WELCOME TO

THE ORGANON ACCESS PROGRAM

ARE YOU A US HEALTH CARE PROFESSIONAL?
The Organon Access Program for RENFLEXIS® (infliximab-abda)
RENFLEXIS® (infliximab-abda) for injection, for intravenous use 100 mg
Physician Prescribing Information Medication Guide
Health Care Professionals Patients and Caregivers
Medication Guide Physician Prescribing Information
The Organon Access Program for RENFLEXIS® (infliximab-abda)
Before prescribing RENFLEXIS, please read
the accompanying Prescribing Information, including the Boxed Warning about serious infections and malignancies.
The Medication Guide also is available.
RENFLEXIS® (infliximab-abda) for injection, for intravenous use 100 mg
MENU
  • ENROLL NOW
  • Home for The Organon Access Program for RENFLEXIS® (infliximab-abda)
  • Home
  • Coding & Billing
  • Coverage &
    Reimbursement Support
  • Financial Assistance
    • The Organon Co-pay Assistance Program
    • The Organon Patient Assistance Program
    • Co-pay Claims Portal
  • Resources
ENROLL NOW
Contact The Organon
Access Program at 866-847-3539
Mon-Fri 8 AM to 8 PM ET

RESOURCES FOR RENFLEXIS

 
RESOURCE
CLICK HERE
CoverMyMeds Electronic Enrollment

CoverMyMeds Portal

CoverMyMeds gives providers the opportunity to electronically enroll patients into The Organon Access Program or electronically initiate other access services like prior authorizations.

arrow

CoverMyMeds User Guide

Training resource guide intended to assist with any actions required by health care providers and/or provider office staff.

arrow

CoverMyMeds Cases Material

Brochure highlighting capabilities of Cases available in your CoverMyMeds account. The Organon Access Program uses services and technology provided by CoverMyMeds.

arrow
Electronic Enrollment

The Organon Access Program 2023 Electronic Enrollment Form

This form can be signed and submitted electronically. Use this form only if the patient is in the office and you are able to complete this form together.

arrow

The Organon Access Program 2023 Electronic Health Care Provider Enrollment Form

This Health Care Provider form can be signed and submitted electronically. Please note that the patient must also submit the Electronic Patient Enrollment Form, which can be found at www.organonaccessprogram-renflexis.com/hcc.

arrow
Enrollment

The Organon Access Program 2023 Enrollment Form

Download this form to fill out, print, and fax.

arrow

The Organon Access Program 2023 Sample Enrollment Form

arrow

Potential Independent Foundation Support

arrow
Coverage and reimbursement support

Biosimilars Reimbursement Flashcard

arrow

Prior Authorization Checklist

arrow

Sample Prior Authorization Letter

arrow

Appeal Checklist

arrow

Sample Appeal Letter

arrow
Co-pay Claims Portal

Co-pay Claims Portal

Medical co-pay claims can be submitted electronically using the Co-pay Claims portal.

arrow
Coding and billing resources

Billing and Coding Card

arrow

Sample CMS-1500 Form

arrow

Sample UB-04 Form

arrow
Product support materials

RENFLEXISHCP.com

arrow
Product information

Physician Prescribing Information

arrow

Medication Guide

arrow

The information available here is compiled from sources believed to be accurate, but Organon makes no representation that it is accurate. This information is subject to change. Payer coding requirements may vary or change over time, so it is important to regularly check with each payer as to payer-specific requirements.

The information available here is not intended to be definitive or exhaustive, and is not intended to replace the guidance of a qualified professional advisor. Organon and its agents make no warranties or guarantees, express or implied, concerning the accuracy or appropriateness of this information for your particular use given the frequent changes in public and private payer billing. The use of this information does not guarantee payment or that any payment received will cover your costs.

You are solely responsible for determining the appropriate codes and for any action you take in billing. Information about HCPCS codes is based on guidance issued by the Centers for Medicare & Medicaid Services applicable to Medicare Part B and may not apply to other public or private payers. Consult the relevant manual and/or other guidelines for a description of each code to determine the appropriateness of a particular code and for information on additional codes. Diagnosis codes should be selected only by a health care professional.

HCPCS, Healthcare Common Procedure Coding Systems.

This site is intended only for residents of the United States.
Organon Logo
  • Terms of Use
  • Privacy Policy
  • Cookie Preferences
TRUSTe Accessibility icon

© 2023 ORGANON group of companies. All rights reserved. ORGANON and the ORGANON Logo are trademarks of the ORGANON group of companies. US-SBT-115465 02/23

TRUSTe Accessibility icon

You will be navigating to a website outside of
The Organon Access Program.

Links to other websites are provided as a convenience to the visitor. Organon accepts no responsibility for the content of linked sites. Any data you choose to provide to the linked sites will be governed by the privacy policies of those sites.

YES NO

You will be navigating to a website outside of
The Organon Access Program.

Links to other websites are provided as a convenience to the visitor. Organon accepts no responsibility for the content of linked sites. Any data you choose to provide to the linked sites will be governed by the privacy policies of those sites.

YES NO