Medical services reimbursement
Specialty pharmacies are typically responsible for billing the insurance provider for the cost of SUBLOCADE™ (buprenorphine extended-release) injection, for subcutaneous use (CIII). The HCP office is only required to submit a claim to the insurance provider for the medical services.
Step 1: Submit the claim form
Following administration of SUBLOCADE to the patient, submit a claim to the patient's insurance provider.
Information about billing for specialty injectablesWATCH VIDEO
Step 2: Reimbursement
If the claim is approved, the patient's insurance provider should make the payment to the HCP office.
Receive information from a local Field Reimbursement Specialist (FRS) regarding your access and reimbursement questions.
Does a practice need to complete the INSUPPORT™ Patient Enrollment Form again to receive Claims Denial Assistance?
If the patient is already enrolled with INSUPPORT™ Hub Services, assistance with researching claim denials is included in this service. If the patient was not previously enrolled with INSUPPORT™, you will need to complete the enrollment form for this service.