SOMAVERT (pegvisomant for injecion)
Biochemical NormalizationHow SOMAVERT WorksClinical DataTreating with SOMAVERTSafetyPatient Authorization FormsStatement of Medical NecessityContact a Rep

 

Statement of Medical Necessity

How to obtain SOMAVERT® (pegvisomant for injection)

Click here to view the Statement of Medical Necessity (SMN).

Print and complete the SMN form and fax it to the Pfizer Bridge Program™
at 800-479-2562.

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Viewing and printing the SMN requires Adobe® Reader® software to be installed on your computer. Most computers come with this software already installed. Otherwise, you can download it for free at www.adobe.com or by clicking on the icon to the left.