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ENROLL PATIENTS: VOWST Voyage™ Patient Support Program

Access & reimbursement
resources

VOWST Voyage™ Support Program offers education
and resources to help your patients

Helping you navigate the VOWST treatment journey with resources and
educational materials for you and your patients

The following resources are for informational purposes only. These materials are only intended to
illustrate the types of information that could be considered. The decision to submit any letter or other
information on behalf of an individual patient to any healthcare provider or plan for the determination of
coverage for VOWST is the sole responsibility of the treating physician.

Initial forms and guidelines

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VOWST Voyage
Enrollment Form

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How To Access VOWST

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VOWST Voyage Support
Program Overview

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VOWST Voyage
Enrollment Checklist

Prior authorization and appeals

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Prior Authorization
(PA) and Appeals Guide

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Sample Letter of
Medical Necessity

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Sample Letter of
Appeal

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