Alecensa

(alectinib)
alectinib 150 MG Oral Capsule [Alecensa]
NO BLACK BOX WARNING

Dosage & administration

600 mg orally twice daily. Administer ALECENSA with food.

drug label

Alecensa prescribing information

Have more Alecensa questions?

Submit MSL Request
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Need to report an Alecensa issue?

ONLINE FORM
Report adverse event
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samples

Request Alecensa samples

NOT PROVIDED BY BRAND
View Online Sample Form
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prior authorization

Alecensa Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request
Coverage Authorization Appeals
Billing and Coding Guide
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Benefits investigation

Prescriber Service Form - Online Portal
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Alecensa Financial assistance options

Co-pay savings program

commercial only
Prescriber Service Form - Online Portal
Enroll in Patient Savings Program
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Bridge program

commercial only
Prescriber Service Form - Online Portal
Alecensa Sure Start Program
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Foundation programs

under insured
no insurance
goverment insurance
65+
Prescriber Service Form - Online Portal
Genentech Patient Foundation Application Form - Prescriber Form
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patient education

Alecensa Patient education

Getting started on Alecensa

NOT PROVIDED BY BRAND
Instructions For Use: NSCLC

Patient toolkit

About Alecensa
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
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View How to Take Alecensa
ASK PATIENT TO:
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Scan QR Code & Tap Link
Doctor Discussion Guide
ASK PATIENT TO:
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Patient Stories
ASK PATIENT TO:
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Real Talk about ALK+ mNSCLC
ASK PATIENT TO:
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Patient Resources
ASK PATIENT TO:
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Scan QR Code & Tap Link
Patient Education Brochure - English
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Education Brochure - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Education Brochure - Chinese
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.