Biologic Fulfillment Fundamentals

Biologic Fulfillment Fundamentals logo next to two women in a doctor's office.

The work associated with helping patients access the biologic therapy their health care provider has prescribed is crucial to each patient’s psoriasis journey.

Medical professionals who perform the access and fulfillment related work play an integral role within the specialty provider’s office to help those with psoriasis access specialty prescriptions from their health plans.

By working collaboratively with the patient, prescribing specialist, specialty pharmacy, manufacturer and insurance company, you are critical in communicating with patients throughout the authorization process, obtaining up-to-date insurance information, completing forms and handling prior authorization, step therapy and denials.

To assist you and your patients in getting the appropriate care to treat their moderate to severe plaque psoriasis, this hub contains resources and best practices, while also highlighting the critical role of these experienced medical professionals.

Tools and Resources

Communicating with Insurance

Resources for Patients

What is a biocoordinator? (Advance article)

Full Circle: How advocacy around step therapy helped Tammy's future self (Advance article)

Ensuring All Copays Count (Advance article)

Navigating Insurance Denials (podcast)

Resources from the NPF Patient Navigation Center

Patients can contact the Patient Navigation Center to learn more about treatments and health insurance, locate programs that may lower the cost of treatments, and connect with other people living with psoriatic disease.

Getting Health Insurance (Quick Guide)

Clinical Trials (Quick Guide)

Accessing Health Care for the Uninsured and Underinsured (Quick Guide)

Related Resources

StepTherapy.com (See step therapy legislation by state and download an exception request form.)

The Need for Biologic Coordinators (infographic)

AAD: Practice Management Center (You must be an AAD member to view these resources.)

Teledermatology and You: Managing Patients Virtually

CoverMyMeds

Eblu Solutions

NaviNet

Advisory panel

All content in this hub has been reviewed by an advisory panel, consisting of medical professionals from diverse backgrounds and practices:

Amy Brennan

SkinCare Physicians, Inc.
Chestnut Hill, MA

Casey Butrus, PharmD

Highmark Inc.
Pittsburgh, PA

Laurie Heelon

University of Rochester
Rochester, NY

Katrina Kirby, Biologic Coordinator, CPht

Rheumatology Care Center
Calera, AL

Tommie Major

Georgia Skin & Cancer Clinic
Savannah, GA

Christine Ramig

Optima Dermatology
Boardman, OH

Biologic Fulfillment Fundamentals sponsor:

National Psoriasis Foundation is solely responsible for all content and development.

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