Acthar Gel Patient Support

Patient	Medication	Insurance	Case Manager	Status	Date Created
Patient	Medication	Insurance	Case Manager	Status	Date Created
Parsons, Bob	Acthar Gel Dermatomyositis	Blue Cross	Sarah Johnson	Benefit Verification Prior Authorization Documents Received	03/01/2024
Johnson, Maria	Acthar Gel Multiple Sclerosis	Medicare	Michael Chen	Benefit Verification Prior Authorization Waiting for Documents	03/15/2024
Williams, Robert	Acthar Gel Infantile Spasms	Aetna	Emily Rodriguez	Benefit Verification Prior Authorization Documents Received	03/18/2024

Patient	Medication	Insurance	Case Manager	Status	Date Closed
Patient	Medication	Insurance	Case Manager	Status	Date Closed
Parsons, Bob	Acthar Gel Lupus	UnitedHealthcare	David Wilson	Benefit Verification Prior Authorization Documents Processed	03/01/2024