Erbitux(cetuximab)
Erbitux 100 MG in 50 ML Injection

Dosage & Administration

Get Your Patient on Erbitux

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Erbitux 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
Coverage Authorization Appeals (First-Level)
Coverage Authorization Appeals (Second Level)
Denied Claims Checklist
First-Level Medicare Review Letter
Complete Letter of Medical Necessity
Second-Level Medicare Review Letter

Benefits investigation

Lilly Oncology Support - Erbitux Enrollment Form
Lilly Oncology Support - Erbitux Enrollment Form (Online)

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

Erbitux Financial Assistance Options

Copay savings program

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

Lilly Cares Foundation
Learn More

Erbitux PubMed™ News

Erbitux 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

About Erbitux: Metastatic Colorectal Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Erbitux: BRAF V600E Mutant mCRC
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Erbitux: Locally Advanced SCCHN
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Erbitux: Metastatic SCCHN
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Treatment
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
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Erbitux FAQs

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FAQ Data Source