Exservan

(riluzole)
riluzole 50 MG Oral Film [Exservan]
NO BLACK BOX WARNING

Dosage & administration

Most viewed Exservan resources

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drug label

Exservan prescribing information

Have more Exservan questions?

Submit MSL Request
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Need to report an Exservan issue?

ONLINE FORM
Report adverse event
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prior authorization

Exservan Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request
Coverage Authorization Appeals
Formulary Exception Letter
Guide to Patient Access
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Benefits investigation

NOT PROVIDED BY BRAND
Benefits investigation resources
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Exservan Financial assistance options

Co-pay savings program

commercial only
Exservan Prescription and Enrollment Form
Enroll in Patient Savings Program
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
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patient education

Exservan Patient education

Getting started on Exservan

Instructions For Use - Amyotrophic Lateral Sclerosis (ALS)
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Patient toolkit

About Exservan
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Scan QR Code & Tap Link
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Can't find what you're looking for?

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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.