Cometriq

(cabozantinib)
cabozantinib 20 MG Oral Capsule [Cometriq]cabozantinib 80 MG Oral Capsule [Cometriq]
NO BLACK BOX WARNING

Dosage & administration

drug label

Cometriq prescribing information

Have more Cometriq questions?

Submit MSL Request
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Need to report a Cometriq issue?

ONLINE FORM
Report adverse event
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samples

Request Cometriq samples

NOT PROVIDED BY BRAND
View Online Sample Form
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prior authorization

Cometriq Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Coverage Authorization Appeals
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Benefits investigation

EASE Enrollment Form (Form 1/2 - Physician Form)
EASE Enrollment Patient Authorization (Form 2/2)
EASE Enrollment Patient Authorization (Form 2/2) - Online
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Reimbursement help (FRM)

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

Cometriq Financial assistance options

Co-pay savings program

commercial only
EASE Enrollment Form (Form 1/2 - Physician Form)
EASE Enrollment Patient Authorization (Form 2/2)
EASE Enrollment Patient Authorization (Form 2/2) - Online
Enroll in Patient Savings Program
Enroll in Patient Savings Program - HCP Office
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
EASE Enrollment Form (Form 1/2 - Physician Form)
EASE Enrollment Patient Authorization (Form 2/2)
EASE Enrollment Patient Authorization (Form 2/2) - Online
Patient Assistance Program
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patient education

Cometriq Patient education

Getting started on Cometriq

NOT PROVIDED BY BRAND
Instructions For Use: Medullary Thyroid Cancer

Patient toolkit

Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Cometriq
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Cometriq
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
Talking to Your Doctor
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
Caregiver Support Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effect Tip Card
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Order Cometriq Care Kit
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.