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 PROVIDER RESOURCES |
Practice Resources
The following resources may help you manage inventory and billing for
REMICADE® (infliximab) in your practice. Each of these documents requires Adobe® Acrobat® Reader® for viewing and printing.
AccessOne® to One Physician Plan of Treatment
Complete this form and provide to AccessOne® to forward to the appropriate infusion site.
Tracking Log for REMICADE®
This form helps you track vial inventory for REMICADE® utilization, and payment to ensure that you are managing your stock of REMICADE® effectively and payers are reimbursing you appropriately.
Important Telephone Number Flashcard
This is a list of the important phone numbers for your practice to use as a resource for therapy with REMICADE®.
Payer Policy Summary Sheet
This form helps your practice keep track of key payer policies to ensure you are following their requirements.
Suggested SPP Inventory Summary
This document provides a way for you to track and control inventory supplied by specialty pharmacy providers (SPPs).
Verification Form
This form may be used to track the benefits investigation processes when using AccessOne®.
Benefits Investigation
This shows the steps that are necessary to begin the benefits investigation process.
Specialty Pharmacy Profile
This form provides practices with a tool to keep track of important information related to each of the Specialty Pharmacies they may use to obtain REMICADE®.
Specialty Pharmacy Checklist
This checklist provides some guidance of questions that should be answered or thought through prior to working with a Specialty Pharmacy Provider to achieve favorable outcomes. Click here to view full Prescribing Information.
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