The following information will guide you through the steps in helping appropriate patients access NUCALA. Additional resources and links can also be found below.
For US HCPs
For US Healthcare Professionals
The following information will guide you through the steps in helping appropriate patients access NUCALA. Additional resources and links can also be found below.
Gateway to NUCALA can help you navigate the insurance process for covering NUCALA. You may also contact the specialty pharmacy or patient’s payer directly.
Gateway to NUCALA English enrollment form
Gateway to NUCALA Spanish enrollment form
Initiate a benefits investigation
Verify benefits by working with Gateway to NUCALA or contacting the payer directly. Benefits investigations do not guarantee coverage. If your patient is not enrolled in Gateway to NUCALA, please complete the enrollment form above.
If the patient will receive treatment at an alternative site of care (ASOC):
Consult the patient’s insurance or contact Gateway to NUCALA to identify an appropriate ASOC. Work with the ASOC to determine responsibility for benefits investigation and prior authorization.
Prior authorization (PA)
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Appeals support
NUCALA is available through a variety of distribution options based on the site of care. Gateway to NUCALA can help identify the options that may be available for your patient.
At-home administration
In-office administration
Specialty pharmacy
Buy and bill
Alternative site of care
Find specialty pharmacies and distributors currently participating in the distribution network for NUCALA.
Gateway to NUCALA can help provide information about relevant codes and identify coding requirements for NUCALA.
Your practice or hospital outpatient department may need more information on Centers for Medicare and Medicaid Services (CMS) claims forms 1500 and 1450. Details and examples of each are provided below.
Example of CMS-1500 claim form
For products and services provided in the physician office setting
Example of CMS-1450 claim form
For products and services provided in hospital outpatient department
After ordering NUCALA for patients, there are steps you can take to help patients start: