Bafiertamhcp.com

BAFIERTAM® Copay Assistance Banner Patient Support Services

WebCall Banner Patient. Support at. 1-855-3BANNER. (1-855-322-6637) Monday through Friday. (8:30 AM to 8:00 PM ET) *The $0 Copay Program is for patients taking …

Actived: 2 days ago

URL: https://www.bafiertamhcp.com/banner-patient-services

BAFIERTAM Patient Information

WebPatient Information BAFIERTAM® (bah”feer’tam) (monomethyl fumarate) delayed-release capsules, for oral use What is BAFIERTAM? • BAFIERTAM is a prescription medicine …

Category: Medicine Go Health

Specialty Pharmacy Network

WebAdherence programs 1-on-1 clinical education calls Access to Banner Patient Support. Specialty Pharmacy. Phone. Fax. Web Address. AcariaHealthTM. 1-877-928-5120. 1 …

Category: Health Go Health

INSTRUCTIONS FOR HEALTHCARE PROVIDERS

Web1 2 3 • Copy both sides of the patient’s primary and secondary medical insurance cards, and pharmacy bene˜t card, and submit them with the form • Indicate ICD-10 code, list recent …

Category: Medical Go Health

BAFIERTAM® Patient Prescribing Information for HCPs

WebFax a completed 1-page Patient Enrollment Form with copies of the patient's insurance card to Banner Patient Support at 1-866-539-0270. After the prescription is received, your …

Category: Health Go Health

Medical Necessity Template

WebRe: Letter of Medical Necessity for BAFIERTAM® (monomethyl fumarate) delayed release capsule. Dear Medical/Pharmacy Director Name, I am writing on behalf of patient’s name …

Category: Medical Go Health