This resource provides information related to the SAPHNELO J-Code.
This letter contains a copy of the statement from the FDA approving SAPHNELO for use as recommended in the product labeling.
Download and complete the SAPHNELO Supports Enrollment Form to request support for your patients.
Click here to fill out the Patient Authorization Form Online.
This resource will outline administration options, access support services and information on helping patients afford SAPHNELO.
This guide contains general information on dosing, distribution, support services, and reimbursement for SAPHNELO.
This resource provides details to support HCP offices through acquisition of buy-and-billing.
This sheet provides the contact information of authorized Specialty Pharmacy Providers and Specialty Distributors, from which SAPHNELO can be obtained.
A two-page resource describing ways in which patients can pay for SAPHNELO if it is approved or denied.
A single-page form for providers to complete in the event that a patient has been denied SAPHNELO.
Checklists designed to be used as references during the prior authorization (PA) and denial/appeal processes for SAPHNELO.
This resource is designed to be used as a reference during the prior authorization (PA) and denial/appeal processes for SAPHNELO. Providing accurate and complete clinical documentation with current labs in support of the provider’s treatment decision is key to timely review of PA requests and appeals.
This template can be used by a healthcare provider to appeal a denial of access to SAPHNELO.
This template can be used by a healthcare provider to appeal a denial of access to SAPHNELO.
This template is offered as a resource that a healthcare provider could use when responding to a request from a patient’s insurance company to provide a letter of medical necessity for prescribing SAPHNELO.
The AstraZeneca Access 360™ program provides personal support and resources to help streamline access and reimbursement for select AstraZeneca medicines, including SAPHNELO. These resources include the Benefits Investigations Report, the Denial Management Guide, and the Peer-to-Peer resource.
