TASCENSO Letter Of Medical Necessity

Tascenso Letter of Medical NecessityDescriptionVersionPublish dateDownload link
Dysphagia and EquivalentIf the Payor requires the patient to have Dysphagia or difficulty swallowing3.020.10.2023Download
First Dose ObservationIf the patient needs a First Dose Observation2.020.10.2023Download
PediatricIf the patient is a pediatric2.020.10.2023Download
Step TherapyIf the Payor requires alternative treatments to be tried before and you would like to request a step therapy exception. Please also download the state specific laws from the drop down below and attach to the LOMN2.020.10.2023Download

Clinical Education Team

Access Team

Management Team