WAINUA FDA Approval Letter

This letter contains a copy of the statement from the FDA approving WAINUA for use as recommended in the product labeling.

WAINUA Enrollment Form

Download and complete the WAINUA Enrollment Form to request support for your patients.

Click here to complete the WAINUA Enrollment Form online

Click here to see the Annotated WAINUA Enrollment Form

WAINUA Patient Authorization Form

Ensure your patients complete and sign the WAINUA Patient Authorization Form so Access 360 can provide select services.

WAINUA Benefits Coordinator Guide

This resource will outline administration options, access support services and information on helping patients afford WAINUA.

WAINUA Access and Reimbursement Guide

This guide contains general information on support services, coding, reimbursement, and distribution for WAINUA.

WAINUA Coding Resource

This resource provides specific codes related to diagnosing and billing for WAINUA.

WAINUA Buy-and-Bill Reference Guide

This resource provides details to support HCP offices through acquisition of buy-and-billing.

WAINUA Specialty Pharmacy and Distributor Sheet

This sheet provides the contact information of authorized specialty pharmacy providers and specialty distributors through which WAINUA can be acquired.

WAINUA Savings Program Healthcare Provider Affordability Brochure

This two-page resource describes how patients can get support for out-of-pocket costs for WAINUA if approved by insurance.

WAINUA Savings Program Patient Affordability Brochure

This resource explains affordability options for eligible patients who are prescribed WAINUA.

WAINUA Prior Authorization and Appeal Checklists

Checklists designed to be used as references during the prior authorization and denial/appeal processes for WAINUA.

WAINUA Common Payer Requirements

This asset covers common payer requirements for prior authorization.

Sample Letter of Medical Necessity

This template can be used by a healthcare provider to respond to a patient’s insurance company requesting a letter of medical necessity for prescribing an AstraZeneca specialty medicine.

WAINUA Sample Letter of Appeal

This template can be used by a healthcare provider to appeal a denial of access to an AstraZeneca medicine.

Click here to download the WAINUA Sample Letter of Appeal Guide

Click here to download the WAINUA Sample Letter of Appeal

Click here to download the WAINUA Compendium

WAINUA Peer-to-Peer Resource

This resource should be used as a guide to prepare for peer-to-peer reviews between a healthcare provider and payer after a denial of coverage for WAINUA.

Denial Management Guide

This guide provides resources and information to ensure you have all the tools you need to help navigate the denial of an AstraZeneca medicine.