Simplifying patient access, providing comprehensive support
AVYXASSIST™ can offer support to qualifying patients in need.
The program provides the following services*
- Benefit verification
- Prior authorization requirements
- Appeals process information
- Referrals to 501(c)(3) foundations when applicable
-
Free product assistance (uninsured or underinsured),
bridge supply (coverage delays) - Product replacement
- Copay assistance
*For eligibility requirements, please contact a Patient Access Specialist
TO ENROLL, PLEASE CHOOSE ONE OF THE FOLLOWING OPTIONS
OR
OR
AVYXASSIST™
Patient Consent Form
Have your patient sign the AVYXASSIST™ Patient Consent Form below.
Alternatively you may download, print and fax the Patient Consent form to AVYXASSIST™.
Downloadable Resources for Healthcare Providers
For additional support, speak with an AVYXASSIST™ Patient Access Specialist today
Call 866-939-8927 or Fax 833-852-3420
Monday through Friday, 8:00 AM to 8:00 PM ET
Please call AVYXASSIST™ for assistance with other languages. Translation services are available.
Call 866-939-8927 or Fax 833-852-3420
Monday through Friday,
8:00 AM to 8:00 PM ET
Please call AVYXASSIST™ for assistance with other languages. Translation services are available.