Patient Support Program
Call us with questions at 1-833-418-6663
Fax to 1-833-329-4121, or email us at enroll@COSELAcares.com
Your Resource for Access and Affordability Solutions
COSELA CaresTM offers a suite of solutions to help you address access and reimbursement hurdles:
Benefits verification to confirm patient coverage and out-of-pocket responsibilities
Payor-specific guidance for prior authorizations and appeals
Assistance navigating insurance-related delays or coverage denials
Providing resources that connect eligible patients, regardless of insurance type, to appropriate support options for high deductibles, copays, or coinsurance*
*COSELA CaresTM provides informational support only and does not submit claims or perform administrative services on behalf of providers. Program participation does not guarantee insurance coverage, product access, or reimbursement.
Eligibility and restrictions apply.
Submitting the completed form will initiate a benefits investigation that includes coverage status, prior authorization requirements, and patient out-of-pocket costs. This information will be provided to your practice.†
†Enrollment does not guarantee benefits.
Simple COSELA CaresTM Enrollment Process
Call us with questions at 1-833-418-6663 Fax to
1-833-329-4121, or email us at enroll@COSELAcares.com
Complete and submit
the form to enroll
patients in COSELA CaresTM
Fax the form to
1-833-329-4121
