Balversa

(erdafitinib)
erdafitinib 3 MG Oral Tablet [Balversa]erdafitinib 4 MG Oral Tablet [Balversa]
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NO BLACK BOX WARNING

Dosage & administration

Most viewed Balversa resources

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drug label

Balversa prescribing information

Have more Balversa questions?

Submit MSL Request
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Need to report a Balversa issue?

ONLINE FORM
Report adverse event
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samples

Request Balversa samples

NOT PROVIDED BY BRAND
Sample Request
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prior authorization

Balversa Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Coverage Authorization Appeals
Formulary Exception Letter
Prior Authorization Considerations Checklist
Balversa Access and Affordability Guide
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Benefits investigation

NOT PROVIDED BY BRAND
Benefits investigation resources
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Balversa Financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
Janssen Patient Assistance Program Application - Check Eligibiligy
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patient education

Balversa Patient education

Getting started on Balversa

NOT PROVIDED BY BRAND
Instructions For Use: Bladder Cancer

Patient toolkit

Patient Brochure
ASK PATIENT TO:
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Balversa Managing Side Effects Brochure
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Balversa CSR/RPED Brochure
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About Balversa
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Side Effects
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View How to Take Balversa
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Patient Resources
ASK PATIENT TO:
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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.