Erbitux

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

Dosage & administration

biomarker testing

Erbitux clinical details

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

drug label

Erbitux prescribing information

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

PDF
Complete Letter of Medical Necessity

PDF
Coverage Authorization Appeals (First-Level)

PDF
Coverage Authorization Appeals (Second Level)

PDF
Denied Claims Checklist

PDF
First-Level Medicare Review Letter

PDF
Second-Level Medicare Review Letter
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Benefits investigation

PDF
Lilly Oncology Support - Erbitux Enrollment Form
Lilly Oncology Support - Erbitux Enrollment Form (Online)
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Reimbursement help (FRM)

OTHER
Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Erbitux financial assistance options

Co-pay savings program

commercial only

PDF
Lilly Oncology Support - Erbitux Enrollment Form

PDF
Enroll in Patient Savings Program
Lilly Oncology Support - Erbitux Enrollment Form (Online)
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Foundation programs

under insured
no insurance
goverment insurance
65+

OTHER
Lilly Cares Foundation
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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

Patient toolkit

BRAND PAGE
About Erbitux: Metastatic Colorectal Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Erbitux: BRAF V600E Mutant mCRC
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Erbitux: Locally Advanced SCCHN
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Erbitux: Metastatic SCCHN
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Receiving Treatment
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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Other resources

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people also ask

Erbitux FAQs

How is the dosage of Erbitux?Erbitux is available in 2 dosages, including 2 mg/ml Injection 100 ml and 2 mg/ml Injection 50 ml
What does Erbitux treat?Erbitux treats Squamous Cell Carcinoma
What is Erbitux made of?Erbitux contains cetuximab which is a Epidermal Growth Factor Receptor Antagonist
How Is Erbitux Administered?Erbitux is administered as a Injectable
What Are The Erbitux Mechanism Of Action?Erbitux mechanism of action is HER1 Antagonists
FAQ Data Source