Iclusig(ponatinib)
Iclusig 10 MG Oral Tablet

Dosage & Administration

Get Your Patient on Iclusig

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Insurance Carrier
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Iclusig Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Coverage Authorization Appeals
Complete Letter of Medical Necessity

Benefits investigation

Takeda Oncology Here2Assist Enrollment Form
Takeda Oncology Here2Assist Enrollment Form - Spanish

Iclusig Preferred Pharmacy

Pharmacy List

Iclusig Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program
Learn More

Foundation programs

Takeda Oncology Patient Assistance Program
Takeda Oncology Patient Assistance Program - Spanish
Learn More

Iclusig PubMed™ News

Iclusig 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 Iclusig: CML
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Iclusig: CML
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects: CML
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: CML
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: CML
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Iclusig Dcotor Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Ph+ ALL
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Iclusig: Ph+ ALL
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Iclusig: Ph+ ALL
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects: Ph+ ALL
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: Ph+ ALL
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Iclusig FAQs