Myrbetriq Support Solutionsa will provide Prior Authorization (PA) Assistance when a healthcare provider makes a direct request for PA or Benefits Verification assistance, and a prior authorization is required.
Upon completion of the Patient Enrollment Process, we will verify insurance coverage and obtain the appropriate PA form.
We will provide you with a Summary of Benefits, including a summary of the PA requirements. Additionally, we will transfer information you provided during the patient enrollment process to prepopulate the PA form with basic patient and healthcare provider information.
You must then review, complete, and sign the PA form.
You can either request that we submit the completed, signed form directly to the patient's insurer or you can submit it directly on your own.
If we submit the form, we will relay the PA results to you and inform you of any additional information required by the insurer.
a Myrbetriq Support Solutions is a component of Astellas Pharma Support SolutionsSM.