Patients, Healthcare Providers, and Office Staff May Find the Following Resources Useful When Navigating the MONJUVI® (tafasitamab‑cxix) Patient Journey

Patient Education

Learn more about MONJUVI treatment and what to expect when getting started with MONJUVI.

MONJUVI Patient Brochure (1.7 MB)

Reimbursement, Appeals, and Billing and Coding for MONJUVI

Access these resources and references to help assist with the reimbursement process for MONJUVI.

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

Medical Exceptions & Patient Support Services Guide (3 MB)

Sample Claim Forms:

Sample Claim Form for the Physician Office Setting (CMS-1500) (845 KB)

Medicare Sample Claim Form for the Hospital Outpatient Setting (CMS-1450) (679 KB)

Non-Medicare Sample Claim Form for the Hospital Outpatient Setting (CMS-1450) (673 KB)

Sample Appeals Letters:

Sample Letter of Medical Necessity (61 KB)

Sample Letter of Medical Exceptions (63 KB)

Sample Appeal Letter (63 KB)

MONJUVI Product Ordering Guide (623 KB)

My MISSION Support

Learn about the My MISSION Support Program and the personalized assistance provided.

My MISSION Support Program Brochure (150 KB)

My MISSION Support Enrollment Form (100 KB)

Enroll Now

For Any Questions on My MISSION Support or Program Enrollment, Please Call:

855-421-6172

Monday to Friday, 8 AM to 8 PM ET