Field Reimbursement Managers

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

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ULTOMIRIS Access & Reimbursement Guide

An access and reimbursement educational support resource for healthcare professionals, healthcare professional offices, and infusion centers that administer ULTOMIRIS in gMG.

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ULTOMIRIS gMG Common Prior Authorization Criteria

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

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ULTOMIRIS gMG Sample 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 ULTOMIRIS in gMG.

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Compendium of gMG References for ULTOMIRIS

An overview of references for ULTOMIRIS in gMG 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 healthcare professionals, healthcare professional 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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ULTOMIRIS gMG 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 ULTOMIRIS in gMG.

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ULTOMIRIS gMG Coding & Billing Guide

The ULTOMIRIS gMG Coding & Billing Guide contains objective and factual coding, billing, and claims information to support access and appropriate reimbursement for ULTOMIRIS in gMG.

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Access Considerations for Home Infusion of Intravenous Therapies

Resource that provides education for healthcare professionals and healthcare professional offices on home infusion access and reimbursement.

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Reauthorization Guide

Resource that provides education and support for healthcare professionals, healthcare professional 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 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. ULTOMIRIS. Prescribing Information. Alexion Pharmaceuticals, Inc.