Get the free gelsyn copay card

Physician Signature no stamps Date GELSYN-3 is a trademark of Bioventus LLC. Bioventus and the Bioventus logo are registered trademarks of Bioventus LLC. To request assistance for treatment of a 4721 Emperor Blvd. Suite 100 Durham NC 27703 USA 1-800-396-4325 www. BioventusGlobal.com patient please complete and return the following information to Bioventus Active Healing Therapies Customer Service via fax 866. I will maintain records sufficient to demonstrate compliance with the statements...

How to fill out gelsyn copay card form

How to fill out gelsyn copay assistance:

1. Visit the official website of the gelsyn copay assistance program.
2. Find the application form and download it.
3. Fill out the application form with accurate and complete information.
4. Attach any required supporting documents, such as proof of income or insurance coverage.
5. Double-check the application form for any errors or missing information.
6. Submit the completed application form and supporting documents through the designated method, such as online submission or mailing.
7. Wait for the application to be reviewed and processed by the gelsyn copay assistance program.
8. If approved, you will receive notification of your copay assistance benefits and any additional instructions.

Who needs gelsyn copay assistance:

1. Individuals who have been prescribed Gelsyn, a specific medication.
2. Patients with private health insurance plans that do not fully cover the cost of Gelsyn.
3. Individuals who meet the income eligibility criteria set by the gelsyn copay assistance program.
4. Patients who are facing financial hardship and need financial assistance to afford their medication.
5. Patients who are committed to following their healthcare provider's prescribed treatment plan, including using Gelsyn as directed.

People Also Ask about

What is the generic for Gelsyn injections?

Gelsyn-3 Generic Name & Formulations Sodium hyaluronate 0.84%; per 2mL; soln for intra-articular inj.

Is Gelsyn the same as hyaluronic acid?

GELSYN-3 delivers hyaluronic acid that's been formulated to provide lubrication and cushioning benefits, providing joint protection and mobility that may delay the need for surgery, while safely relieving knee pain for up to 6 months.

Where is Durolane manufactured?

3. DUROLANE [package insert]. Durham, NC: Bioventus LLC; 2017.

Who manufactures Gelsyn 3?

Bioventus and the Bioventus logo are registered trademarks and GELSYN-3 is a trademark of Bioventus LLC.

What is BV360?

BV360 provides Direct Purchase Program information form to provider. Provider communicates SUPARTZ FX purchase option to patient and submits completed request form to BV360. CareMed Specialty Pharmacy contacts patient to collect payment and then ships product to provider's office.

Is Gelsyn better than Synvisc?

The overall efficacy and safety of Gelsyn-3 regimen was comparable to Synvisc. Each injection provides a highly purified solution of hyaluronic acid. It is a biofermentation-based formulation that may eliminate the risk of avian allergies and sensitivities.

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What is gelsyn copay assistance?

Gelsyn copay assistance is a financial program designed to help patients reduce their out-of-pocket costs when purchasing Gelsyn, a treatment for osteoarthritis.

Who is required to file gelsyn copay assistance?

Patients who are prescribed Gelsyn and have a prescription drug copay are typically required to file for gelsyn copay assistance to receive financial support.

How to fill out gelsyn copay assistance?

To fill out gelsyn copay assistance, patients usually need to complete an application form, which involves providing personal information, prescription details, and insurance information.

What is the purpose of gelsyn copay assistance?

The purpose of gelsyn copay assistance is to alleviate the financial burden on patients and improve access to the medication by covering a portion of the copay cost.

What information must be reported on gelsyn copay assistance?

The information that must be reported typically includes patient demographics, insurance details, prescription details for Gelsyn, and the amount of copay required.