Patient access support

ARMLUPEG®

pegfilgrastim-unne

ValorumPRO helps patients and healthcare professionals navigate enrollment, reimbursement, affordability, and ongoing access support for ARMLUPEG.

Connected support

Support throughout the access journey

ValorumPRO brings benefits, authorization, affordability, reimbursement, and ongoing access resources together in one coordinated program.

Benefits Verification

Benefits verification support, including electronic BV through our Stedi integration, helps quickly confirm patient coverage and eligibility - often within seconds.

Prior Authorization Support

ValorumPRO provides prior authorization support, including assistance with appeals and reimbursement-related questions. Practices using SamaCare can more easily submit prior authorizations electronically to streamline the patient access process. To learn more about SamaCare or how to get started, please contact practice@samacare.com.

Patient Assistance Program

Free-product support for eligible patients who meet program-specific eligibility requirements.

Product Replacement Program

Product replacement and continuity support based on program requirements.

Commitment Program

Designed to support healthcare providers and help maintain patient access during reimbursement implementation and transition periods associated with Valorum product launches.

Enrollment and resources

Get to the right information faster

ValorumPRO brings enrollment, affordability, reimbursement, and program resources together in one place.

Eligibility and documentation

What to expect during enrollment

Eligibility varies by service, insurance status, and final program terms. Supporting documentation may be required.

  • Patient and prescriber information
  • Insurance and coverage information, when applicable
  • Prescription and site-of-care information
  • Income, residency, or financial documentation when required for assistance review
Enrollment

Choose how to get started

ValorumPRO offers enrollment pathways and direct program-support options for patients and healthcare professionals.

Online

Start an online application

Complete the enrollment process electronically and submit supporting information through a secure workflow.

Online enrollment
Download

Use the enrollment form

Download the program enrollment form for completion and submission by fax.

Download form
Live support

Contact ValorumPRO

Phone
844-VALORUM
Fax
833-282-7224
Hours
Monday–Friday, 8:30 a.m.–5:00 p.m. ET
Healthcare professional resources

ARMLUPEG reimbursement quick reference

Coding, coverage, and payment requirements vary by payer. Current payer-specific guidance should always be verified before claim submission.

HCPCSQ51690.5 mg per billing unit
6 mg syringe12 units6 mg/0.6 mL presentation