Tivdak

(tisotumab)
tisotumab vedotin-tftv 40 MG Injection [Tivdak]

Dosage & administration

drug label

Tivdak prescribing information

Have more Tivdak questions?

Submit MSL Request
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Need to report a Tivdak issue?

ONLINE FORM
Report adverse event
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samples

Request Tivdak samples

NOT PROVIDED BY BRAND
View Online Sample Form
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prior authorization

Tivdak Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity
Coverage Authorization Request
Coverage Authorization Appeals
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Benefits investigation

Healthcare Provider Request Form For Tivdak (Form1/2)
Patient Authorization Form For Tivdak (Form2/2)
Healthcare Provider Request Form For Tivdak (Form1/2) - Spanish
Patient Authorization Form For Tivdak (Form2/2) - Spanish
Learn More

Reimbursement help (FRM)

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

Tivdak Financial assistance options

Co-pay savings program

commercial only
Healthcare Provider Request Form For Tivdak (Form1/2)
Patient Authorization Form For Tivdak (Form2/2)
Healthcare Provider Request Form For Tivdak (Form1/2) - Spanish
Patient Authorization Form For Tivdak (Form2/2) - Spanish
Enroll in Patient Assistance Program
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Bridge program

commercial only
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+
Healthcare Provider Request Form For Tivdak (Form1/2)
Patient Authorization Form For Tivdak (Form2/2)
Healthcare Provider Request Form For Tivdak (Form1/2) - Spanish
Patient Authorization Form For Tivdak (Form2/2) - Spanish
Patient Assistance Program
Learn More

patient education

Tivdak Patient education

Getting started on Tivdak

NOT PROVIDED BY BRAND
Instructions For Use: Metastatic Cervical Cancer

Patient toolkit

Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Tivdak Wallet Card
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Eye Drop Tracker
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Eye Care Guide for Patients
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Tivdak
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Tivdak
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
Caring For Your Eyes
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide
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.