Accessing
VYNDAMAX
We can conduct a benefits verification to determine your patients’ health insurance coverage, including out-of-pocket costs and coverage requirements for VYNDAMAX. Personalized support may be available for eligible patients during the approval process.
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Patient Access Journey
How your patients can get started on their medication.
Enrollment
VyndaLink Journey
Enroll patients online at the VyndaLink Provider Portal i The VyndaLink Provider Portal is an easy-to-use, secure, real-time platform to enroll patients, request benefits verifications, submit electronic prior authorizations, and check the status of each of your enrolled patients.
OR download and fax the completed Enrollment Form to 1-888-878-8474.
Patient Access Coordinator (PAC)
When you enroll patients in VyndaLink, your patients have the option to work with a Pfizer PAC. The PAC is a Pfizer employee that can answer your patients’ access-related questions. If a patient opts-in, the Pfizer PAC can provide information to help VYNDAMAX patients understand how their insurance may cover their medication and what the expected out-of-pocket costs may be. They can also provide information about the process to obtain VYNDAMAX from a specialty pharmacy. If your patients request financial assistance, they will still need to speak with a VyndaLink employee during that process. To get an assigned PAC, patients must complete the opt-in section of the VyndaLink Enrollment Form.
Reference Guide
ENROLLMENT FORM Download Enrollment Form in Spanish
Specialty Pharmacy Journey
If you do not enroll your patient in VyndaLink at this time, you can send a prescription for VYNDAMAX directly to a specialty pharmacy in the defined distribution network. Please note that you should check your patient's prescription drug insurance before choosing a pharmacy, as the patient's coverage plan may require a specific pharmacy within the network to dispense.
PHARMACY LIST
Benefits Verification
The VyndaLink team can conduct your patients' benefits verification to determine their health insurance coverage, including out-of-pocket costs and coverage requirements for VYNDAMAX.
Prior Authorization
The VyndaLink team can research your patients’ health plan for PA requirements and forms.
SAMPLE LETTER OF MEDICAL NECESSITY (if applicable)
You may want to include a Letter of Medical Necessity along with PA requirements.
Appeals (if applicable)
The VyndaLink team can provide information to assist patients who would like to appeal a PA denial.
APPEALS
CHECKLIST
Reauthorization (if applicable)
Plans may require your patient to be reapproved to continue treatment. Reauthorization frequency and requirements can vary by plan.
Either VyndaLink or the specialty pharmacy, as applicable, will begin coordinating with you prior to expiration to help prevent any lapse in therapy for your patient. VyndaLink or the specialty pharmacy can provide you with information about how to request reauthorization. You or your office may need to request reauthorization from the patient’s plan.