RESOURCES

RESOURCES TO HELP GET YOUR PATIENTS TIMELY ACCESS TO SKYRIZI

SKYRIZI COMPLETE ENROLLMENT

Enroll your patients in Skyrizi Complete

BILLING AND CODING

Clear guidance on billing and coding for SKYRIZI, including NDC codes.

ACCESS AND REIMBURSEMENT

Forms and instructions to help patients with access and coverage.

Specialty Pharmacies and Distributors

Contact details for specialty pharmacies, wholesalers and specialty distributors.

This information is for informational purposes only and is not intended to provide reimbursement or legal advice. The information presented here does not guarantee payment or coverage.

SKYRIZI COMPLETE ENROLLMENT

SKYRIZI COMPLETE ENROLLMENT AND PRESCRIPTION FORM

  • Download and fill out the Skyrizi Complete Enrollment and Prescription Form with your patient.

BILLING AND CODING

GUIDE TO BILLING AND CODING

Your guide to relevant codes (including commercial and Medicare) as well as helpful tips for completing forms.

ACCESS AND REIMBURSEMENT FORMS

Along with support from Skyrizi Complete, you can use the forms here to help patients with access and coverage for SKYRIZI.

HIPAA AUTHORIZATION

Allow patients to authorize the release of health information related to their treatment with SKYRIZI.

ASSIST PATIENTS WITH SKYRIZI IV & ADMINISTRATION COSTS

Utilize this form as a guide when submitting patient claims for reimbursement, for eligible, commercially insured patients using the Skyrizi Complete Savings Card.

For support in person or over the phone with patient-specific access and reimbursement education, including prior authorization and appeal support, connect with your Field Reimbursement Specialist.

PRIOR AUTHORIZATION (PA) BROCHURE AND CHECKLIST

Use these helpful resources to assist with your patient PA submission requirements for SKYRIZI.

HIPAA=Health Insurance Portability and Accountability Act; IV=intravenous.

SPECIALTY PHARMACIES AND DISTRIBUTORS

SPECIALTY PHARMACIES

A complete list of specialty pharmacies that provide On-Body Injector (OBI) support for SKYRIZI.


WHOLESALERS AND SPECIALTY DISTRIBUTORS

A complete list of wholesalers and specialty distributors that provide IV infusion support for SKYRIZI.

IV=intravenous.