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Ordering and Reimbursement

Cost and insurance coverage

Bayer is committed to the reproductive health of women, and we work hard to ensure every woman has access to effective contraception. Bayer may be able to help if your patients are uninsured or underinsured, or if they have high out-of-pocket costs.

 

    The Confidence In Coverage program replaces IUDs at no cost for eligible patients who are denied coverage* by their plan after IUD insertion.

    *Does not apply for patients who have co-pay, insertion and removal costs, or any other costs.

    Bayer US Patient Assistance Foundation is a charitable organization that helps eligible patients get their Bayer prescription medicine at no cost. Please have your patient contact the program at 1-866-2BUSPAF (228-7723), Monday to Friday, 9 AM to 6 PM EST, or visit the foundation website https://www.patientassistance.bayer.us/

    The Kyleena® Co-Pay Savings Program may help eligible commercially insured patients to pay as little as $20 for Kyleena.*

    95%

    OF PATIENTS HAD COVERAGE FOR A BAYER IUD WITH LOW OR NO OUT-OF-POCKET COSTS BASED ON BENEFIT INVESTIGATION SUBMISSIONS TO BAYER IN 20171

    Other products costs may apply; N=291,664.

    *Eligible patients may pay as little as $20 and save up to $999. Patients who are enrolled in any type of government insurance or reimbursement programs are not eligible. As a condition precedent of the co-payment support provided under this program, e.g., co-pay refunds, participating patients and pharmacies are obligated to inform insurance companies and third-party payers of any benefits they receive and the value of this program, and may not participate if this program is prohibited by or conflicts with their private insurance policy, as required by contract or otherwise. Void where prohibited by law, taxed, or restricted. Patients enrolled in the Bayer US Patient Assistance Foundation are not eligible. Bayer may determine eligibility, monitor participation, equitably distribute product and modify or discontinue any aspect of the Co-pay Savings Program for Kyleena at any time, including but not limited to this commercial co-pay assistance program.

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    We’re for health.
    We’re for access.
    WE’RE FOR HER.

    We’re for Her

    Bayer is committed to the reproductive health of women, and we work hard to help ensure that every woman can feel confident and informed when it comes to her reproductive decisions and health. This means supporting every woman’s access to effective birth control. So even if your patient has high out-of-pocket costs with insurance, or if they don’t have insurance, there may be ways to get help paying for Kyleena® (levonorgestrel-releasing intrauterine system 19.5 mg).

     

    We believe that every woman should have the right to decide what’s best for her body and her future. Consider if an IUD is right for your patients. We’re for health. We’re for access. We’re for Her.

    Bayer US Patient Assistance Foundation

    A charitable organization that helps eligible patients get their Bayer prescription medicine at no cost. Please have your patient contact the program at 1-866-2BUSPAF (228-7723) Monday to Friday, 9 AM to 6 PM EST, or visit the foundation website at www.patientassistance.bayer.us to see if they might qualify for assistance.

    Partnership with Direct Relief

    In 2020, we committed to a partnership with the humanitarian medical organization Direct Relief to provide IUDs to health facilities caring for women in need across the country.*

     

    *Interested health facilities can learn more by visiting www.directrelief.org or by contacting Direct Relief at 1-805-964-4767.

    IUD=intrauterine device; US=United States.

    There are 2 ways to order Kyleena

      Bayer WHC Support Center

       

      • Place orders online, by phone, or by fax
      • Check account status and track orders
      • Access 24-hour online support 

       

      Go to WHC Support Center

      Bayer WHC Specialty Pharmacy Program

       

      Depending on a patient's insurance plan, offices can order Kyleena through a Specialty Pharmacy.

       

      Specialty Pharmacies may be able to bill the insurance company directly for Kyleena. In this case, the office bills only for the clinical services related to insertion. The remaining share of the cost is billed by the Specialty Pharmacy.

       

      Contacting your Specialty Pharmacy
      CVS Specialty (in the Continental US)
      (866) 638-8312

       

      CVS Specialty (in Hawaii-Neighbor Islands)
      (800) 896-1464

       

      CVS Specialty (in Hawaii-Oahu)
      (808) 254-2727

       

      AllianceRx Walgreens Prime
      Phone: 1-877-686-4633
      Fax: 1-800-830-5292

       

      Cigna Specialty Pharmacy Services
      (800) 351-3606

       

      Humana Specialty Pharmacy
      (800) 486-2668

       

      Magellan Rx
      Phone: 1-866-554-2673
      Fax: 1-866-364-2673

      Visit the Bayer WHC Support Center for additional ordering resources and support

      Coding and reimbursement

        HCPCS codes (Kyleena J-code)
        The alphanumeric codes are used to report drugs, supplies, and services. HCPCS codes starting with the letter “J” are used for products, supplies and services administered by the provider.

         

        Table with Healthcare Common Procedure Coding System codes (Kyleena J-code) for Kyleena® (levonorgestrel-releasing intrauterine system) 19.5 mg IUD.

         

        NDC codes
        Note that some payers, including Tricare and Medicaid, require the 11-digit NDC format when billing for Kyleena. Confirm NDC billing instructions with each payer, as requirements may vary.

         

        Table with 10- and 11-digit National Drug Code ID numbers for Kyleena® (levonorgestrel-releasing intrauterine system) 19.5 mg IUD.

        HCPCS=healthcare common procedure coding system; NDC=national drug codes.

         

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