Exkivity

(mobocertinib)
EXKIVITY 40 MG Oral Capsule

Dosage & administration

Recommended Dosage: 160 mg orally once daily, with or without food.

drug label

Exkivity prescribing information

prior authorization

Exkivity prior authorization resources

Most recent Exkivity prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Mar 02, 2024Highmark BCBS Northeastern NY - Medicare Prescription Drug Medication Request Form
Verified: Mar 02, 2024Highmark BCBS Northeastern NY - Short Acting Opioid Prior Authorization Form
Verified: Mar 02, 2024Highmark BCBS Western NY - Specialty Drug Prior Authorization Form
Verified: Mar 02, 2024Highmark BCBS Western NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Feb 27, 2024Arizona - Uniform Prior Authorization Form
Verified: Feb 27, 2024Colorado - Uniform Prior Authorization Form
Verified: Feb 27, 2024Hawaii - Uniform Prior Authorization Form
Verified: Feb 27, 2024Illinois - Uniform Prior Authorization Form
Verified: Feb 27, 2024Indiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Louisiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Michigan - Uniform Prior Authorization Form
Verified: Feb 27, 2024Minnesota - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Mexico - Uniform Prior Authorization Form
Verified: Feb 27, 2024Oregon - Uniform Prior Authorization Form
Verified: Feb 27, 2024Texas - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
Coverage Authorization Appeals
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Benefits investigation

Takeda Oncology Here2Assist Enrollment Form
Takeda Oncology Here2Assist Enrollment Form - Spanish
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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pharmacy

Exkivity preferred pharmacy

Pharmacy List

financial assistance

Exkivity financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
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Bridge program

commercial only
RapidStart Request Form - Bridge Program
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Foundation programs

under insured
no insurance
goverment insurance
65+
Takeda Oncology Patient Assistance Program
Takeda Oncology Patient Assistance Program - Spanish
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PubMed™ | Exkivity

Exkivity PubMed™ News

patient education

Exkivity 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 Exkivity
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Exkivity
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
Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Exkivity Treatment Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Care Partner Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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people also ask

Exkivity FAQs

How is the dosage of Exkivity?Exkivity is available in 1 dosages, including 40 mg Cap
What does Exkivity treat?Exkivity treats Non-Small-Cell Lung Carcinoma
How Is Exkivity Administered?Exkivity is administered as a Oral Pill
FAQ Data Source