A multi-page enrollment form to capture necessary patient, provider, and prescription information to start a new request for support.
This annotated guide provides direction on how to complete each section of the Access 360 Enrollment Form.
This resource provides specific codes related to diagnosing and billing for LUMOXITI.
Use this resource to ensure the correct code is used to identify LUMOXITI.
This piece provides a contact list of specialty pharmacy providers and specialty distributors that handle LUMOXITI.