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Bayer women's healthcare cupport benefit investigation request form 2025

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The document is a Benefit Investigation Request Form for Bayer's Women’s HealthCare Support Program, specifically for the intrauterine devices (IUDs) Kyleena, Mirena, and Skyla. It provides detailed instructions for healthcare providers on how to submit patient information for reimbursement support, including necessary certifications and authorizations. The document also outlines the indications, contraindications, safety information, and potential side effects associated with each IUD. Additionally, it offers guidance on contacting the Bayer Women’s HealthCare Support Center for assistance with insurance coverage and claims.

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