Not actual patients or healthcare providers.

For Healthcare Professionals

Find the Right Assistance Option for Your Patients

The My MISSION Support Program is your resource for access and reimbursement support for your patients.

  • My MISSION Support's Field Access and Reimbursement Managers can provide assistance to support access to MONJUVI® (tafasitamab-cxix)
  • Program Specialists can help research patient-specific benefits and answer any questions related to coding and coverage for MONJUVI

In the event of a claim denial, My MISSION Support can research the denial reason and assist you in your preparation of your appeal submission.

My MISSION Support offers a wide variety of tools to support appropriate billing, coding, and product access.

Once the appeal is submitted, My MISSION Support Program Specialists can follow up with the insurer until a coverage determination is made.

Billing & Coding Guide / Sample Claim Forms

Utilizing the appropriate codes on claim forms is required to obtain timely and appropriate reimbursement for any product. As a new product, MONJUVI will require the use of unspecified J codes for the first 6 to 9 months.

The following sample Claim Forms can be used as examples for your office to help identify the appropriate coding information for MONJUVI.

Medical Exceptions Guide / Sample Appeal Letters

The My MISSION Support Medical Exceptions & Patient Services Guide contains a wide variety of resources for you to navigate getting your patients the treatment they have been prescribed.

The following sample Appeal Letters are included to help support your development of payer-specific communications in the event of medical policy restrictions, prior authorizations, and/or denials.

  1. Sample Letter of Medical Necessity (61 KB)
  2. Sample Medical Exception Request (63 KB)
  3. Sample Prior Authorization and Claim Denial (63 KB)

Product Ordering Information

MONJUVI is available through a select network of Specialty Distributors and Specialty Pharmacies.

See the MONJUVI Product Information and Ordering Sheet for additional details (623 KB).

My MISSION Support Program Brochure

Explore a comprehensive My MISSION Support guide (150 KB) describing the services offered by My MISSION Support and how to access them.

Field Access and Reimbursement Managers

Email your nearest Field Access and Reimbursement Managers if you are from a physician's office and have a question or would like to set up an appointment.

Meet the Team

The My MISSION Support Program leadership team is committed to providing and continually improving service offerings that ensure appropriate access to MONJUVI throughout the treatment journey.

A portrait of Mary

Mary

"We are all patients at some point in our lives."

It is with this in mind that Mary has dedicated her career to developing tools and resources to help patients get access to the medications they need. The care and support of patients along their treatment journey is her passion.

A portrait of Samantha

Samantha

"My job is to provide a road map for both patient and caregivers to ease access to treatment."

Samantha oversees the day-to-day delivery of the My MISSION Support Program, including the customer service call center and the Field Access and Reimbursement Managers working in local markets.