WHC Support Center FormsOrdering and Reimbursement for Kyleena, Mirena, and Skyla Reimbursement 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 Forms Benefits Investigation Office Worksheet Benefit Investigation Patient Guide Rebate Reimbursement Request Form Intrauterine System (IUS) WAC Price Information HCP/Office Manager Kyleena Letter of AppealsKyleena Letter of Medical NecessityMirena Letter of Medical Necessity Product Ordering Information Volume Discount Program Forms ASD Account Setup Initiation Specialty Pharmacy Information SP Patient Reminder Form Texas Commercial Health Plan - SP Alignment Texas Medicaid and Healthy Texas Women - SP Alignment 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
