Printed From:

Specialty Pharmacy Reimbursement

Synvisc-One® and SYNVISC® may be obtained at no cost to your practice through a specialty pharmacy for your patients with commercial insurance. Specialty pharmacy providers (SPPs) dispense specialty pharmaceuticals and biologics, and offer benefits to your patients and your practice, including:

  • Billing and reimbursement support
  • Product inventory and delivery
  • Disease state information and clinical support services for your patients

Using an SPP allows you to focus on patient care by eliminating the financial risk that carrying inventory for your commercial patients can pose.

Find state-by-state reimbursement coverage information here.

Specialty pharmacy forms

If you have patients whose insurers require them to order Synvisc-One and SYNVISC through specialty pharmacies, you may do so using one of these forms. If the form you are looking for is not listed below, please contact the patient's specific insurance company.

These forms are provided for your convenience and Sanofi makes no representation that they are the most current forms available. It is your sole responsibility to make sure that you check with your SPP to ensure you have the correct documentation.


Visit the MySynviscONE® section of the site for details and more.

Visit  MySynviscONE® to learn more about benefits.
View Page ›


Order Synvisc-One® and SYNVISC®

Learn about the different ordering options and how to get next-day delivery with your MySynviscONE® account.

Order now ›


Resources for
Your Patients

Share these tools to help patients get the most out of their treatment.

Resources for your patients
Browse Resources ›