Download the REGRANEX Gel Benefit Verification Request Form

The Helpline will: Verify REGRANEX Gel insurance coverage Provide customer education on payor coverage policies Answer general reimbursement questions Determine patient specific benefits for REGRANEX Gel Communicate Benefit information to your office Confirm preauthorization requirements to your office * Trademark © SYSTAGENIX 2009. REGRANEX Gel is a registered trademark of Ortho-McNeil Pharmaceutical, Inc. The information provided represents no statements, promise or guarantee by SYSTAGENIX Wound Management concerning levels of reimbursemment, payment, or coverage. Please consult your payer organization with regard to local or actual coverage and reimbursement policies and determination processes.