Halaven
(eribulin)2 ML eribulin mesylate 0.5 MG/ML Injection [Halaven]
NO BLACK BOX WARNING
drug label
Halaven prescribing information
Have more Halaven questions?
Submit MSL Request
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Your request will be referred to the appropriate BSP Pharmaceuticals SpA medical professional, such as a Halaven pharmaceutical rep; Medical Science Liaison (MSL) or medical affairs.
Need to report a Halaven issue?
ONLINE FORMReport adverse event
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You can report a Halaven adverse event on MedWatch, the FDA's medical product safety reporting program for health professionals, patients and consumers.
samples
Request Halaven samples
NOT PROVIDED BY BRANDView Online Sample Form
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Is my patient elegible for Halaven samples?
- Your rep will communicate with you how to receive samples, when you can receive samples, the amount and more.
How do I find out who my Halaven rep is?
- Not sure who your local Halaven pharma rep is? Reach out to BSP Pharmaceuticals SpA and they can help you identify your rep.
prior authorization
Halaven Prior authorization resources
Complete Letter of Medical Necessity
NOT PROVIDED BY BRANDCoverage Authorization Request
NOT PROVIDED BY BRANDCoverage Authorization Appeals
Checklist for Claims Submission
Insurance Verification Form
Halaven Annotated CMS-1500 Form
Halaven Annotated CMS-1450 Form
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If available, these templates are provided by the brand to help you navigate insurance, especially with newer drugs.
Benefits investigation
NOT PROVIDED BY BRANDBenefits investigation resources
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Benefits investigations are conducted to determine whether a therapy is covered under a patient's insurance, if a prior authorization is required, and which specialty pharmacies are preferred.
Reimbursement help (FRM)
NOT PROVIDED BY BRANDReimbursement help (FRM) resources
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Some brands offer a field reimbursement manager who will work with your clinical staff and preferred pharmacy to help make sure patients don't fall through the cracks.
financial assistance
Halaven Financial assistance options
Co-pay savings program
commercial only
Enroll in Patient Savings Program
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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+
Eisai Patient Assitance Program Enrollment Form
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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
Halaven Patient education
Getting started on Halaven
NOT PROVIDED BY BRANDInstructions For Use: Metastatic Breast Cancer
NOT PROVIDED BY BRANDInstructions For Use: Advanced Liposarcoma
Patient toolkit
About Halaven: Advanced Liposarcoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Halaven: Advanced Liposarcoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Possible Side Effects: Advanced Liposarcoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Information For Family and Friends: Advanced Liposarcoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Advanced Liposarcoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
About Halaven: Metastatic Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Halaven: Metastatic Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Is Halaven Right for Me?: Metastatic Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Possible Side Effects: Metastatic Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Tips for Managing Side Effects: Metastatic Breast Cancer
ASK PATIENT TO:
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Scan QR Code & Tap Link
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Tips for Living with Metastatic Breast Cancer
ASK PATIENT TO:
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Scan QR Code & Tap Link
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Metastatic Breast Cancer Blog
ASK PATIENT TO:
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Patient Stories: Metastatic Breast Cancer
ASK PATIENT TO:
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Scan QR Code & Tap Link
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Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Information for Family and Friends: Metastatic Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Halaven Side Effects Tip Sheet: Metastatic Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Halaven Patient Brochure: Metastatic Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Halaven Patient Brochure (Spanish): Metastatic Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Discussion Guide: Metastatic Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Learn More
Other resources brands publish to help support patients and caregivers.
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.