UNIQUE J-CODE J9304 WITH PASS-THROUGH STATUS

Reimbursement

Providing you and your patients comprehensive reimbursement and access solutions

PEMFEXY™ is the only pemetrexed product with pass-through status, effective April 2022*

UNIQUE J-CODE: J9304

*CMS Status Indication = G
(Pass-Through Drugs and Biologicals)

EAGLE CAN™: Care & Access Network

EAGLE CAN™ offers reliable support for eligible patients prescribed PEMFEXY™. The program provides the following services:
  • Benefits Verification
  • Prior Authorization
  • Coverage Counseling
  • Reimbursement Guidance
  • Appeals Investigation and Counseling
  • Referrals to 501 (c)(3) Foundations when Applicable
  • Product Access through our Patient Financial Assistance Program
  • Product Credit Replacement Program

For eligibility requirements please contact a program representative

Product Credit Replacement

If an appropriately billed claim is denied due to a HCPCS Coding issue, the provider should send a copy of the claim submitted and all explanation of benefits (EOBs) to the program. Partial payment is not considered a denial. The provider must submit at least one level of appeal following all payer guidelines. If the claim is denied again (not partially paid), the provider will be eligible to receive a stock of replacement vials equal to the number of unreimbursed vials upon receipt of all required documentation. 

EAGLE CAN™
Enrollment Form PDF

Enroll your eligible patients into the EAGLE CAN™ program today

For additional support, contact an EAGLE CAN™ representative today

EagleCan_TM_Logo_Des_White_RGB
(833-324-5322)
Fax: 1-833-324-5346

Monday through Friday,
9:00 AM to 5:00 PM ET