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Coverage, coding, and billing requirements for BAVENCIO® (avelumab) Injection 20mg/mL may vary by payer, plan, setting of care, and patient.
Please download billing and coding resources for BAVENCIO by clicking below:

Sample CMS-1500 Claim Form for BAVENCIO for Physician
Sample UB-04 Claim Form for BAVENCIO for Outpatient Hospital

Please call CoverOne if you have specific reimbursement questions about a patient, or fax a completed CoverOne Enrollment Form to 1-800-214-7295 or enroll online to request patient-specific services.

When BAVENCIO is used in combination with axitinib, questions related to reimbursement and access for axitinib may be referred to Pfizer Oncology TogetherTM.
Pfizer Oncology TogetherTM provides personalized support and financial assistance resources to help patients access their prescribed axitinib. To learn more, call 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET) or visit Pfizer Oncology Together.

EMD Serono, Inc and Pfizer Inc do not guarantee coverage and/or reimbursement for  BAVENCIO. Coverage, coding, and reimbursement policies vary significantly by payer, patient, and setting of care. Actual coverage and reimbursement decisions are made by individual payers following the receipt of claims. Patients and healthcare professionals should always verify coverage, coding, and reimbursement guidelines on a payer and patient -specific basis.