Erbitux

(cetuximab)

100 ML cetuximab 2 MG/ML Injection [Erbitux]50 ML cetuximab 2 MG/ML Injection [Erbitux]

Dosage & administration

* Premedicate with an H1 receptor antagonist.
* In Combination With Radiation Therapy:
* Initial dose: 400 mg/m2 administered as a 120-minute intravenous infusion one week prior to initiating a course of radiation therapy.
* Subsequent doses: 250 mg/m2 administered as a 60-minute infusion every week for the duration of radiation therapy (6–7 weeks).
* Complete ERBITUX administration 1 hour prior to radiation therapy.

* As Single-Agent or in Combination With Chemotherapy:
* Weekly: Administer initial dose of 400 mg/m2 as a 120-minute intravenous infusion, and subsequent doses of 250 mg/m2 infused over 60 minutes once weekly.
* Biweekly: Administer 500 mg/m2 as a 120-minute intravenous infusion every two weeks.
* Complete ERBITUX administration 1 hour prior to chemotherapy. Continue treatment until disease progression or unacceptable toxicity.

* See full prescribing information for dosage adjustments for adverse reactions.

biomarker testing

Erbitux clinical details

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

drug label

Erbitux prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Erbitux prior authorization resources

Most recent Erbitux prior authorization forms

View By Payer

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

Verified: Sep 21, 2023Aetna - Erbitux Prior Authorization Form

Verified: Sep 20, 2023Aetna - Medicare Part B Erbitux Prior Authorization Form

PDFComplete Letter of Medical Necessity

PDFCoverage Authorization Appeals (First-Level)

PDFCoverage Authorization Appeals (Second Level)

PDFDenied Claims Checklist

PDFFirst-Level Medicare Review Letter

PDFSecond-Level Medicare Review Letter

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Benefits investigation

PDFLilly Oncology Support - Erbitux Enrollment Form

Lilly Oncology Support - Erbitux Enrollment Form (Online)

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Reimbursement help (FRM)

OTHERReceive Assistance from an FRM Regarding Reimbursement Information

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financial assistance

Erbitux financial assistance options

Co-pay savings program

commercial only

PDFLilly Oncology Support - Erbitux Enrollment Form

PDFEnroll in Patient Savings Program

Lilly Oncology Support - Erbitux Enrollment Form (Online)

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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+

OTHERLilly Cares Foundation

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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

Erbitux patient education

Getting started on Erbitux

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link