Braftovi

(encorafenib)

BRAFTOVI 50 MG Oral CapsuleBRAFTOVI 75 MG Oral Capsule

NO BLACK BOX WARNING

Dosage & administration

* Melanoma
* Confirm the presence of BRAF V600E or V600K mutation in tumor specimens prior to the initiation of BRAFTOVI.
* The recommended dose is 450 mg orally once daily in combination with binimetinib.

* CRC
* Confirm the presence of BRAF V600E mutation in tumor specimens prior to the initiation of BRAFTOVI.
* The recommended dose is 300 mg orally once daily in combination with cetuximab.

* Take BRAFTOVI with or without food.

Most viewed Braftovi resources

Enroll in Patient Savings Program

biomarker testing

Braftovi clinical details

Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.

drug label

Braftovi prescribing information

Contact Medical Science Liaison Report Adverse Event

samples

Request Braftovi samples

OTHEROnline Sample Form

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prior authorization

Braftovi prior authorization resources

Most recent Braftovi prior authorization forms

View By Payer

Verified: Sep 27, 2023Cigna - Braftovi Prior Authorization Form

PDFComplete Letter of Medical Necessity

PDFCoverage Authorization Appeals

PDFFormulary Exception Letter

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Benefits investigation

PDFPfizer Oncology Together Form

PDFPfizer Oncology Together Form - Spanish

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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

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pharmacy

Braftovi preferred pharmacy

PDFPharmacy List

financial assistance

Braftovi financial assistance options

Co-pay savings program

commercial only

Enroll in Patient Savings Program

OTHERHCP Office : Attest & Print Co-Pay Card

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Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

Foundation programs

under insured

no insurance

goverment insurance

65+

PDFPfizer Oncology Together Form

PDFPfizer Oncology Together Form - Spanish

OTHERPfizer Patient Assistance Program

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Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.

How to sign up

Patients submit proof of out-of-pocket drug costs to charities for reimbursement

patient education

Braftovi patient education

Getting started on Braftovi

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link