CIMERLI® patient and provider support
Sandoz One Source® helps ease administrative burdens and streamlines patient access
Find a simplified suite of patient assistance, industry-leading electronic services, and office support to ensure successful access and reimbursement.
Access the Sandoz One Source Provider Portal (opens in a new tab)Comprehensive reimbursement services to support your practice
Sandoz One Source offers reimbursement solutions you can count on:
Benefit Verification Support
Determine treatment coverage through electronic medical benefit verification
Prior Authorization Support
Ease administration burden with support for required prior authorizations or predeterminations*
Coding and Billing Support
Sample coding and billing information is available to help facilitate appropriate claims submission†
Patient Financial Assistance
CIMERLI® may be available to your patients at no cost‡
Appeals Assistance
Resources to help you confirm the medical necessity of CIMERLI® and appeal denied claims§
Product Replacement
Assistance with product replacement
Coding Flashcard (opens in a new tab)
*If your patient's request for required authorizations isn't granted, your field reimbursement manager can work with you to determine next steps.
†Correct coding is the responsibility of the provider submitting the claim for the item or service. Please check with the payer to verify codes and special billing requirements. Sandoz One Source does not make any representation or guarantee concerning reimbursement or coverage for any service or item.
‡Eligibility requirements, type of assistance, and application process varies.
§Sandoz One Source cannot complete or submit appeals on your behalf.
State-specific coverage information
Visit the Payer Coverage CenterCO-PAY SAVINGS PROGRAM
Your patients may pay as little as $0 for CIMERLI®
The Co-Pay Savings Program may cover out-of-pocket costs associated with CIMERLI® and the injection procedure for eligible patients with commercial insurance.*
per dose of CIMERLI® including injection
Maximum annual benefit of $16,000
per calendar year.
*Drug and Injection Co-Pay Eligibility Criteria:
- Be prescribed CIMERLI® for a medically appropriate purpose consistent with its FDA-approved labeling within 180 days of program enrollment
- Have commercial (private or non-governmental) health insurance that covers the medication costs of CIMERLI®
- Not covered by any federal, state, or government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, Veterans Affairs, Department of Defense, or TRICARE
- Not seek reimbursement from any third party, including payers, charitable foundations, or flexible spending account (FSAs) or healthcare savings accounts (HSAs) for all or any part of the benefit received by Sandoz through this program
- Other restrictions apply, see Terms & Conditions (opens in a new tab)
- It is not valid for cash-paying patients or where prohibited by law
- CIMERLI® co-pay program subject to change or discontinuation without notice. This is not health insurance
Financial assistance for greater patient access to quality treatment
Whether your patients are commercially insured, uninsured, underinsured, or on Medicare, Sandoz One Source has assistance programs that may help ease payment concerns.
SANDOZ PATIENT ASSISTANCE (SPA)
Uninsured or underinsured patients may receive CIMERLI® at no cost§
Sandoz Patient Assistance (SPA) is committed to providing access to Sandoz medications for those most in need. If your patient is experiencing financial hardship, cannot afford the cost of treatment, and has limited or no prescription coverage, then your patient may be eligible to receive Sandoz medications for free.
To be eligible for SPA assistance, your patient must:
- Reside in the United States or a U.S. Territory
- Have limited or no prescription insurance coverage
- Meet income guidelines adjusted for household size, for the medication for which the patient is seeking assistance
- Have a valid prescription for the Sandoz medication
- Be treated by a licensed U.S. healthcare provider
- Complete and sign consent form and, when applicable, provide income documentation
§To be considered functionally underinsured, the patient does not have coverage for CIMERLI® or any other anti-VEGF or ranibizumab product.
Independent co-pay foundations
Assistance with out-of-pocket costs
Charitable organizations may be able to provide financial assistance if your patients have commercial insurance or government insurance, including Medicare and Medicaid.‖
Your patient can contact these independent foundations directly or a Sandoz One Source® specialist can help determine if they are eligible at 1-844-4SANDOZ (1-844-472-6369).
‖Independent foundations have their own rules for eligibility. Sandoz has no involvement or influence in independent foundation decision-making or eligibility criteria.
3 ways to connect with Sandoz One Source
Visit Sandoz One Source (opens in a new tab) to enroll for comprehensive reimbursement support
Call 1-844-4SANDOZ (1-844-472-6369) for reimbursement inquiries
Contact your field reimbursement manager for patient access and reimbursement education and complex support issues
CIMERLI® was proven clinically equivalent to Lucentis® (ranibizumab injection) in terms of efficacy and safety1
See head-to-head dataRequest a visit from a Sandoz representative
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