Temporary access
May provide ENTYVIO at no cost to eligible new-to-therapy commercially insured patients when coverage is delayed, excluded, or denied.
What it does
Supplies medication while required coverage work continues. Official program materials state eligible patients may receive Start support for up to three years, subject to terms and continued eligibility.
Open official program pagePotentially available to eligible commercially insured patients who are new to ENTYVIO and face a qualifying coverage exclusion, delay, or prior-authorization denial.
Government program exclusions: Medicare, Medicaid, TRICARE, VA, DoD, Other federal or state healthcare programs
Complete patient authorization, provider, prescription, and selected Start Program sections.
Open documentAttach insurance cards and current benefit information.
Provide the plan notice or status requested by EntyvioConnect.
Continue required prior authorization, exception, or appeal work.
The clinic selects Start Program support on the official form, submits the prescription and coverage-event documentation, and continues plan-required access work.
Best for: Services requiring clinical information, a prescription, or prescriber attestation
Patient completes demographics and the authorization/consent section of the official form.
Owner: Patient
Have ready: Contact information, Signature and date
Prescriber And Clinic Staff, EntyvioConnect, Patient, Health Plan, Treatment Site Or Pharmacy
EntyvioConnect
Benefits investigation, authorization, savings, temporary access, patient assistance, and nurse support.
Monday-Friday, 8 AM-8 PM ET
Comprehensive official HCP page describing service eligibility, duration, and benefit limits.
Official enrollment form includes patient, provider, insurance, prescription, and service sections.
Prescriber completes the prescription, clinical, insurance, and service-selection sections and attaches supporting records.
Owner: Prescriber or clinic staff
Have ready: Signed enrollment form, Prescription, Insurance cards, Coverage delay or denial evidence
Submit the completed form by fax to 1-877-488-6814.
Owner: Clinic staff
After enrollment: EntyvioConnect informs the clinic whether the patient is approved and coordinates medication fulfillment while coverage work continues.
If there is a problem: Contact EntyvioConnect before a scheduled dose if product shipment or continued eligibility is unresolved.
