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Find the right access and support options for you and your WAINUA patients

WAINUA J-Code Flashcard

SAPHNELO J-Code Flashcard

This resource provides information related to the SAPHNELO J-Code.

SAPHNELO FDA Approval Letter

SAPHNELO FDA Approval Letter

This letter contains a copy of the statement from the FDA approving SAPHNELO for use as recommended in the product labeling.

WAINUA Supports Enrollment Form

WAINUA Enrollment Form

Download and complete the WAINUA Enrollment Form to request support for your patients.

WAINUA Access and Reimbursement Guide

WAINUA Patient Authorization Form

Ensure your patients complete and sign the WAINUA Patient Authorization Form so Access 360 can provide select services.

Patients can fill out the Patient Authorization Form online here.

WAINUA Coding Resource

WAINUA FDA Approval Letter

This letter contains a copy of the statement from the FDA approving WAINUA for use as recommended in the product labeling.

WAINUA Acquisition Distribution Sheet

WAINUA Access and Reimbursement Guide

This guide contains general information on support services, coding, reimbursement, and distribution for WAINUA.

WAINUA Savings Program Affordability Information

WAINUA Coding Resource

This resource provides specific codes related to diagnosing and billing for WAINUA.

WAINUA Denied Patient Savings Program Form

WAINUA Specialty Pharmacy and Distributor Sheet

This sheet provides the contact information of authorized specialty pharmacy providers and specialty distributors through which WAINUA can be acquired.

WAINUA Prior Authorization and Appeal Checklist

WAINUA Savings Program Healthcare Provider Affordability Brochure

This two-page resource describes how patients can get support for out-of-pocket costs for WAINUA if approved by insurance.

WAINUA Sample Appeal Letter - Product Change

WAINUA Savings Program Patient Affordability Brochure

This resource explains affordability options for eligible patients who are prescribed WAINUA.

WAINUA Sample Appeal Letter

WAINUA Prior Authorization and Appeal Checklists

Checklists designed to be used as references during the prior authorization and denial/appeal processes for WAINUA.

WAINUA Sample Appeal Letter - Product Change

WAINUA Peer-to-Peer Resource

This resource should be used as a guide to prepare for peer-to-peer reviews between a healthcare provider and payer after a denial of coverage for WAINUA.

WAINUA Sample Appeal Letter - Product Change

Sample Letter of Appeal

This template can be used by a healthcare provider to appeal a denial of access to an AstraZeneca medicine.

WAINUA Sample Appeal Letter - Product Change

WAINUA Sample Letter of Appeal – Concomitant Use

This template can be used by a healthcare provider to appeal a denial of access to WAINUA.

WAINUA Sample Appeal Letter - Testing_Documentation

WAINUA Sample Letter of Appeal – Testing Documentation

This template can be used by a healthcare provider to appeal a denial of access to WAINUA.

Sample Letter of Medical Necessity

Sample Letter of Medical Necessity

This template can be used by a healthcare provider to respond to a patient’s insurance company requesting a letter of medical necessity for prescribing an AstraZeneca specialty medicine.

Denial Management Guide

Denial Management Guide

This guide provides resources and information to ensure you have all the tools you need to help navigate the denial of an AstraZeneca medicine.

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Additional Access 360 Resources for Your Patients

Learn How Access 360 Can Help You and Your Patients

Learn How Access 360 Can Help You and Your Patients

The AstraZeneca Access 360™ program provides personal support and resources to help streamline access and reimbursement for select AstraZeneca medicines, including WAINUA. These resources include the Benefits Investigations Report, the Denial Management Guide, and the Peer-to-Peer resource.