Field Reimbursement Managers

Alexion Field Reimbursement Managers (FRMs) provide education and support to HCP offices to facilitate patient access to their prescribed Alexion medications.

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STRENSIQ Prescription Form

Prescription form that a healthcare provider fills out for a new patient start and sends directly to  PANTHERx RARE® Specialty Pharmacy, the exclusive preferred specialty pharmacy for STRENSIQ.

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PANTHERx RARE® Specialty Pharmacy

Overview and description of STRENSIQ's exclusive preferred specialty pharmacy including contact information for PANTHERx RARE® and OneSource.

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STRENSIQ Statement of Medical Necessity

This form helps HCPs to gather key information that payers could require when starting a patient on STRENSIQ, collect data for the PANTHERx RARE®, and document medical necessity.

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STRENSIQ Common Prior Authorization Criteria

Presents the common criteria that may be requested by payers for prior authorization of STRENSIQ in HPP as well as general information about the prior authorization processes.

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STRENSIQ Letter of Medical Necessity

This template is a resource a healthcare provider may use when responding to a request from a patient’s insurance company to provide a letter of medical necessity when prescribing STRENSIQ.

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Compendium of HPP References for STRENSIQ

An overview of references for STRENSIQ in HPP that is inclusive of the Prescribing Information, FDA approval letter, and other public domain evidence.

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Peer-to-Peer Medical Review

Resource that provides education and support for HCPs, HCP offices, and infusion centers about using a peer-to-peer review as a potential next step before submitting a formal appeal.

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STRENSIQ Sample Appeal Letter

This templated sample letter provides support to healthcare providers in the appeals process in the event the patient’s health insurance plan denies coverage for STRENSIQ in HPP.

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Reauthorization Guide

Resource that provides education and support for HCPs, HCP offices, and infusion centers about the reauthorization process including health plan requirements and timing implications for reauthorizations.

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One Source

OneSource is a complimentary, personalized patient support program offered by Alexion and tailored to the specific needs of people living with aHUS, gMG, HPP, LAL-D, NMOSD and PNH.

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For urgent matters, please call 1-888-765-4747 to speak with a Customer Operations Representative (COR) about ordering and shipping product, or with a OneSource™ patient support specialist who can connect you with your local Field Reimbursement Manager (FRM) for reimbursement support.

OneSource, a personalized patient support program offered by Alexion, is available Monday through Friday, 8:30 am - 8 pm EST.

References: 1. STRENSIQ. Prescribing information. Alexion Pharmaceuticals, Inc. 2020.