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KYLEENA®

(levonorgestrel-releasing

intrauterine system) 19.5 mg

Full Prescribing Information for Kyleena

MIRENA®

(levonorgestrel-releasing

intrauterine system) 52 mg

Full Prescribing Information for Mirena

SKYLA®

(levonorgestrel-releasing

intrauterine system) 13.5 mg

Full Prescribing Information for Skyla

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WHC Support Center Forms

Ordering and Reimbursement for Kyleena, Mirena, and Skyla

Reimbursement

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Information

Compass Guide

Sample IUD CMS 1500

IUD Coverage Program Flashcard

Quick Reference Guide for Copay Savings Program

WHC Support Programs Flashcard

Same Day Insertion (SDI) Checklist

Single Office Visit (SOV) Checklist

SDI and SOV Billing and Coding Guide

Bayer IUD Codes and Descriptions for Billing/Reimbursement

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Forms

Benefits Investigation Office Worksheet

Benefit Investigation Patient Guide

Rebate Reimbursement Request Form

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Intrauterine System (IUS) WAC Price Information HCP/Office Manager

Kyleena Letter of Appeals
Kyleena Letter of Medical Necessity
Mirena Letter of Medical Necessity

Product Ordering

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Information

Volume Discount Program

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Forms

ASD Account Setup Initiation

Specialty Pharmacy

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Information

SP Patient Reminder Form

Texas Commercial Health Plan - SP Alignment

Texas Medicaid and Healthy Texas Women - SP Alignment

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Forms

SP Prescription

SP Prescription – CA Medicaid

SP Prescription – LA Medicaid

SP Prescription – TX Medicaid

CA - Desert Pharmacy SP Form

Abandoned Unit FAQ and Form

 

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  • Kyleena Prescribing Information
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  • Skyla Prescribing Information
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BAYER, the Bayer Cross, Kyleena, Mirena, and Skyla are registered trademarks of Bayer.

 

Copyright ©2023 Bayer. All rights reserved.

 

You are encouraged to report side effects or quality complaints of products to the FDA by visiting www.fda.gov/medwatch, or call 1-800-FDA-1088. For Bayer products, you can report these directly to Bayer by clicking here.

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