Erivedge Prescribing & Dosing Schedule

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

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)

Learn More

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 copays) 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

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 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

Erivedge FAQs

How is the dosage of Erivedge?Erivedge is available in 1 dosages, including 150 mg Cap

What does Erivedge treat?Erivedge treats Skin Neoplasms

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 Are The Erivedge Mechanism Of Action?Erivedge mechanism of action is Smoothened Receptor Antagonists

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Erivedge Prescribing Information

prior authorization

Erivedge Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

pharmacy

Erivedge Preferred Pharmacy

financial assistance

Erivedge Financial Assistance Options

Copay savings program

Foundation programs

patient education

Erivedge Patient Education

Patient toolkit

people also ask

Erivedge FAQs