TASCENSO Letter Of Medical Necessity
| Tascenso Letter of Medical Necessity | Description | Version | Publish date | Download link |
| Dysphagia and Equivalent | If the Payor requires the patient to have Dysphagia or difficulty swallowing | 3.0 | 20.10.2023 | Download |
| First Dose Observation | If the patient needs a First Dose Observation | 2.0 | 20.10.2023 | Download |
| Pediatric | If the patient is a pediatric | 2.0 | 20.10.2023 | Download |
| Step Therapy | If 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 LOMN | 2.0 | 20.10.2023 | Download |
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