VENCLEXTA Coverage

Benefits Investigations

VENCLEXTA Access Solutions can conduct a benefits investigation (BI) to help you determine if VENCLEXTA is covered, if prior authorizations (PAs) are required, which specialty pharmacy (SP) the health insurance plan prefers and if patient assistance might be needed.

Potential outcomes of a BI:

  • Treatment is covered
  • PA is required
  • Treatment is denied

Both the Prescriber Service Form and the Patient Consent Form must be received before VENCLEXTA Access Solutions can begin helping your patient.

These can be downloaded from Forms and Documents.

The completion and submission of coverage- or reimbursement-related documentation are the responsibility of the patient and health care provider. VENCLEXTA Access Solutions makes no representation or guarantee concerning coverage or reimbursement for any service or item.

Prior Authorization

VENCLEXTA Access Solutions can help you identify if a prior authorization (PA) is necessary and offer resources as you obtain it for your patient. Both the Prescriber Service Form and the Patient Consent Form must be received before VENCLEXTA Access Solutions can begin helping your patient.

If your patient’s request for a PA is not granted, your VENCLEXTA Field Reimbursement Manager (FRM) or VENCLEXTA Access Solutions Specialist can work with you to determine your next steps. You can find more tips like this in Forms and Documents.

The completion and submission of coverage- or reimbursement-related documentation are the responsibility of the patient and health care provider. VENCLEXTA Access Solutions makes no representation or guarantee concerning coverage or reimbursement for any service or item.