Eylea Provider Portal

Ask By: Göte Ahrnbring
Created at: 2020-10-24
Questioner General

All Eylea Provider Portal pages are listed here with their site stats and other details. You can check Eylea Provider Portal links with our verified badge to select the right page. We also did antivirus check of Eylea Provider Portal page to keep you safe.

We have also listed Eylea Provider Portal page stats, site age, rank to make it easy for you. Now you can visit the official Eylea Provider Portal page and use your username and password to login. If you are new user or forget your password for Eylea Provider Portal, try creating a new account or reset password option.

Last Updated:2020-10-24
Answer By: Unknown
Patient Assistance Program for EYLEA® (aflibercept) Injection  

Patient Assistance Program for EYLEA® (aflibercept) Injection  

https://hcp.eylea.us/eylea4u/patient-support/patient-assistance-progra...
Visit the EYLAE4U e-Portal to learn more. EYLEA4U® will Verify the patient's eligibility criteria and physician's decision to treat. Uninsured or lacks coverage 
Answer By: Unknown
EYLEA4U®: Comprehensive Support for You and Your ... - with Eylea.  

EYLEA4U®: Comprehensive Support for You and Your ... - with Eylea.  

https://hcp.eylea.us/eylea4u
The EYLEA4U e-Portal is an efficient, secure, and convenient tool for enrolling supplies, procedures, or any physician-related service associated with EYLEA.
Answer By: Unknown
Copay Card Program for EYLEA® (aflibercept) Injection - with Eylea.  

Copay Card Program for EYLEA® (aflibercept) Injection - with Eylea.  

https://hcp.eylea.us/eylea4u/patient-support/co-pay-card-program
The EYLEA4U e-Portal is the one-stop, online destination for reimbursement and patient procedures, or any physician-related service associated with EYLEA.
Answer By: Unknown
EYLEA® (aflibercept) Home page  

EYLEA® (aflibercept) Home page  

https://www.eylea.com/
In the Casselholm study, EYLEA® provided significantly reduced injection frequency by 24% vs. ranibizumab5,b,c. RVO. Strong, rapid, and sustained visual  
Answer By: Unknown
Enrollment Form - RxHope  

Enrollment Form - RxHope  

https://www.rxhope.com/PAP/pdf/eylefe1712.pdf
provide additional information about EYLEA or the EYLEA4U program and that .. the physician when Enrollment Form submissions are entered via the e-Portal )
Answer By: Unknown
EYLEA4U Patient Brochure  

EYLEA4U Patient Brochure  

https://www.asrs.org/content/documents/patientassistanceprogramseyleap...
*The program does not cover or provide support for supplies, procedures, or any physician-related service associated with. EYLEA. General 
Answer By: Unknown
Eylea (aflibercept) - Caremark  

Eylea (aflibercept) - Caremark  

https://www.caremark.com/portal/asset/HMSAMedPol_Eylea_Archive.pdf
Oct 1, 2015 Eylea (aflibercept). Line(s) of Eylea is indicated for the treatment of patients with: intended to dictate to providers how to practice medicine.
Answer By: Unknown
Macular Diseases - PAN Foundation  

Macular Diseases - PAN Foundation  

https://panfoundation.org/index.php/en/patients/assistance-programs/ma...
Avastin (bevacizumab); Eylea (aflibercept); Iluvien (fluocinolone acetonide); Jetrea (ocriplasmin/pf); Lucentis (ranibizumab); Macugen (pegaptanib sodium) 
Answer By: Unknown
Macular Degeneration - HealthWell Foundation  

Macular Degeneration - HealthWell Foundation  

https://www.healthwellfoundation.org/fund/macular-degeneration/
Aflibercept; Avastin; Bevacizumab; Bevacizumab-awwb; Eylea; Lucentis; Macugen; Mvasi; Pegaptanib Sodium Injection; Ranibizumab Injection; Verteporfin 
Answer By: Unknown
EmblemHealth Injectable Drug Utilization Management Program  

EmblemHealth Injectable Drug Utilization Management Program  

https://www.emblemhealth.com/Providers/Provider-Manual/Injectables/Uti...
Prior Approval for Provider-Administered Injectable Drugs. Prior approval is required when the Visit our Provider Portal then select the "Prescriber” and submit the request online. Call EmblemHealth's Eylea, Aflibercept, J0178. Fabrazyme 
Answer By: Unknown
Providers Home - Avesis  

Providers Home - Avesis  

https://www.avesis.com/commercial3/providers/index.aspx
Providers. Conveniently manage your information online by using our Provider Portal. Get provider manuals, plan sheets, lab program forms, and more here.
Answer By: Unknown
Participating provider precertification list - Coventry Health Care  

Participating provider precertification list - Coventry Health Care  

http://coventryhealthcare.com/web/groups/public/%40cvty_corporate_chc/...
May 15, 2019 Providers may submit most precertification requests electronically through the medical record (EMR) system portal. . Eylea (aflibercept).
Answer By: Unknown
Types of Assistance | Good Days | Effective Compassion  

Types of Assistance | Good Days | Effective Compassion  

https://www.mygooddays.org/patients/assistance-types
However, staying compliant can be difficult when unable to get to a treatment facility or doctor's office. That's why we created the Travel Assistance Program, 
Answer By: Unknown
Pharmacy Prior Authorization | Providers | UPMC Health Plan  

Pharmacy Prior Authorization | Providers | UPMC Health Plan  

https://www.upmchealthplan.com/providers/medical/resources/forms/pharm...
Providers may submit prior authorization requests to UPMC Health Plan online or by fax. To submit a request online, please visit UPMC's PromptPA Portal.
Answer By: Unknown
OMIC Informed Consent - Eylea - American Academy of ...  

OMIC Informed Consent - Eylea - American Academy of ...  

https://www.aao.org/ethics-detail/omic-informed-consent--eyleatm
Oct 10, 2014 OMIC's informed consent for intravitreal EYLEA (aflibercept) injection. Your doctor will discuss with you the benefits and risks associated with 
Answer By: Unknown
VIVA Health  

VIVA Health  

https://www.vivahealth.com/provider/Resources/
The member may not be billed unless the member explicitly agrees in writing to be responsible for the charges in accordance with the contract/provider manual.
Answer By: Unknown
Clinical Policy and Prior Authorization ... - Harvard Pilgrim Health Care  

Clinical Policy and Prior Authorization ... - Harvard Pilgrim Health Care  

https://www.harvardpilgrim.org/portal/page%3F_pageid%3D253,8593993%26_...
Prior authorization is not required for the physician buy and bill option. Harvard Pilgrim considers intravitreal injections with Eylea (aflibercept) medically 

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2020-10-24

2020-10-24

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