Orenitram Enrollment Form - Web learn how to enroll your eligible pah patients in a program that allows them to try orenitram at no cost for up to 90 days. Follow these 3 steps to complete the referral form. Web orenitram is a medication for pulmonary arterial hypertension (pah) that can improve exercise capacity and delay disease progression. Please plan ahead for titration when completing and submitting this referral form for prior authorization to help avoid delays in treatment initiation. Prior authorization may be required for each prescribed dosing strength of orenitram. Find out the eligibility criteria, how to get started, and what support resources are available. Web how to get started. United therapeutics cannot guarantee payment for united therapeutics products and directs patients to discuss treatment options with their healthcare provider. Obtain all the necessary documentation from your patient to fill out the patient information (a and b), and have your patient sign (c).
Web orenitram is a medication for pulmonary arterial hypertension (pah) that can improve exercise capacity and delay disease progression. Web learn how to enroll your eligible pah patients in a program that allows them to try orenitram at no cost for up to 90 days. Web how to get started. United therapeutics cannot guarantee payment for united therapeutics products and directs patients to discuss treatment options with their healthcare provider. Obtain all the necessary documentation from your patient to fill out the patient information (a and b), and have your patient sign (c). Follow these 3 steps to complete the referral form. Prior authorization may be required for each prescribed dosing strength of orenitram. Please plan ahead for titration when completing and submitting this referral form for prior authorization to help avoid delays in treatment initiation. Find out the eligibility criteria, how to get started, and what support resources are available.