To get your patients started on HAEGARDA, complete this Prescription Form and fax it to 1-866-415-2162. By completing this form, you’ll be providing your patients with the efficacy of HAEGARDA and all the additional benefits that go along with their prescriptions, including nurse visits for training and constant reimbursement care.
HAEGARDA Connect offers your HAE patients in-home training to educate on safe practices and help get them comfortable with preparing and injecting HAEGARDA. This training is available at no cost to the patient. LEARN MORE
This printable prior authorization checklist and common requirements document was created based on top payer policies but should not be considered specific to one particular plan.
Access ICD-10-CM diagnosis, HCPCS, CPT®, and NDC billing codes for HAEGARDA.