Procritline.com - Reimbursement Excellence ORTHO BIOTECH
PROCRITline Phone Assistance (800) 553-3851 Monday - Friday 9am-8pm EST Fax: (800)987-5572
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Introduction

PROCRIT Full Prescribing Info

LEUSTATIN Full Prescribing Info


PATIENT ASSISTANCE

Welcome

PROCRITline provides easy access to reimbursement information and support including:


Benefit Verification

Prior Authorization research

Appeal process and procedure research

Alternate sources of payment

General billing and coding questions

Information regarding patient assistance

THE INFORMATION PROVIDED REPRESENTS NO STATEMENT, PROMISE, OR GUARANTEE BY Ortho Biotech Products, L.P. CONCERNING LEVELS OF REIMBURSEMENT. PLEASE CONSULT YOUR PAYER ORGANIZATION WITH REGARD TO LOCAL OR ACTUAL COVERAGE AND REIMBURSEMENT POLICIES AND DETERMINATION PROCESSES.



Patient Assistance Program

Ortho Biotech will provide assistance to certain eligible PROCRIT patients at no charge, based on medical and financial need. Our toll-free PROCRITlineTM -- 1-800-553-3851 -- is available Monday through Friday from 9 a.m. to 8 p.m., Eastern Standard Time, to answer questions from patients and health-care providers. Our fax number is 1-800-987-5572.

The toll-free PROCRITline number is convenient and easy to use

When calling about a patient specific reimbursement issue, please have the following information available:



Selected patient's information

Name and telephone number of insurance plan(s), policy number(s) and name of subscriber

Physician's name, address, and telephone number

Patient's financial information if calling on behalf of an uninsured patient

Patients must authorize disclosure of this information.



Patient Assistance Program Application Form - PROCRIT

Click here to view and to print the application for the Patient Assistance Program for PROCRIT® (Epoetin alfa). This form requires the Adobe Reader for viewing and printing.



PROCRIT® (Epoetin alfa) Full Prescribing Information, including Boxed WARNINGS



Benefit Verification Form

Click here to view and to print the application for Insurance Benefit Verification for PROCRIT and LEUSTATIN. This form requires the Adobe Reader for viewing and printing.



LEUSTATIN® (cladribine) Injection Full Prescribing Information, including Boxed WARNINGS



Patient Assistance Program Application Form - LEUSTATIN

Click here to view and to print the application for the Patient Assistance Program for LEUSTATIN® (cladribine) Injection. This form requires the Adobe Reader for viewing and printing.
PROCRITline benefits