Celgene Patient Support Specialist

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Understand your insurance plan

We know how hard it can be to understand your health insurance. When you enroll in Celgene Patient Support®, your Specialist can help answer your questions.*

Here are some commonly asked questions about your insurance coverage for VIDAZA®.

Before you start VIDAZA®, your doctor’s office may need to see if your health insurance will pay for it. This is called a benefits investigation. A benefits investigation will tell your doctor:

  • If VIDAZA® is covered
  • How much VIDAZA® will cost you
  • If your health insurance must approve VIDAZA® before you start. This is called precertification or a prior authorization

At your request, your Celgene Patient Support® Specialist will:

  • Research your insurance benefits to determine co-pay responsibility and other out-of-pocket costs
    for VIDAZA®
  • Determine if prior authorization or precertification is required
  • Determine if you are eligible for Medicaid or alternative coverage

Celgene Patient Support® can assist with the prior authorization or precertification process with insurance providers by*:

  • Providing your doctor’s office with the necessary forms
  • Following up with the insurance provider to determine the outcome

*Celgene provides a facilitation service and will not provide any medical input into a prior authorization.

If your health insurance has denied coverage of VIDAZA®, we can assist with the appeals process.* An appeal will ask your health insurance to cover VIDAZA®.

*Celgene provides a facilitation service and will not provide any medical input into an appeal.

Yes, even if you do not have health insurance or enough coverage to pay for VIDAZA®, the Celgene Patient Assistance Program (PAP)* may be able to provide you with VIDAZA® at no cost. To qualify, you must meet certain financial criteria. We can also help you find other programs for which you may qualify to help pay for VIDAZA®.

To find out more, call your Celgene Patient Support® Specialist at 1-800-931-8691,
Monday – Thursday, 8 am – 7 pm ET, and Friday, 8 am – 6 pm ET (translation services available).

*Patients must meet specified financial and insurance eligibility criteria to qualify for assistance.

*Celgene Patient Support® is not insurance and does not influence or make any insurance decisions.