ORTHOVISC®

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Managed Care and Reimbursement Support Services

 

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    Helpful Forms

    Below is a list of helpful forms that can help in determining patient's ORTHOVISC® Insurance Benefits, filing or appealing an ORTHOVISC® claim or determining if a patient would qualify for the ORTHOVISC® Patient Assistance Program. If you need more information or assistance regarding ORTHOVISC® reimbursement resources, contact ORTHOVISC®Line at 1-866-633-VISC (8472). Available Monday- Friday, 9AM - 8PM ET, ORTHOVISC®Line is staffed by reimbursement professionals and is designed to assist healthcare providers and their staff with reimbursement assistance for ORTHOVISC®.

     

    ORTHOVISC® offers a Patient Assistance Program through Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF), an independent, non-profit organization. JJPAF provides assistance to patients experiencing financial hardship who have no insurance coverage for their prescription medicines. To learn more about JJPAF, visit www.jjpaf.org, or call 800-652-6227.

     

    The reimbursement information contained in this web site is provided for informational purposes only and represents no statement, promise, or guarantee by DePuy Mitek, Inc. concerning levels of reimbursement, payment, or charge. Similarly, all CPT and HCPCS codes are supplied for informational purposes only and represent no statement, promise, or guarantee by DePuy Mitek, Inc. that these codes will be appropriate or reimbursement will be made. The information presented is not intended to increase or maximize reimbursement by any payor. We strongly recommend that you consult your payor organization with regard to its reimbursement policies.

    JCode Source: Federal Register/Vol.72, No. 227,pp 66774/Tuesday, November 27, 2007. All Current Procedural Terminology (CPT) five-digit numeric codes, descriptions, numeric modifiers, instructions, guidelines, and other material are Copyright 2007 American Medical Association. All Rights Reserved.

    ICD-9 is based on the official version of the World Health Organization's Ninth Revision, International Classification of Diseases.

    CPT codes and descriptions only are Copyright 2007 American Medical Association. All Rights Reserved.

     
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    This site is published by DePuy Mitek, Inc., which is solely responsible for its contents.
    It is intended for healthcare professionals in the U.S. and contains U.S. based product information only.
    ORTHOVISC® is manufactured by and is a registered trademark of Anika Therapeutics, Inc. Distributed by DePuy Mitek, Inc.

    © DePuy Mitek, Inc. 2005 - 2010

    AN OFFICIAL HEALTH AND FITNESS PROVIDER

    Important Safety Information

    ORTHOVISC® is indicated in the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative nonpharmacologic therapy and to simple analgesics, e.g. acetaminophen. In clinical studies, the most commonly reported adverse events were arthralgia, back pain, and headache. Other side effects included local injection site adverse events.

    ORTHOVISC® is contraindicated in patients with known hypersensitivity to hyaluronate formulations or known hypersensitivity (allergy) to gram positive bacterial proteins. ORTHOVISC® should not be injected in patients with infections or skin diseases in the area of the injection site or joint. Strict aseptic technique should be used. The effectiveness of more than 1 course has not been established.