Specials
In order to be eligible for the Xeljanz MasterCard Debit Program, one must first_____________
Be enrolled in the Xeljanz Co-Pay Card Program
Be enrolled in the Xeljanz Base Card Program
Be enrolled in the Xeljanz MasterCard Debit Program
Be enrolled in the Xarelto CarePath Base Program
The medication xeljanz is used for ______________
Asthma
Anaplastic thyroid cancer
Acromegaly
Rheumatoid Arthritis
Who will call to enroll the patient into the program?
The patient
The prescribing physician
Sonexus Health/XelSource representative
LASH representative
What is the first step within PLP to enroll a patient into the program?
Add a New Person
Enrollment
Person
Administration
What is the second step within PLP to enroll a patient into the program?
Find a Person
Initial Enrollment Processing
Work with a Person
Unlock Documents
What information do we need in order to process enrollment?
Patients name, DOB, address, member ID number
Patients name, DOB, address, telephone #, member ID and initial load amount
Patients name, DOB, address, telephone #, member ID, (optional e-mail), and initial load amount
Patients DOB, address, telephone #, member ID, (optional e-mail) and initial load amount
Once the patient is enrolled, within 7-10 business days they will receive.....
Prepaid MasterCard, welcome letter and PIN mailer
Prepaid MasterCard, welcome letter, card holder agreement and proof of purchase form
Prepaid MasterCard, welcome letter, card holder agreement, proof of purchase form and PIN will be mailed separately
Prepaid MasterCard, welcome letter, card holder agreement and PIN will be mailed separately
The following questions will be about the EMD Copassionate Program
How long will it take to process enrollment ?
2-3 business days
5-7 business days
7-10 business days
7-14 business days
What are the two types of Gemini Tickets we would create for this program?
Enrollment Issue and Claim Issue
Appeal and Claim Issue
Appeal and Lost Card
Enrollment Issue and Appeal
This program is designed to financially assist those for_________treatment
Fertility
cancer
flu
dermatological
This EMD Compassionate care program will cover the medications:
Gonal F, Ovidrel and Clomid
Gonal F, Clomid and Lupron
Gonal F, Ovidrel and Cetrotide
Ovidrel, Clomid and Cetrotide
What other documentation must be submitted along with the enrollment form in order to process the application?
PCA and most recent 1040 tax document
PCA and W2 (or paystub)
most recent 1040 tax document and W2 (or paystub)
most recent 1040 tax document and letter
What are the three ways one can submit their application?
On the phone, complete on website or fax
They can drop it off to us, complete on website or fax
Complete on website, Call, or drop off to us
Complete on website, fax, or mail
The following questions are about the Dysport VDC Program
What documents do you needs to submit to get a rebate?
Detailed EOB or Specialty Pharmacy
Itemized Bill Only
Cash register receipt
How long does it take to process a claim?
Regret Letter
Clarification Form
Out of Network Verification Letter
If a patient wants to change their payment method what needs to be done?
This must be approved by the client, then submitted to programs SCR
Submitted to programs SCR
This must be approved by the client, submitted to programs SCR, following questions must be answered why the patient needs to switch? Has the patient already paid for the drug out of pocket?
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