Exkivity

(mobocertinib)
mobocertinib 40 MG Oral Capsule [Exkivity]

Dosage & administration

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

drug label

Exkivity prescribing information

Have more Exkivity questions?

Submit MSL Request
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Need to report an Exkivity issue?

ONLINE FORM
Report adverse event
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samples

Request Exkivity samples

NOT PROVIDED BY BRAND
View Online Sample Form
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prior authorization

Exkivity Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request
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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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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patient education

Exkivity Patient education

Getting started on Exkivity

NOT PROVIDED BY BRAND
Instructions For Use: Locally Advanced or Metastatic NSCLC with EGFR Exon 20 Insertion Mutations

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
Learn More

Can't find what you're looking for?

Our trained staff can help you:
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.