AccessPlus Program offers streamlined patient reimbursement support services that are easily integrated into your patient processing system. AccessPlus supports your patients with comprehensive services built around your practice needs:
Upon selecting YUTIQ, complete and submit patient enrollment form to AccessPlus by faxing it to 1-866-783-3124.
Upon receipt of the enrollment form, AccessPlus will begin the benefits investigation process. Support services include:
Once AccessPlus notifies practice of insurance approval, practice contacts specialty distributor.
Practice confirms injection appointment with patient when YUTIQ is available.
File claim with patient’s insurance provider.
Payor adjudicates claim; turnaround time will vary depending on the payor.
Healthcare provider is reimbursed by payor (commercial insurance, Medicare, and/or Medicaid).
HCP submits Explanation of Benefits, Claim Form, and Co-pay Request Form to AccessPlus to initiate the process for potential co-pay reimbursement.
See options here
Let us help you determine your patients’ coverage for YUTIQ
Let us help you determine your patients’ coverage for YUTIQ
The YUTIQ CoPay Program provides assistance toward product-specific copay, co-insurance and insurance deductibles for YUTIQ that exceed $25.* Qualifying patients are responsible for a maximum of $25.00 out-of-pocket costs.
To help your patients with their out-of-pocket costs for YUTIQ, the YUTIQ CoPay Program is available for eligible patients who have commercial or private insurance. There is no income eligibility requirement. Eligibility requirements include:
*The program does not cover or provide support for procedures, supplies, or physician-related services associated with YUTIQ. Only product-specific copay, co-insurance and insurance deductibles are covered. This program is not valid where prohibited by law, taxed or restricted. Alimera Sciences reserves the right to change or cancel this offer or eligibility terms at any time without notice.
The YUTIQ Patient Assistance Program provides YUTIQ free of charge to eligible patients who are uninsured or lack coverage for YUTIQ. Eligibility requirements include:
The process:
YUTIQ is Available Through Specialty Distributors
Specialty distributor | Phone Number | Fax Number | Item Order Number |
---|---|---|---|
Besse | 1-513-851-2345 | 1-513-851-3299 | 10243067 |
McKesson Specialty Health | 1-855-477-9800 | 1-800-800-5673 | 5016150 |
McKesson Plasma & Biologics | 1-877-625-2566 | 1-888-752-7626 | 2842318 |
Code type | Code | Descriptor | ||||
---|---|---|---|---|---|---|
HCPCS | J7314 | Injection, fluocinolone acetonide, intravitreal implant (YUTIQ), 0.01 mg (bill for 18 units) | ||||
|
| YUTIQ® (fluocinolone acetonide intravitreal implant) 0.18 mg |
CONTRAINDICATIONS
CONTRAINDICATIONS
WARNINGS AND PRECAUTIONS
ADVERSE REACTIONS
Please see full Prescribing Information at hcp.yutiq.com/pi/.
This site is intended for US residents only. YUTIQ is a registered trademark of Alimera Sciences, Inc.
CONTINUOUS MICRODOSING and the CONTINUOUS MICRODOSING symbol are trademarks of Alimera Sciences, Inc.
1-844-445-8843. US-YTQ-MMM-0032