Retevmo(selpercatinib)
Retevmo 40 MG Oral Capsule
NO BOXED WARNING

Dosage & Administration

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Retevmo 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

Retevmo Preferred Pharmacy

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Retevmo Financial Assistance Options

Copay savings program

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Foundation programs

Lilly Cares Foundation
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Retevmo PubMed™ News

Retevmo Patient Education

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2.Open camera
3.Scan QR code with camera
4.Tap link

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