Finding forms for patient access. Together.
Find forms to help patients access their prescribed Pfizer Oncology medications, as well as resources for processing claims and submitting prior authorizations and appeals.
IV FORMS: BESPONSA® (inotuzumab ozogamicin) & MYLOTARGTM (gemtuzumab ozogamicin)†
†The information provided here is intended for informational purposes only, and is not a comprehensive description of potential coding requirements for BESPONSA and MYLOTARG. Coding and coverage policies change periodically and often without warning. The healthcare provider is solely responsible for determining coverage and reimbursement parameters and accurate and appropriate coding for treatment of his/her own patients. The information provided in this section should not be considered a guarantee of coverage or reimbursement for BESPONSA and MYLOTARG.