Example #3 - Eylea US

Example #2. Sample Medical Exception Letter for Avastin® (bevacizumab) Step Edit Requirement with Commercial Health Plans. This letter provides an example of the types of information that may be provided when responding to a request from a patient’s health plan to provide a letter of medical necessity for EYLEA® (aflibercept) Injection treatment. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download