Endo Advantage Xiaflex Form. To purchase xiaflex®, contact besse medical. By using this product, including the software, and hardware defined below, licensee enrolls in the endo advantage license, as described.
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Fill out left side of form, include prescriber’s. Web prescription and benefits investigation form phone: Please complete this form in its entirety to ensure timely processing of. Web endo advantagetm id # clinical information anticipated initial injection date diagnosis: Web step 1 when possible, verify benefits with endo advantage™ before purchasing xiaflex®. Web xiaflex is a prescription medicine used to treat adults with dupuytren’s contracture when a “cord” can be felt. Web helpline fax cover sheet healthcare professionals (hcp)/office staff can use this sheet to request assistance from endo advantage™. Web to endo pharmaceuticals inc. To purchase xiaflex®, contact besse medical. By using this product, including the software, and hardware defined below, licensee enrolls in the endo advantage license, as described. Step 2 once the benefits.
