Please protect the confidentiality of your patients by not revealing or sharing login credentials.
Register Now

To register for online services, click here:

Register Now

If you are a registered user, please login above.



PRESCRIBING INFORMATION


CONTACT US

Phone Number 1-866-OZURDEX
   
Fax Number 1-866-676-4069

Monday through Friday
9:00 am to 8:00 pm EST
Address
ALLERGAN RETINA COVERAGE CONNECTION®
P.O. Box 1308
San Bruno, CA 94066

Your Provider Resource Center for Service and Information Relating to OZURDEX® (dexamethasone intravitreal implant) Reimbursement
Click here to see Important Information about OZURDEX® (dexamethasone intravitreal implant)0.7mg
Support Services



 

Welcome to the ALLERGAN RETINA COVERAGE CONNECTION® Portal

REIMBURSEMENT SUPPORT SERVICES
Discover the many programs Allergan has created to make the OZURDEX® (dexamethasone intravitreal implant) Reimbursement process easier for you. 

Insurance Verification (IV)
Simply submit a request for an Insurance Verification and a hotline Reimbursement Counselor will contact the payer to verify coverage status for OZURDEX® (dexamethasone intravitreal implant) treatment, check Medical & Pharmacy benefits including co-pay and deductible (if applicable). This service is available to registered Provider Homepage users.

Reimbursement Forms
Download many useful forms, including sample CMS 1500, UB-04, Letter of Medical Necessity and many others. 

Reimbursement Information
Access helpful information about OZURDEX® best practices concerning the reimbursement process, denied claims, appeals and more. 

PROVIDER HOMEPAGE
Register to gain access to many valuable features and services. Immediate access to all your active OZURDEX® patients - regardless of when you started using the provider website - with real-time patient status. Pre-population of active patient information and current physician information. 

OZURDEX PATIENT ASSISTANCE® Program
This program provides OZURDEX® at no charge to financially eligible patients. Those who may qualify include patients who are uninsured or underinsured. Allergan is proud to assist eligible uninsured and underinsured patients with their treatment through the donation of OZURDEX®.
     The information on this site is intended for US residents only. 
     No information in this site is provided with the intention to give medical advice or instructions on the accurate use of Allergan products.  Allergan cannot answer unsolicited e-mails
     requesting personal medical advice; visitors should always consult a healthcare professional. APC13HX16