What is the dosage of Erivedge?

Erivedge is available in 1 dosages, including 150 mg Cap

What is Erivedge made of?

Erivedge contains vismodegib which is a Hedgehog Pathway Inhibitor

How is Erivedge administered?

Erivedge is administered as a Oral Pill

What is Erivedge mechanism of action?

Erivedge mechanism of action is Smoothened Receptor Antagonists

Dosage & Administration Drug label Prior authorization Financial assistance

Patient education

Erivedge

(vismodegib)

vismodegib 150 MG Oral Capsule [Erivedge]

BLACK BOX WARNING

Dosage & administration

The recommended dosage is 150 mg orally once daily.

drug label

Erivedge prescribing information

Have more Erivedge questions?

Submit MSL Request

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Need to report an Erivedge issue?

ONLINE FORMReport adverse event

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prior authorization

Erivedge Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRANDCoverage Authorization Request

Coverage Authorization Appeals

Patient Consent Form

Patient Consent Form - Spanish

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Benefits investigation

Erivedge Prescriber Form & Patient Consent Form

Erivedge Prescriber Service Form - Online Portal

Erivedge Prescriber Service Form ( For Dermatologists)

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Reimbursement help (FRM)

NOT PROVIDED BY BRANDReimbursement help (FRM) resources

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financial assistance

Erivedge Financial assistance options

Co-pay savings program

commercial only

Erivedge Prescriber Form & Patient Consent Form

Erivedge Prescriber Service Form - Online Portal

Enroll in Patient Savings Program

Erivedge Prescriber Service Form ( For Dermatologists)

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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

Bridge program

commercial only

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Overview

Provide patient immediate access to therapy during an insurance delay (typically new starts; some may cover change in insurance)
Limited time/ fill (typically 7-30 days; some may offer additional fill for continued delay up to certain limit)

Patient benefit

100% free (outside of insurance)

Patient eligibility

HCP must enroll patient
May be limited to commercially insured patients (i.e., no government beneficiaries); some programs may allow government beneficiaries

How to sign up

Typically HCP assisted enrollment (via form)

Foundation programs

under insured

no insurance

goverment insurance

65+

Erivedge Prescriber Form & Patient Consent Form

Erivedge Prescriber Service Form - Online Portal

Genentech Patient Foundation Application Form (1/2)

Genentech Patient Foundation Application Form (2/2) - Patient Consent Form

Erivedge Prescriber Service Form ( For Dermatologists)

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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

Erivedge Patient education

Getting started on Erivedge

NOT PROVIDED BY BRANDInstructions For Use: Basal Cell Carcinoma

Patient toolkit

About Erivedge

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

View How to Take Erivedge

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 Stories

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

Learn More

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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.