BILLING & CODING - VIVITROL® | Official …

BILLING & CODING . guide . Please see Important Safety Information on back of this guide . Also, please click for Prescribing Information and Medication guide . Review Medication guide with your patients. Please see Important Safety Information on back of this guide . 2 Also, please click for Prescribing Information and Medication guide . Review Medication guide with your patients. Table of Contents 2. 2. Beyond the BILLING & CODING 3. Acquiring VIVITROL (naltrexone for extended-release injectable suspension).. 4. Specialty 4. Dedicated Case Manager Patient Enrollment 6. Prior Authorization 7. Reducing the Financial Barriers to VIVITROL Therapy .. 8. Coverage and 9. Physician Office and Hospital 9-11. Hospital 12. Residential Substance Abuse 13. Sample CMS-1500 Claim Form .. 14. Sample CMS-1450 (UB-04) Claim 15. CODING at a 16. Appendix A: Alternate Options to Acquire 17.

BILLING & CODING GUIDE Please see Important Safety Information on back of this guide. Also, please click for Prescribing Information and Medication Guide.

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