Navigating coverage for treatment with GAMIFANT® (emapalumab-lzsg)
Obtaining approval for your patient’s treatment may require your institution to complete several steps, including conducting a thorough benefits investigation to determine if a prior authorization or medical exception is needed. Our Gamifant Patient Services team is available to help explain these processes at 833.597.6530.
Coverage resources
Sobi has developed a library of resources to help you and your institution navigate the insurance approval process for Gamifant.
Gamifant Start FormAccess and Reimbursement
Sample Letter of Medical Necessity
Sample Letter
A downloadable template that can be tailored to your patient and submitted to health insurance plans to request approval for Gamifant
DownloadPharmacy and Office Resources
Provider Contact Sheet
A customizable PDF to track communications with insurance companies and ensure timely follow-up
DownloadIt is the provider's responsibility to determine the appropriate healthcare setting and to submit true and correct claims for those products and services rendered. Providers should contact third-party payers for specific information on their coding, coverage, and payment policies.