completed and signed

2

Patient Insurance Information

3

Appropriate ICD-10 Diagnosis Code†‡

4

Copy of Prescription:
if requesting Home Delivery

  1. Restrictions Apply. Those eligible for any state or federally funded prescription programs including Medicare, Medicaid, Medigap, VA, DOD, or TriCare are not eligible for this program.
  2. Some services are limited to on-label diagnosis codes.
  3. ICD-10-CM codes submitted to the payer must be determined by the provider/physician and accurately describe the diagnosis for which the patient receives NUEDEXTA treatment, represent codes at the highest level of specificity and reflect the contents of any clinical notes and/or chart documentation. The coding information contained herein is gathered from various resources and is subject to change. Nothing in this document is intended to serve as reimbursement advice, a guarantee of coverage, or a guarantee of payment for NUEDEXTA. Please refer to your payer plans for specific guidance.22

WE’VE GOT YOUR PATIENTS COVERED WITH COMPREHENSIVE NUEDEXTA SUPPORT*

*Not all patients are eligible for coverage.

IF YOU HAVE QUESTIONS ABOUT NUEDEXTA OR NEED REIMBURSEMENT SUPPORT

CALL 1-855-4NUEDEX (468-3339)
or visit
www.AdvancedPatientServices.com