Scemblix

(asciminib)
asciminib 20 MG Oral Tablet [Scemblix]asciminib 40 MG Oral Tablet [Scemblix]
NO BLACK BOX WARNING

Dosage & administration

drug label

Scemblix prescribing information

Have more Scemblix questions?

Submit MSL Request
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Need to report a Scemblix issue?

ONLINE FORM
Report adverse event
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samples

Request Scemblix samples

NOT PROVIDED BY BRAND
View Online Sample Form
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prior authorization

Scemblix Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Coverage Authorization Appeals
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Benefits investigation

PANO Service Request Form - Patient
PANO Service Request Form - HCP
PANO Service Request Form (PDF): HCP
Learn More

Reimbursement help (FRM)

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

Scemblix Financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
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Bridge program

commercial only
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+
PANO Service Request Form - Patient
PANO Service Request Form - HCP
PANO Service Request Form (PDF): HCP
Learn More

patient education

Scemblix Patient education

Getting started on Scemblix

NOT PROVIDED BY BRAND
Instructions for Use: Ph+ CML in Chronic Phase (CP)

NOT PROVIDED BY BRAND
Instructions For Use: Ph+ CML in CP With T315I Mutation

Patient toolkit

About Scemblix
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Scemblix
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

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.