Reimbursement Program
FENTORA is eligible for Medicaid reimbursement in all 50 states; however, coverage may vary from state to state.
If you have questions about whether FENTORA is covered under your insurance plan, you can call the FENTORA Reimbursement Program toll-free at 1-877-4FENTORA (1-877-433-6867). Reimbursement specialists can answer your questions about insurance coverage, reimbursement, and limitations. They can help you and your physician with preauthorizations and denied claims.
Cephalon does not formally conduct appeals for callers. The responsibility for obtaining prior authorization and seeking appeals ultimately must rest with patient and providers.
While Cephalon provides tools and services that may facilitate the reimbursement process, third-party payment for FENTORA is affected by several factors — not all of which can be resolved by the FENTORA Reimbursement Program staff. As a result, Cephalon cannot guarantee success in obtaining insurance authorizations or payments.