Location icon

Ordering and reimbursement
resources for PYLARIFY®

For information about ordering PYLARIFY® for your imaging center, and how to get started, contact PYLARIFY® Customer Support at 1-800-964-0446 1-8‌00-9‌64-0446 M-F 8:30 am-8:00 pm ET, or email cspyl@lantheus.com.

Please refer to the map below for the production site nearest you.

Available Now

  • Arizona, Phoenix
  • California, Culver City
  • California, Gilroy
  • California, San Diego
  • Georgia, Atlanta
  • Illinois, Romeoville
  • Kentucky, Louisville
  • Louisiana, Covington
  • Massachusetts, Haverhill
  • Minnesota, Minneapolis
  • Missouri, Kansas City
  • New Jersey, Totowa
  • New Mexico, Albuquerque
  • North Carolina, Raleigh
  • Ohio, Oakwood Village
  • South Carolina, Columbia
  • Tennessee, Knoxville
  • Texas, Dallas
  • Texas, Houston
  • Virginia, Sterling
  • Washington, Seattle

Planned Future Sites

  • Colorado, Denver
  • Florida, Fort Lauderdale
  • Florida, Sanford
  • Iowa, Davenport
  • Missouri, Columbia
  • New Jersey, Somerset
  • New York, Albany
  • Oregon, Portland
  • Tennessee, Gray
  • West Virginia, Morgantown
  • Wisconsin, Milwaukee
Find the nearest PYLARIFY® center to you
Find the nearest PYLARIFY® center to you

Available Now

  • Arizona, Phoenix
  • California, Culver City
  • California, Gilroy
  • California, San Diego
  • Georgia, Atlanta
  • Illinois, Romeoville
  • Kentucky, Louisville
  • Louisiana, Covington
  • Massachusetts, Haverhill
  • Minnesota, Minneapolis
  • Missouri, Kansas City
  • New Jersey, Totowa
  • New Mexico, Albuquerque
  • North Carolina, Raleigh
  • Ohio, Oakwood Village
  • South Carolina, Columbia
  • Tennessee, Knoxville
  • Texas, Dallas
  • Texas, Houston
  • Virginia, Sterling
  • Washington, Seattle

Planned Future Sites

  • Colorado, Denver
  • Florida, Fort Lauderdale
  • Florida, Sanford
  • Iowa, Davenport
  • Missouri, Columbia
  • New Jersey, Somerset
  • New York, Albany
  • Oregon, Portland
  • Tennessee, Gray
  • West Virginia, Morgantown
  • Wisconsin, Milwaukee

Delivery time and delivery area may vary. For more information about ordering
PYLARIFY® outside available cities, please call 1-800-964-04461-8‌00-96‌4-0446.

Reimbursement Resources

For questions relating to reimbursement for patients, providers, and payers, please call or download the resources below

Reimbursement Hotline:

844-339-851484‌4-33‌9-8514

Reimbursement Support includes:
  • Billing, Coding, and Claims Information for PYLARIFY® (piflufolastat F 18) injection and related procedures
  • Coverage for Specific Payers: We can assist with claims and coverage issues for PYLARIFY® and related procedures with your local and regional payers
  • Radiology Benefit Managers (RBMs): While payers pay your claims, many have handed coverage off to their RBM partners. These partners develop clinical coverage guidelines that will determine what procedures will be approved—we can provide support to establish coverage and assist in pre-authorization of claims with the RBMs you deal with
  • Benefit Investigation: The Hotline will verify patient insurance benefits, including deductible and copayments, any prior authorization requirements, and determine any possible coverage restrictions such as to network or place of service
  • Prior Authorization (PA) Assistance: If PA is required, we will work with providers on submitting a request for prior authorization and assist in appealing a denied request for approval
  • Appeal/Peer-to-Peer Assistance: When a claim is denied, we offer assistance on appealing the denial with the payer
Reimbursement Resources
  • PYLARIFY® Coding and Billing Guide: Includes PYLARIFY® billing codes (NDC, Diagnosis/ICD 10 code[s], CPT, HCPCS [J-code, A-code]), as well as details about PYLARIFY® access and reimbursement support services
Download Coding and Billing Guide
  • PYLARIFY® Access & Reimbursement Best Practices Guide: Includes recommendations for inquiring with a patient’s payer prior to administration, managing expectations for cost and coverage, steps to take upon potential denials, and reimbursement scenarios/cases
Download Access & Reimbursement Guide
Patient Resources
  • Patient Brochure: Includes information on prostate cancer, an overview on how PYLARIFY® can help create an optimal treatment plan as well as what to expect when having a PET scan
Download Patient Brochure

INDICATION

PYLARIFY® (piflufolastat F 18) Injection is a radioactive diagnostic agent indicated for positron emission tomography (PET) of prostate-specific membrane antigen (PSMA) positive lesions in men with prostate cancer:

  • with suspected metastasis who are candidates for initial definitive therapy.
  • with suspected recurrence based on elevated serum prostate-specific antigen (PSA) level.

Reference

  1. FDA approval letter for aPROMISE. Food and Drug Administration. July 27, 2021.