Comprehensive coverage for your YUPELRI patients

For your patients with Medicare*

YUPELRI is covered for up to 100% of patients with Medicare Part B.

For patients with supplemental insurance (over 80% of beneficiaries), coinsurance costs may be as low as $0
Medicare Part B covers most nebulizers as durable medical equipment (DME) for patient use at home¹⁹

J-CODE: J7677

^*This is not a guarantee of coverage. Site of care will determine coverage. Check with your patient’s insurance provider for coverage rules and restrictions. In certain limited instances, YUPELRI may be covered through a patient’s Medicare Part D pharmacy benefit.

For your patients with commercial coverage

YUPELRI may be covered under individual insurance plans.

Not an actual card.

YUPELRI may be covered under individual insurance plans.

Commercially insured patients may be eligible to save on their out-of-pocket costs with the YUPELRI Savings Card up to 12 fills per calendar year. Please see
full terms and conditions^†

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ENROLL ELIGIBLE PATIENTS

^†Please see full terms and conditions at YUPELRIHCP.com. This offer is not valid for patients covered by Medicare, Medicaid, or any other federal or state-funded healthcare program or where prohibited by law. Mylan Specialty L.P., a Viatris Company, reserves the right to amend or end this program at any time without notice.

Get Your Medicare Part B Patients Started Today

Please find general information on Medicare Part B documentation requirements and coding below

This is general information on how to prepare claims for patients who have been prescribed YUPELRI. Each office remains responsible for properly submitting all claims for medically appropriate patients. Please refer to CMS regulations and guidance and applicable MAC documentation requirements.

Be sure to use the appropriate codes^‡

ICD-10 COPD Code

J41-44.9^‡

J-CODE

J7677

New patients who don’t already own a nebulizer will need 2 separate prescriptions and a detailed written order for Medicare Part B

When prescribing YUPELRI for patients new to nebulized therapy, include the following:

1A prescription for YUPELRI

Specify:

Dosing instructions
"Via standard jet nebulizer"
Quantity to be dispensed
Number of refills
J-CODE
ICD-10 code

2 A prescription for the standard jet nebulizer^§

Specify:

Compressor
Administration set
ICD-10 code: J41-44.9^‡

3 Detailed written order¹⁹

Medicare requires a physician to document that a face-to-face evaluation with the patient, detailing the treatment and/or evaluation of a condition that supports the need for the nebulizer, occurred within the 6 months prior to the written order for a nebulizer.

^‡Other codes may apply.

^§DME suppliers may require additional documentation.

Not an actual card.

Remember to tell your commercially insured patients about our Savings Card.

YUPELRI SAVINGS CARD

YUPELRI^® inhalation solution is indicated for the maintenance treatment of patients with chronic obstructive pulmonary disease (COPD).

Important Safety Information

YUPELRI is contraindicated in patients with hypersensitivity to revefenacin or any component of this product.

YUPELRI should not be initiated in patients during acutely deteriorating or potentially life-threatening episodes of COPD, or for the relief of acute symptoms, i.e., as rescue therapy for the treatment of acute episodes of bronchospasm. Acute symptoms should be treated with an inhaled short-acting beta₂-agonist.

As with other inhaled medicines, YUPELRI can produce paradoxical bronchospasm that may be life-threatening. If paradoxical bronchospasm occurs following dosing with YUPELRI, it should be treated immediately with an inhaled, short-acting bronchodilator. YUPELRI should be discontinued immediately and alternative therapy should be instituted.

YUPELRI should be used with caution in patients with narrow-angle glaucoma. Patients should be instructed to immediately consult their healthcare provider if they develop any signs and symptoms of acute narrow-angle glaucoma, including eye pain or discomfort, blurred vision, visual halos or colored images in association with red eyes from conjunctival congestion and corneal edema.

Worsening of urinary retention may occur. Use with caution in patients with prostatic hyperplasia or bladder-neck obstruction and instruct patients to contact a healthcare provider immediately if symptoms occur.

Immediate hypersensitivity reactions may occur after administration of YUPELRI. If a reaction occurs, YUPELRI should be stopped at once and alternative treatments considered.

The most common adverse reactions occurring in clinical trials at an incidence greater than or equal to 2% in the YUPELRI group, and higher than placebo, included cough, nasopharyngitis, upper respiratory infection, headache and back pain.

Coadministration of anticholinergic medicines or OATP1B1 and OATP1B3 inhibitors with YUPELRI is not recommended.

YUPELRI is not recommended in patients with any degree of hepatic impairment.

For additional information, please contact us at 1-800-395-3376.

Comprehensive coverage for your YUPELRI patients

For your patients with Medicare*

YUPELRI is covered for up to 100% of patients with Medicare Part B.

For your patients with commercial coverage

YUPELRI may be covered under individual insurance plans.

YUPELRI may be covered under individual insurance plans.

Get Your Medicare Part B Patients Started Today

Please find general information on Medicare Part B documentation requirements and coding below

Be sure to use the appropriate codes^‡

New patients who don’t already own a nebulizer will need 2 separate prescriptions and a detailed written order for Medicare Part B

1A prescription for YUPELRI

2 A prescription for the standard jet nebulizer^§

3 Detailed written order¹⁹

Remember to tell your commercially insured patients about our Savings Card.

Indication

Important Safety Information

This site is intended for US healthcare professionals.

Important Safety Information

Comprehensive coverage for your YUPELRI patients

For your patients with Medicare*

YUPELRI is covered for up to 100% of patients with Medicare Part B.

For your patients with commercial coverage

YUPELRI may be covered under individual insurance plans.

YUPELRI may be covered under individual insurance plans.

Get Your Medicare Part B Patients Started Today

Please find general information on Medicare Part B documentation requirements and coding below

Be sure to use the appropriate codes‡

New patients who don’t already own a nebulizer will need 2 separate prescriptions and a detailed written order for Medicare Part B

1A prescription for YUPELRI

2 A prescription for the standard jet nebulizer§

3 Detailed written order19

Remember to tell your commercially insured patients about our Savings Card.

Indication

Important Safety Information

This site is intended for US healthcare professionals.

You are now leaving YUPELRIHCP.com, a VIATRIS INC. company website.

This site is intended for US healthcare professionals.

Be sure to use the appropriate codes^‡

2 A prescription for the standard jet nebulizer^§

3 Detailed written order¹⁹

You are now leaving YUPELRIHCP.com,
a VIATRIS INC. company website.