Our PATHways Provider Portal is your practice’s gateway to our suite of services. It’s available 24/7 for your convenience, providing:

• Online patient enrollment available at pathwaysproviderportal.com
• Patient-level tracking with real-time updates on case progress
• Electronic signature capture
• Benefit coverage insight
• Links to download

• enrollment forms,
• billing and coding guides, and
• templates for letters of medical necessity
• other useful documents

Insurance coverage can vary by carrier, plan and patient. To ease the way toward treatment, our PATHways program will:

• Determine a patient’s coverage and out-of-pocket costs before treatment begins
• Verify a patient’s insurance plan enrollment status
• Identify payer access requirements such as specialty pharmacy channels or in-office dispensing
• Prepare a Summary of Benefits outlining the Benefits Investigation findings

When needed, your PATHways Program Access Specialist (PAS) can:

• Coordinate with the patient’s insurer to determine PA requirements
• Follow-up once the request is submitted until the insurer delivers an outcome

Should a PA request or claim be denied, your PAS will:

• Review the reasons for the denial
• Provide insurer’s requirements for appeals
• Track appeals status and resolution

For help with patient claim submissions, look to PATHways to:

• Offer easy access to sample forms and template letters
• Supply reference billing and coding information* for physician office and hospital outpatient care settings

*Coding information is for reference only. The physician must determine the appropriate code to use for each patient and payer. Provided codes are recommendations only and at the discretion of the HCP to use.

Our PATHways Program Access Specialists (PAS) can coordinate with a patient’s insurer to confirm whether the status of a claim is:

• Received – If the claim has not been received, the PAS will coordinate with the physician’s office to confirm claim submission.
• In process – The PAS will determine timing to complete the review and follow-up with the insurer as necessary.
• Paid – The PAS will provide details like date, amount and check number for paid claims.
• Denied – The PAS will gather information and offer appeals assistance to your office.

In most regions, an experienced Field Access & Reimbursement Specialist (FARS) with expertise in biosimilars can visit your practice for:

• In-person on-site and claims support
• Virtual visits for rural practices or when in-person meetings aren’t possible
• Help navigating and resolving reimbursement and access issues

* Third-party organizations operate independently from Amneal. Availability of services and eligibility
requirements are determined solely by these organizations.

• Request replacement product from Amneal
• Communicate the outcome of the request to your office
• Coordinate shipment of any approved replacement product

For patients facing high out-of-pocket costs, let PATHways help:

• Suggest federal or state programs for which the patient may qualify
• Identify third-party*; charitable foundations that might assist a patient with their financial obligation

*Third-party organizations operate independently from Amneal. Availability of services and eligibility requirements are determined solely by these organizations.

• Eligible*, commercially insured patients may pay as little as $0 per treatment with an Amneal Biosciences product
• Limits, terms, and conditions apply
• No income restrictions for patients to qualify
• For information on enrollment, claims submissions, and reimbursement, log on to the PATHways provider portal at pathwaysproviderportal.com

*Eligibility Criteria/Terms & Conditions: The PATHways Co-Pay Savings Program [Program] is NOT insurance. The Program is only available for residents of the US and Puerto Rico who have commercial health insurance with co-pay/co-insurance on each prescription fill per product. Uninsured and cash-pay individuals are NOT eligible for the Program nor are individuals with commercial insurance coverage that does not provide coverage for [Product] [Generic]. Individuals with coverage for [Product] [Generic], in whole or in part, under any state or federally funded healthcare program, including but not limited to, Medicare, Medicare Advantage Plans, Medicare Part D (including Qualified Retiree Prescription Drug Plans), Medicaid, Medigap, VA, DoD, TRICARE, and the Puerto Rico Government Health Insurance Plan, are NOT eligible for the Program. Patients who move from commercial to state or federally funded insurance will no longer be eligible for the Program.

Patients may not combine this offer with any rebate, coupon, free trial, or similar offer. Patients must present a valid prescription for an eligible drug at a participating pharmacy. Federal and state laws and other factors may prevent or otherwise restrict eligibility. This offer is not valid where prohibited by law. Void if copied, transferred, purchased, altered, or traded. Amneal Pharmaceuticals LLC reserves the right to rescind, revoke or amend this offer or discontinue the Program at any time without notice.

When submitting claims under the Program, patients are certifying that they understand the Program rules, regulations and terms and conditions, and will comply with the Program terms as set forth herein. Additionally, you are certifying that a claim has not been submitted under a state or federally funded healthcare program, including but not limited to, Medicare, Medicare Advantage Plans, Medicare Part D (including Qualified Retiree Prescription Drug Plans), Medicaid, Medigap, VA, DoD, TRICARE, and the Puerto Rico Government Health Insurance Plan. Limit one Program enrollment per individual.

The Amneal Patient Assistance Program offers eligible individuals the opportunity to apply to receive free medication for up to one year. When patients don’t qualify for other financial assistance, a PATHways PAS may help:

• Check a patient’s eligibility* for the Amneal Patient Assistance Program
• Provide the forms and guidance needed to complete them
• When due, assist with re-enrollment in the program

*To be eligible to receive free medicine from Amneal, patients must be residents of US, Puerto Rico or US Virgin Islands, not have affordable coverage for the prescription, have an adjusted total annual household income of 300% of the Federal Poverty Level (FPL) or less which can be adjusted by medical expenses and, if enrolled in a Medicare Part D plan, have spent at least 3% of annual household income out-of-pocket on prescription medicines. If approved, patients are eligible to receive free medication for up to one year. Medications will be shipped to the patient’s home. The Amneal Patient Assistance Program will send an application for renewal when a patient’s enrollment is due to expire.