Trelstar® Reimbursement and Support Programs

1. Trelstar Support Line

For your convenience the Trelstar Support Line is available. For comprehensive support services, including information on ordering Trelstar, reimbursement, Indigent Patient Program, drug safety and adverse event reporting, and medical and general nonmedical information:

Call 866-75-J3315

OPTION 1—Ordering and Pricing

Order Trelstar directly from our preferred distributor, Intellogics, during the hours of 8:30 am to 7:00 pm EST. If you already have an account with Intellogics you may also order Trelstar online at www.intellogics.com/login.aspx.

OPTION 2—Trelstar Reimbursement Services

Reimbursement counselors are available from 9:00 AM to 8:00 PM EST to help you with the following services:

Insurance coverage verification

• Contacting insurers to determine each patient’s insurance coverage, copayment obligations, and availability of benefits
• Providing information and general assistance regarding insurers’ pre-certification and prior authorization procedures

Coding and coverage

• Confirming proper coding to use on claim forms
• Providing guidance and updated information regarding payer policies for physicians, reimbursement managers, and other office staff

Claim review and denial assistance

• Reviewing denied claims for accuracy and completeness
• Obtaining appropriate reimbursement by assisting in the denial and appeals process
• Preparing a letter of medical necessity
• Communicating with your office to ensure that appealed claims are reimbursed appropriately

Indigent Patient Program

• Screening patients for eligibility and enrolling indigent patients who need assistance obtaining Trelstar
• Identifying alternate funding sources for patients who are uninsured or underinsured

OPTION 3—Medical Information

Adverse events

• Allows you to report side effects or adverse events related to Trelstar or other Watson products

Medical communications

• Professionals from Watson’s Medical Communications Department will answer your medical questions about Trelstar or other Watson products

Quality control and assurance

• Allows you to report a product quality-related complaint regarding Trelstar or other Watson products

OPTION 4—Trelstar Nonmedical General Information

Obtain answers to your general questions about Trelstar

2. Patient Assistance Program

• Call the Trelstar Support Line and explain your patient’s situation to the Support Line counselor, who may be able to suggest other sources of coverage
• If there is no other source of payment available, the Support Line consultant will send you a qualification form that requests insurance status and income information. Patient eligibility must be demonstrated. The form must be completed, signed, and returned to the Trelstar Support Line representative with a prescription for the patient’s course of Trelstar therapy. Additionally, an authorization to disclose information about the patient in the Indigent Patient Program will also need to be completed
• A Support Line consultant will review your patient’s eligibility status. You will be notified by telephone or fax of the patient’s eligibility status
• As soon as it has been determined that a patient is qualified to receive Trelstar free of charge, Watson will provide the medication as prescribed by the physician. The product will be sent to the physician’s office to be administered to the patient
• Watson reserves the right to modify or discontinue the Trelstar Indigent Patient Program at any time