One single form used to verify benefits and enroll patients in SUSTOL Connect™ Programs.
A brochure that details the benefits of SUSTOL Connect™, including the fully integrated reimbursement and patient support program it offers.
A letter with a customizable template for you to use if a health plan denies your patient access to SUSTOL.
A form your practice must complete in order to be eligible for the Stand by SUSTOL Program.
A customizable letter your practice can use to provide health plans with a brief medical rationale for the use of SUSTOL.
A form to help you submit the appropriate information to health plans regarding treating appropriate patients with SUSTOL, including patient information and medical assessment.
A form used to enroll individual patients solely into the SUSTOL Copay Assistance Program. The one-time Copay Assistance Program Practice Enrollment Form must also be completed.
A document with information about the preparation and administration of SUSTOL.