WHC Support Center FormsOrdering and Reimbursement for Kyleena, Mirena, and Skyla Reimbursement Information Compass Guide Sample IUD CMS 1500 IUD Coverage Program Flashcard Quick Reference Guide for Copay Savings Program WHC Support Programs Flashcard Same Day Insertion (SDI) Checklist Single Office Visit (SOV) Checklist SDI and SOV Billing and Coding Guide Bayer IUD Codes and Descriptions for Billing/Reimbursement Forms Benefits Investigation Office Worksheet Benefit Investigation Patient Guide Rebate Reimbursement Request Form Intrauterine System (IUS) WAC Price Information HCP/Office Manager Kyleena Letter of Appeals Kyleena Letter of Medical Necessity Mirena Letter of Medical Necessity Product Ordering InformationVolume Discount Program Specialty Pharmacy InformationSP Patient Reminder FormTexas Commercial Health Plan - SP AlignmentTexas Medicaid and Healthy Texas Women - SP Alignment Forms SP Prescription SP Prescription – CA Medicaid SP Prescription – LA Medicaid SP Prescription – TX Medicaid CA - Desert Pharmacy SP Form Abandoned Unit FAQ and Form
