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Support and resources

Biogen Support Services
for your patients

Call 1-877-725-7639

Monday–Friday, 8:30 AM to 8:00 PM ET

Our Support Coordinators are committed to:

Answering general disease and product questions, as well as questions about Biogen Patient Support Services

Assisting with access to treatment and removal of nonclinical barriers

Resources to support your patients’ journey on QALSODY

Patient brochure

Information on how QALSODY works, clinical trial results, and more

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Getting started brochure

Your patients’ guide to how QALSODY is administered

Download
Dosing and administration brochure

Provides the recommended dosing for QALSODY, preparation instructions, an overview of administration, and guidelines for storage and handling

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Copay reimbursement form

For patients going through the QALSODY Copay Assistance program

Download
Resource Guide for Practices and Facilities

Download this guide for support with navigating QALSODY treatment access and procurement processes for your patients with ALS

Download
Sample Letter of Medical Necessity/Appeal Template

In the event you need to obtain approval or appeal a denial, you can leverage this sample letter to support communication with your patient’s health plan

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Start Form (English)

Download this form to help patients start treatment with QALSODY and enroll in Biogen Support Services

Download
Start Form (Spanish)

Download this form to help patients start treatment with QALSODY and enroll in Biogen Support Services

Download