Celgene Patient Support Specialist

Please see full Prescribing Information.

Tools and resources

Celgene Patient Support® offers tools and resources for VIDAZA® that healthcare professionals, office staff, pharmacists, and patients may find helpful. Choose from the list below to access these tools available to patients.

Coding and reimbursement

Below is a quick reference to potentially applicable billing codes for VIDAZA.

Reimbursement codes for VIDAZA

J code J9025 Injection, azacitidine, 1 mg
NDC 59572-0102-01 Lyophilized powder in 100 mg single-dose vials

Celgene Patient Support® programs

You can connect with your Celgene Patient Support® Specialist in person or through a web conference. Call your Celgene Patient Support® Specialist to set up a meeting.

Field Reimbursement Specialist

Your Field Reimbursement Specialist is a field-based extension of Celgene Patient Support® who can provide the following for prescribed Celgene medications:

  • Coding and reimbursement education
  • Assistance with understanding regional and local payer coverage policies
  • Information about financial assistance options for patients

Call your Celgene Patient Support® Specialist to learn more.

Insurance forms

Letter of medical necessity
A letter of medical necessity is a letter written by the patient’s treating physician to the patient’s insurance company requesting prior approval for medication or reconsideration of a denial. The letter should generally contain information on the patient’s medical history and current treatment plan. You can download guidelines for writing a letter of medical necessity here.

download-letter-medical-necessity

Appointment of representative release form
The appointment of representative release form is often required by insurance companies in the event of an appeal. This form allows Celgene Patient Support® to assist the patient with the appeals process. You can download the form here.

Appointment of Representative Release Form

Patient resources

There are many independent resources available that can help patients be more informed and involved during their treatment with VIDAZA.

Celgene does not endorse any of these organizations or their communications.

These organizations can connect your patients with other patients and support groups, and help them find out more information about their diagnosis and treatment options.

American Cancer Society (ACS) | 1-800-ACS-2345 (1-800-227-2345) | www.cancer.org

CancerCare® | 1-800-813-HOPE (1-800-813-4673) | www.cancercare.org

Cancer Hope Network | 1-877-HOPENET (1-877-467-3638) | www.cancerhopenetwork.org

Cancer Support Community | 1-888-793-9355 | www.cancersupportcommunity.org

National Cancer Institute | 1-800-4-CANCER (1-800-422-6237) | www.cancer.gov

Patient Access Network Foundation | 1-866-316-PANF (7263) | www.panfoundation.org

Patient Advocate Foundation | 1-800-532-5274 | www.patientadvocate.org

Other services patients may need include transportation services, having meals delivered to their home, and help with choosing an insurance plan or paying for coverage.

TRANSPORTATION

American Cancer Society | 1-800-ACS-2345 (1-800-227-2345) | www.cancer.org

FOOD DELIVERY

Meals on Wheels Association of America | www.mowaa.org

INSURANCE AND DISABILITY

Centers for Medicare & Medicaid Services | www.cms.gov

Disability.gov | www.disability.gov

Health Insurance Marketplace | 1-800-318-2596 | www.healthcare.gov

Patient Advocate Foundation | 1-866-512-3861; Option 1 | www.patientadvocate.org

Caregiver organizations are available to provide support groups, information, advice, and referrals to resources for local and long-distance caregiving.

Cancer Support Community | 1-888-793-9355 | www.cancersupportcommunity.org

Caregiver Action Network | 1-202-454-3970 | www.caregiveraction.org

Family Caregiver Alliance | 1-800-445-8106 | www.caregiver.org

National Alliance for Caregiving | 1-301-718-8444 | www.caregiving.org

Well Spouse® Association | 1-800-838-0879 | www.wellspouse.org