Access resources
and guidance

Find downloadable forms and online resources all in one place.

Hematology Support

The Hematology Support Center (HSC) is a dedicated team available to patients and healthcare providers to help them navigate treatment access, provide educational resources, and information on financial assistance options.

The HSC team can provide:

Live answers provided by the HSC team

Live Answers

Benefit Verification

Benefit Verification

Prior Authorization Education

Prior Authorization Education

Appeals Information

Appeals Information

Billing and Coding Information

Billing and Coding Information

Resources, Checklists, and Templates

Resources, Checklists, & Templates

For Access Support:

Get Started: Fill Out & Fax the Prescription Referral Forms

Access support step 1: Fill out and sign the prescription referral fom

Fill out and sign the prescription referral form

Access support step 2: Fax completed forms along with a copy of the front AND back of the patient's insurance and benefit management cards.

Fax completed forms along with a copy of the front AND back of the patient's insurance and benefit management cards.

Access support step 3: FAX to 1-866-467-7740

FAX to 1-866-467-7740

Questions? Call 888-229-8379 Mon-Fri | 8:30 a.m. to 8:00 p.m. ET

Access Resources

Download these helpful tools to help your patients so they can get the treatment you recommend.

Prior Authorization Checklist

Follow this simple checklist and take the guesswork out of prior authorization and reauthorization paperwork.

View here

Appeals Reference Guide

A checklist of supporting documents that may help prepare your patient's appeal.

View here
Fax back form

Fax Back Form

Fax completed form along with supporting documents to HSC 866-467-7740.

View here

Patient Support Resources

Visit the patient HSC site via the links below for additional patient support.

CoPay assistance

CoPay Assistance

Find out if your patients are eligible for CoPay assistance through Shire.

Enroll online
Resource library

Resource Library

These resources in hematology and Insurance may help provide answers and awareness.

Discover resources
Insurance support

Insurance Support

HSC can assist patients in navigating the complexities of health insurance.

Discover resources