Celgene Patient Support Specialist

Please see full Prescribing Information,
including Boxed WARNING.

Insurance-related assistance for ABRAXANE®

On behalf of the patient, our Specialists are available to assist with each of the following steps in the insurance approval process for ABRAXANE*:

  • Initiate a benefits investigation to determine co-payment and other out-of-pocket costs
  • Assess prior authorization or precertification requirements
  • Educate patients about insurance coverage or other programs for which they may qualify

If you need assistance with the prior authorization or precertification process or are following up on a prior authorization or precertification, Celgene Patient Support® can help.

  • We can assist with the prior authorization or precertification process, providing you with the necessary forms for completion
  • We can also follow up with the insurance provider to determine the outcome

If patient’s insurance company denies a prior authorization, precertification, or claim for ABRAXANE, Celgene Patient Support® can assist with the appeals process by:

  • Information about the appeals process after a denied prior authorization, precertification, and/or claim
  • A checklist of the required documentation for submission to the insurance company
  • An appeal submission to the insurance company at the request of the patient and follow up on the status until a decision is reached

In order for Celgene Patient Support® to assist with an appeal, please provide the following information within 2 weeks of the insurance denial:

  • Copies of the front and back of the patient’s health insurance card(s), including a drug card or copy of patient’s information sheet clearly identifying insurance information, including phone numbers and claim submission address
  • Denial letter from payer
  • History and physical or consult letter and progress notes; and if applicable, related laboratory tests. Last 3 months needed
  • Letter of medical mecessity; please include drugs tried and failed for this diagnosis. You can download information for letter of medical necessity here
  • Appointment of representative release form. This form allows us to assist the patient with the appeals process and can be downloaded here
*Celgene cannot provide insurance advice or make insurance decisions.
Celgene provides a facilitation service and will not provide any medical input into a prior authorization or an appeal.