Braftovi (encorafenib)
BRAFTOVI 50 MG Oral Capsule
NO BOXED WARNING

Dosage & Administration

Get Your Patient on Braftovi

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Insurance Carrier
Or select your Insurance from the list below:

Request Braftovi Samples

Online Sample Form
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Braftovi Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Appeals Checklsit
Coverage Authorization Appeals
Formulary Exception Letter
Complete Letter of Medical Necessity
PA Checklist

Benefits investigation

Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

Braftovi Preferred Pharmacy

Pharmacy List

Braftovi Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program
HCP Office : Attest & Print Co-Pay Card
Learn More

Foundation programs

Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish
Pfizer Patient Assistance Program
Learn More

Braftovi PubMed™ News

Braftovi Patient Education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

Pfizer Oncology Patient Access Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Pfizer Oncology Patient Access Guide - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Braftovi Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Braftovi Patient Brochure - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Braftovi - Caregiver Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Braftovi
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Braftovi
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Braftovi FAQs