Rubraca
(rucaparib)rucaparib 200 MG Oral Tablet [Rubraca]rucaparib 250 MG Oral Tablet [Rubraca]
View 1 more
NO BLACK BOX WARNING
Dosage & administration
drug label
Rubraca prescribing information
Have more Rubraca questions?
Submit MSL Request
Learn More
Your request will be referred to the appropriate Clovis Oncology, Inc. medical professional, such as a Rubraca pharmaceutical rep; Medical Science Liaison (MSL) or medical affairs.
Need to report a Rubraca issue?
ONLINE FORMReport adverse event
Learn More
You can report a Rubraca adverse event on MedWatch, the FDA's medical product safety reporting program for health professionals, patients and consumers.
samples
Request Rubraca samples
NOT PROVIDED BY BRANDView Online Sample Form
Learn More
Is my patient elegible for Rubraca 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 Rubraca rep is?
- Not sure who your local Rubraca pharma rep is? Reach out to Clovis Oncology, Inc. and they can help you identify your rep.
prior authorization
Rubraca Prior authorization resources
Complete Letter of Medical Necessity
NOT PROVIDED BY BRANDCoverage Authorization Request
NOT PROVIDED BY BRANDCoverage Authorization Appeals
Learn More
If available, these templates are provided by the brand to help you navigate insurance, especially with newer drugs.
Benefits investigation
Rubraca Enrollment and Comprehensive Support Form
Rubraca Enrollment and Comprehensive Support Form - Online
Rubraca Enrollment and Comprehensive Support Form - Spanish
Learn More
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
Learn More
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
Rubraca Financial assistance options
Co-pay savings program
commercial only
Rubraca Enrollment and Comprehensive Support Form
Rubraca Enrollment and Comprehensive Support Form - Online
Enroll in Patient Savings Program
Rubraca Enrollment and Comprehensive Support Form - Spanish
Learn More
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
Rubraca Enrollment and Comprehensive Support Form
Rubraca Enrollment and Comprehensive Support Form - Online
Clovis Cares Coverage Link Program
Rubraca Enrollment and Comprehensive Support Form - Spanish
Learn More
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+
Rubraca Enrollment and Comprehensive Support Form
Rubraca Enrollment and Comprehensive Support Form - Online
Clovis Cares Patient Assistance Program
Rubraca Enrollment and Comprehensive Support Form - Spanish
Learn More
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
Rubraca Patient education
Getting started on Rubraca
NOT PROVIDED BY BRANDInstructions For Use: 2L+ Maintenance Recurrent Ovarian Cancer
NOT PROVIDED BY BRANDInstructions For Use: BRCAmut+ Metastatic Castration-Resistant Prostate Cancer
Patient toolkit
Side Effects Guide: 2L+ Maintenance Recurrent Ovarian Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: 2L+ Maintenance Recurrent Ovarian Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure (Spanish): 2L+ Maintenance Recurrent Ovarian Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
About Rubraca: 2L+ Maintenance Recurrent Ovarian Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Rubraca: 2L+ Maintenance Recurrent Ovarian Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
How To Handle Side Effects: 2L+ Maintenance Recurrent Ovarian Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: 2L+ Maintenance Recurrent Ovarian Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: 2L+ Maintenance Recurrent Ovarian Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Caregiver Resources: 2L+ Maintenance Recurrent Ovarian Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: BRCAmut+ Metastatic Castration-Resistant Prostate Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: BRCAmut+ Metastatic Castration-Resistant Prostate Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Side Effect Guide: BRCAmut+ Metastatic Castration-Resistant Prostate Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
About Rubraca: BRCAmut+ Metastatic Castration-Resistant Prostate Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Rubraca: BRCAmut+ Metastatic Castration-Resistant Prostate Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
How To Handle Side Effects: BRCAmut+ Metastatic Castration-Resistant Prostate Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: BRCAmut+ Metastatic Castration-Resistant Prostate Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: BRCAmut+ Metastatic Castration-Resistant Prostate Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Caregiver Resources: BRCAmut+ Metastatic Castration-Resistant Prostate 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.