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 Pharmacy, the exclusive preferred specialty pharmacy for STRENSIQ.

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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 Pharmacy, and document medical necessity.

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STRENSIQ HCP Starter Kit

A suite of resources needed to facilitate a patient’s access to STRENSIQ.

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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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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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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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Six-Minute Walk Test

Educational leave behind for HCPs and their offices that communicates what the 6-minute walk test is, when it is used, why it might be needed for patients, how the test is conducted, and includes coding and billing information.

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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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How to Access STRENSIQ

This guide provides helpful information on the administrative aspects of the STRENSIQ access process, including benefit investigations, prior authorizations, reauthorizations, and Alexion support resources.

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Functional Assessment Overview for STRENSIQ

An interactive, educational guide with in-depth descriptions and information on multiple functional assessments commonly required for STRENSIQ prior authorizations and reauthorizations.

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Renal and Ophthalmologic Assessments for STRENSIQ Prior Authorizations and Reauthorizations

An interactive, educational guide that provides renal and ocular specialists who treat hypophosphatasia patients with valuable information regarding relevant prior authorization and reauthorization criteria for STRENSIQ.

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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 atypical-HUS, gMG, HPP, LAL-D, NMOSD, PNH, PNH with EVH, and NF1.

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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 ET.

Reference: 1. STRENSIQ. Prescribing information. Alexion Pharmaceuticals, Inc.