These Documents May Be Useful When Navigating the MONJUVI® (tafasitamab-cxix) Patient Journey

My MISSION Support Program Brochure (150 KB)

My MISSION Support Enrollment Form (100 KB)

MONJUVI Product Information and Ordering Sheet (623 KB)

Sample Letter of Medical Necessity (61 KB)

Medical Exceptions Guide (3 MB)

Sample Letter of Medical Exceptions (63 KB)

Sample Appeal Letter (63 KB)

MONJUVI Billing & Coding Guide (4 MB)

  • Product Codes
  • Procedure Codes
  • National Drug Codes (NDCs)
  • Revenue codes for the physician office setting as well as the hospital outpatient setting

Sample Claim Forms: