Xofigohcp.com

Dosing and Administration

WEBXofigo is delivered in a convenient, patient-ready dose. A patient-ready dose with the requested activity will be provided in a syringe by Cardinal Health Nuclear Pharmacy …

Actived: 4 days ago

URL: https://www.xofigohcp.com/about-xofigo/dosing-and-administration

Patient Resources Xofigo® (Radium Ra 223 Dichloride) For HCPs

WEBDue to its mechanism of action and neoplastic changes, including osteosarcomas, in rats following administration of radium-223 dichloride, Xofigo may increase the risk of …

Category: Health Go Health

Patient Assistance Xofigo® (Radium Ra 223 Dichloride) For HCPs

WEBComplete the Xofigo Enrollment Form PDF (page 4 of PDF) on your patient’s behalf. Ensure both the patient and physician sign and date the application. Fax the application, …

Category: Health Go Health

Coding and Billing Xofigo® (Radium Ra 223 Dichloride) For HCPs

WEBPlease read the following information to help facilitate patient access, successful claims filing, and accurate reimbursement for Xofigo ®. Coding and billing varies by site of care: …

Category: Health Go Health

How to Order Xofigo® (Radium Ra 223 Dichloride) For HCPs

WEBSubmit the appropriate form, including signed Patient Authorization, via phone, fax, or online: Call 1-855-6XOFIGO (1-855-696-3446) Fax 1-855-963-4463. Visit …

Category: Health Go Health

Routine monitoring requirements for your patients with …

WEBRoutine monitoring requirements. Perform standard hematologic evaluations before and during treatment with Xofigo®1. CONFIRM. • Absolute neutrophil count is ≥1.5 x 109/L • …

Category: Health Go Health

PATIENT SUPPORT REQUEST FORM

WEBPATIENT AUTHORIZATION FOR XOFIGO® ACCESS SERVICES I authorize the use and disclosure of my Protected Health Information (“PHI”) as defined by the Health Insurance

Category: Health Go Health

Administration Guide

WEBPlease see Important Safety Information on pages 5 and 6 and click here for full Prescribing Information. INECTION radium Ra 223 dichloride Sites will receive a patient-ready unit …

Category: Health Go Health

Storage and Handling Guide

WEBStorage and Handling Guide Please see additional Important Safety Information on page 2 and click here for full Prescribing Information. XOFIGO® IS INDICATED for the …

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Sample Letter of Medical Necessity

WEB0.6071 in [Date] [Contact at health insurance company] Insured: [First and last name] [Title] Patient: [First and last name] [Name of health insurance company] Policy Number: …

Category: Health Go Health

Efficacy Data Xofigo® (Radium Ra 223 Dichloride) For HCPs

WEBSparing patients from pathologic bone fractures (5%), spinal cord compression (4%), and the need for EBRT (30%) or surgical intervention (2%) 2. Delay in time to first SSE …

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Instructions for completing the Patient Support Request Form

WEBPATIENT SUPPORT REQUEST FORM Phone: 1-855-6XOFIGO (1-855-696-3446) Fax: 1-855-963-4463 2 I voluntarily provide this authorization for the use and …

Category: Health Go Health

Billing for Xofigo (radium Ra 223 dichloride) Injection and

WEBBilling by the Hospital Outpatient Department for the product Xofigo ® According to Medicare guidance, the hospital outpatient department may submit a separate claim for …

Category: Health Go Health

Dose Calibrator Dial Setting Procedure for Xofigo

WEBPlease click here for full Prescribing Information. For further information, please visit www.xofigo-us.com 2 INDICATION Xofigo® is indicated for the treatment of patients …

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Sample Letter of Appeal

WEB[Date] [Contact at health insurance company] Insured: [First and last name] [Title] Patient: [First and last name] [Name of health insurance company] Policy Number: [Number] …

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Xofigo® Holiday Delivery Schedule for 2020

WEBXofigo® Holiday Delivery Schedule for 2020 7/ *Xofigo® not available for administration on observed holidays. Schedule subject to change based on FedEx and charter flight …

Category: Health Go Health

Xofigo® Holiday Delivery Schedule for 2022

WEBXofigo® Holiday Delivery Schedule for 2022. *Xofigo® not available for administration on observed holidays. Schedule subject to change based on FedEx and charter flight …

Category: Health Go Health

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