Do your patients need help with reimbursement and insurance coverage for Zanaflex Capsules® (tizanidine hydrochloride)?
Reimbursement Program
The Zanaflex Capsules® (tizanidine hydrochloride) Reimbursement Program is designed to help you help your patients work through the insurance reimbursement process with as few complications as possible.
Call the Zanaflex Capsules® (tizanidine hydrochloride) Reimbursement Hotline toll-free at 1-800-464-0097 from 10am to 6pm Eastern Time, Monday through Friday
Be prepared to provide the following information:
- Office Contact Information
- Physicians Name
- Address
- Phone and Fax
- Contact Person for Office
- Provider Number for the Patient’s Plan
- Patient Information
- Plan Name, Member ID #
- SS # and Date of Birth
- Address and Phone #
- Correct Diagnosis Codes
- Previous Meds/Failed or Not Tolerated
- Zanaflex Capsules Rx Information (2,4,or 6mg and frequency)
The Reimbursement Program will complete the necessary paperwork
for the Insurance Plan or Medicaid and will fax to your office for a physician signature and a copy of the prescription.
The Reimbursement Program will send the Prior Authorization(P.A) request form to the
plan and follow up by phone to inquire about status.
The Reimbursement Program will follow up with your practice and patients (if requested) to indicate the decision has been received.
Assistance Program
The Zanaflex Capsules® (tizanidine hydrochloride) Assistance Program is designed to help patients who do not have insurance and whose income falls within the specific guidelines. The patient advocates at the toll-free number listed above will be able to help your patients with the application process for this program.
Acorda Therapeutics, Inc., the makers of Zanaflex Capsules® (tizanidine hydrochloride), is committed to protecting patient privacy. Any information provided to the patient advocates will not be sold or used for any marketing solicitations by Acorda Therapeutics, Inc., or any of its affiliates.
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