Download Axumin® (fluciclovine F 18) injection Resources
Reimbursement tip sheet
Download a checklist with useful tips for prior-authorization, pre-determination, and appeals.
Blue Earth has developed a worksheet to help you keep track of the Axumin coverage policies and billing requirements of your local payers
Patient benefit verification form
To enroll a patient for Axumin reimbursement support services, healthcare professionals must download, complete, and submit the Axumin Patient Benefit Verification Form.
For use by referring physicians when scheduling a patient for Axumin imaging. Provides the relevant information required by the imaging facility. Download the Scheduling Sheet and/or the companion Scheduling Tip Sheet.
Sample claim forms
Download the Axumin patient brochure, “What to Expect.”