SteriMax Fulvestrant Copay Information
Copay support is subject to the usual and customary mark up and dispensing fees.
Pharmacy Instructions
| Please process your patient’s claim for financial assistance through the NexgenRx electronic payment system, using the following information: |
|---|
| Carrier #: 98 |
| Group/Policy #: BAYSHORE |
| Certificate #: FUL00100 |
| Relationship Code: 001 |
| Copay Assistance: 20% |
| If you are unable to process the claim, please contact NexgenRx at 1-866-394-3648. Hours of operation are Monday to Friday 8:30 AM to 10:00 PM EST. |
If the issue continues to be unresolved, please contact SteriMax Patient Support Program at 1 844-747-0330, Monday to Friday 8:00AM to 8:00PM EST.