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The custom support guide provides helpful information and resources about the process
for acquiring LEQVIO
and the services available to your office.
How will you order and administer LEQVIO®?
ClickTap + to learn more about each acquisition method. Select the one that applies.
I am going to acquire through buy-and-bill and administer in my office
Buy-and-bill is a method for acquiring specialty drugs covered under the Medical Benefit.
Your office purchases LEQVIO from an authorized distributor, receives and administers the product, then submits for reimbursement for the product cost and the administration fee.
I will refer to an alternate injection/infusion center or a hospital outpatient department for administration
Your office will refer the patient to another site to receive LEQVIO, which may include an injection/infusion clinic or center, hospital outpatient department, or another physician's office. The site is responsible for acquiring the product and submitting for reimbursement.
I am going to acquire through specialty pharmacy and administer in my office
Your office orders from a specialty pharmacy, administers the product, then submits a claim for the administration fee. The specialty pharmacy works with the patient on their out-of-pocket responsibility for the product.
Product ordered through specialty pharmacy must be given to the specific patient for whom it was ordered (unlike with buy-and-bill, in which the product can be given to any patient for whom it's prescribed).
I am not sure
Buy-and-bill
Which services do you plan to utilize?
ClickTap + to learn more about each service. Select all that apply.
Benefits verification
A benefit verification is the process by which the LEQVIO® Service Center confirms whether a patient has access to the product and if any plan requirements must be met before therapy can be received.
Based on patient eligibility, the LEQVIO Service Center may be able to offer information regarding additional assistance programs for your patients who are uninsured or underinsured.
Prior authorization and appeals support
Insurance plans may put restrictions in place. The Service Center has experience with these processes and can provide resources and support.
Product acquisition information and resources
Patient coverage and insurance plan requirements may dictate how you acquire LEQVIO® for your patients. The Service Center can provide helpful information about this process.
Co-pay support
The LEQVIO® Co-pay Program is available for eligible commercially insured patients.
Billing and coding support
To receive reimbursement for the product and administration costs, proper coding practices should be followed. The Service Center can provide information and resources regarding billing and coding.
Novartis cannot guarantee insurance coverage or reimbursement. Coverage and reimbursement may vary significantly by payer, plan, patient, and setting of care.
Buy-and-bill
+1
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Based on your selections, we've created a custom
support guide just for you.
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Alternate injection/infusion center or a hospital outpatient department
Thanks for your responses!
Based on your selections, we've created a custom
support guide just for you.
Generate your custom guide below, and feel free to
reach out if you have any questions.
I am not sure
Thanks for your responses!
Based on your selections, we've created a custom
support guide just for you.
Generate your custom guide below, and feel free to
reach out if you have any questions.
