COMMITED TO PATIENT ACCESS

Ordering and Reimbursement

How to order ExEm® Foam

Option 1: Purchase through Cardinal Third Party Logistics

  • If you have an existing Cardinal Third Party Logistics account:

    • Call 1.844.963.EXEM (3936). Cardinal Third Party Logistics will work with ExEm® Foam to approve your account and to confirm initial training has been completed so you may proceed with placing an order.

  • If you do not have an existing Cardinal Third Party Logistics account:

    1. Download and complete the Cardinal 3PL Application and Terms and Conditions
    2. Submit the application to gmb-sps-exemfoam@cordlogistics.com
    3. Cardinal Third Party Logistics will contact you to confirm your application submission. Cardinal Third Party Logistics will work with ExEm® Foam to approve your account and to confirm initial training has been completed so you may proceed with placing an order.
Option 2: Prescribe ExEm® Foam to your patients through ScriptsRx

  • Sending a prescription is quick and easy:

    Your patient’s prescription for ExEm® Foam can be fulfilled through ScriptsRx and will be shipped directly to your office. You may send your prescription through your EMR system or download a copy of the ScriptsRx Fax Form. You may also order complimentary ScriptsRx Prescription Pads by sending an email to marketing@exemfoam.com.

  • E-scribe:

    • SEARCH FOR SCRIPTS RX
      PHARMACY IN EMR:
      ADDRESS: 1815 S. Meyers Rd, Suite 100
      Oakbrook Terrace, IL 60181NABP: 1468481
      NPI: 110-498-2230

  • Fax:

  • Phone:

    • CALL OR TEXT:
      (800) 266-4907

  • Your office will need to separately bill clinical services and practice expenses related to the HyFoSy procedure.

Clinical Training and Product Samples

We are here to support your team and ensure you have the necessary training and educational resources to get started with ExEm® Foam. Learn how to sign up for our Clinical Adoption Program and receive product samples: www.exemfoam.com/clinical-adoption-program.

ExEm Foam provides comprehensive training and education on the safe and effective use of our products.

Guide to Coding & Reimbursement for Clinics

Let us guide you through the reimbursement process.

Contact the ExEm® Foam Reimbursement Advisor Team for guidance and assistance with industry compliant reimbursement procedures. We are readily available to assist with reimbursement questions and to provide appropriate support of appeals, pre-authorization and pre-certifications. ExEm® Foam strives to provide support and education for appropriate patient access, and ensure safe and effective use.

For support, call 1.888.963.EXEM (3936) or send an email to reimbursement@exemfoam.com.

No Insurance or Denied Claims

If your patient doesn’t have insurance, or her insurance doesn’t cover ExEm® Foam, she may pay for ExEm® Foam out-of-pocket through the pharmacy.

Reimbursement Avisor Team Support for Clinics and Physicians

To contact our Reimbursement Advisor Team, call 1.888.963.EXEM (3936) or send an email to reimbursement@exemfoam.com.