This convenient program includes insurance benefit investigation and prior authorization support, access to the HYALGAN® patient assistance program, and timely status updates.
Complete support for your office to prescribe HYALGAN® with confidence
Quick Turnaround (2 business days or less)
Patient-specific Benefits Investigation
Prior Authorization Applications and Renewals
Specialty Pharmacy Triage
Real-time enrollment status updates
Allows for maximized visibility and the insight necessary to track a referral’s journey throughout the fulfillment process.
Support hotline 1-866-749-2542, Option 2
- Reimbursement support
- Physician support services
Available Monday-Friday, 9 AM to 8 PM ET
For patient insurance verification, register/login to: www.fidiacomplete.com
The HYALGAN® Patient Assistance Program (PAP)
Patients who meet the eligibility criteria may receive HYALGAN® at no charge. In order for a patient to be eligible for the HYALGAN® PAP, she or he must meet the following eligibility criteria:
- They must be a legal US resident
- They must have an annual income at or below 250% of the Federal Poverty Line
- They must not have any public or private prescription drug insurance
2021 Poverty Guidelinesa
The typical turnaround time for an application related to Reimbursement or PAP is less than 48 hours. If the patient is approved for Patient Assistance, the product then ships via FedEx 2-day to the physician’s office.