YUTIQ® (fluocinolone acetonide intravitreal implant) 0.18 mg is indicated for the treatment of chronic non-infectious uveitis affecting the posterior segment of the eye.

Discover Continuous
Calm In Uveitis

This site is intended for US healthcare professionals only.

Address:

480 Pleasant Street
Suite B300
Watertown, MA 02472
1-833-EyePoint (1-833-393-7646)

Access and reimbursement support program

Designed to help you and your patients understand and gain access to coverage and reimbursement for YUTIQ. Call 1-833-EyePoint (1-833-393-7646; Option 3) for assistance.

Submit a patient through the EyePoint Assist HCP Portal

The EyePoint Assist HCP Portal allows you to submit patients for a benefits investigation, confirm insurance eligibility, and gain access to financial and reimbursement support.

To learn more, call 1-833-EyePoint (1-833-393-7646, option 3) for assistance.

New users: register for the portal

Download this onboarding form to sign up today.

Registered users: sign in to the portal

This link takes you directly to the EyePoint Assist HCP Portal.

Enroll a patient in EyePoint Assist

Download this form. Once completed, fax to 1-866-783-3124.

Key services include:

Reimbursement Support
  • Coverage verification
  • Prior authorization assistance
  • Benefit status update
  • Appeals support
  • Billing and coding information
  • Specialty pharmacy prescription support
Patient Access Support
  • Coordinate health insurance coverage
  • Determine associated out-of-pocket costs
  • Determine eligibility for the co-pay program or Patient Assistance Program (PAP)
  • Reliance Program Support
Permanent J code:
J7314

For Medicare reimbursement rate for YUTIQ, visit CMS.gov

Refer to these sample forms for guidance on how to properly fill out a CMS-1500 or UB-04 form

Permanent J code: J7314

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Code TypeCodeDescriptor
HCPCSJ7314Injection, fluocinolone acetonide, intravitreal implant (YUTIQ), 0.01 mg
10-digit NDC
11-digit NDC
71879-136-01
71879-0136-01
YUTIQ (fluocinolone acetonide intravitreal implant) 0.18 mg
WAC pricing
Current WAC
$8,619

Ordering YUTIQ

YUTIQ is available through these specialty distributors.

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Specialty distributorPhone numberFax numberItem order number
Besse1-513-851-23451-513-851-329953837
Metro Medical1-800-768-2002N/A718790
McKesson Specialty Health1-855-477-98001-800-800-56735008760
McKesson Plasma & Biologics1-877-625-25661-888-752-76263750148
FFF Enterprises1-800-843-74771-800-418-4333YUT013601

YUTIQ is also available for consignment through FFF Enterprises.

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Specialty distributorPhone numberFax numberItem order number
FFF Enterprises1-800-843-74771-800-418-4333YUT013601

Learn more about the YUTIQ consignment program through FFF enterprises.

Download the YUTIQ ordering and reimbursement process guide

Learn more about the ordering process for your office.

YUTIQ in practice: a CEO's perspective

Jeff Brockette, CEO, Texas Retina Associates

Listen to the CEO of Texas Retina Specialists discuss EyePoint support, getting started with YUTIQ, and HUB enrollment.

Play Video

Downloadable resources

EyePoint Assist Reimbursement Support Forms

YUTIQ Reimbursement and Diagnosis Codes

An at-a-glance guide designed to provide important codes to properly bill for YUTIQ.

YUTIQ Ordering and Reimbursement Process

An overview of the step-by-step ordering and buy-and-bill reimbursement process for YUTIQ.

Order Reimbursement FFF Enterprises Flashcard

Ordering and reimbursement information for FFF Enterprises specialty pharmacy.

HCP Portal Registration Form

HCP Portal Registration Form to gain access to online case submission, tracking, and reimbursement support.

CMS 1500 submission form

Example of the CMS 1500 form used by physician offices for Medicare and some commercial payer billing.

UB-04 submission form

Example of the UB-04/CMS 1450 form used by hospital outpatient departments for Medicare and some commercial payer billing.

EyePoint Assist Patient Enrollment Form

A key component to getting patients started on YUTIQ and enrolled in financial support offerings such as co-pay support.

Medical Necessity Form

This letter provides an example of the types of information that may be provided when responding to a request from a patient’s health plan to provide a letter of medical necessity for treatment with YUTIQ.

Claim Appeals Form

This letter provides an example of the types of information that may be provided when appealing a claims denial from a patient’s health plan for treatment with YUTIQ.

CMS=Centers for Medicare & Medicaid Services.