Tivdak

(tisotumab)
tivdak 40 MG Injection

Dosage & administration

biomarker testing

Tivdak clinical details

Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.

drug label

Tivdak prescribing information

prior authorization

Tivdak prior authorization resources

Most recent Tivdak prior authorization forms

View By Payer
Verified: Sep 28, 2023Cigna - Tivdak Prior Authorization Form
Verified: Sep 21, 2023Aetna - Tivdak Prior Authorization Form

PDF
Coverage Authorization Request

PDF
Coverage Authorization Appeals
Learn More

Benefits investigation

PDF
Healthcare Provider Request Form For Tivdak (Form1/2)

PDF
Patient Authorization Form For Tivdak (Form2/2)

PDF
Healthcare Provider Request Form For Tivdak (Form1/2) - Spanish

PDF
Patient Authorization Form For Tivdak (Form2/2) - Spanish
Learn More

financial assistance

Tivdak financial assistance options

Co-pay savings program

commercial only

PDF
Healthcare Provider Request Form For Tivdak (Form1/2)

PDF
Patient Authorization Form For Tivdak (Form2/2)

PDF
Healthcare Provider Request Form For Tivdak (Form1/2) - Spanish

PDF
Patient Authorization Form For Tivdak (Form2/2) - Spanish

OTHER
Enroll in Patient Assistance Program
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+

PDF
Healthcare Provider Request Form For Tivdak (Form1/2)

PDF
Patient Authorization Form For Tivdak (Form2/2)

PDF
Healthcare Provider Request Form For Tivdak (Form1/2) - Spanish

PDF
Patient Authorization Form For Tivdak (Form2/2) - Spanish

OTHER
Patient Assistance Program
Learn More

patient education

Tivdak patient education

Getting started on Tivdak

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

PDF
Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Tivdak Wallet Card
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Eye Drop Tracker
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Eye Care Guide for Patients
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Tivdak
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Receiving Tivdak
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Caring For Your Eyes
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Doctor Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Other resources

Learn More

people also ask

Tivdak FAQs

How is the dosage of Tivdak?Tivdak is available in 1 dosages, including 40 mg Injection
What does Tivdak treat?Tivdak treats Uterine Cervical Neoplasms
How Is Tivdak Administered?Tivdak is administered as a Injectable
FAQ Data Source