Celgene Patient Support Specialist

Please see full Prescribing Information,
including Boxed WARNING.

Insurance-related assistance for IDHIFA®

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

  • Initiate a benefits investigation to determine co-payment and other out-of-pocket costs for IDHIFA
  • 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 the patient’s insurance company denies a prior authorization, precertification, or claim for the prescribed IDHIFA, Celgene Patient Support® can provide:

  • 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 necessity; 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

IDHIFA is only available through contracted specialty pharmacies or through cancer center pharmacies (community physicians/hospitals/institutions/Veterans Affairs/Department of Defense).

You can access the IDHIFA specialty pharmacy network list online at www.IDHIFApro.com/access.

*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.