Radicavahcp.com

Radicava® (edaravone) Official HCP Site ALS IV & Oral Treatment

RADICAVA (edaravone) and RADICAVA ORS (edaravone) are contraindicated in patients with a history of hypersensitivity to edaravone or any of the inactive ingredients of this product. Hypersensitivity reactions (redness, wheals, and … See more

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URL: https://www.radicavahcp.com/about-radicava/

ALS Treatment Adverse Effects & Safety RADICAVA® …

WEBDemonstrated Safety and Tolerability Profile of RADICAVA ®1 With RADICAVA ®, the most common adverse reactions were contusion, gait disturbance, and headache 1, a (see …

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HCPs Treating ALS Patients Radicava® (edaravone) FDA Approved

WEBHypersensitivity Reactions. RADICAVA (edaravone) and RADICAVA ORS (edaravone) are contraindicated in patients with a history of hypersensitivity to edaravone or any of the …

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ALS Treatment Insurance Information RADICAVA® …

WEBRADICAVA ® IV from an infusion therapy provider. Be available throughout the patient's treatment journey to help answer insurance- and access-related questions. For …

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Guides, Forms, Tools & Resources RADICAVA® (edaravone)

WEBCentralized downloadable materials for RADICAVA® (edaravone) to support your office & patients. Forms, brochures, checklists sample letters. E.g., Sample Medical Necessity & …

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Starting the Treatment Process RADICAVA® (edaravone)

WEBNOTE: As a reminder, all covered entities are obligated under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to have a business associate …

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Accessing RADICAVA ORS (edaravone) through a specialty …

WEBPlease see full Prescribing Information. RADICAVA ORS and the corporate symbol of Mitsubishi Tanabe Pharma America are registered trademarks, and the RADICAVA …

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Steps for patient access to edaravone

WEBBenefit Investigation and Enrollment Form 1. PRESCRIBER OFFICE INFORMATION 2. PATIENT INSURANCE INFORMATION 3. PRESCRIPTION INFORMATION Note: You …

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Out-of-Pocket Assistance Program 0

WEBPlease see full Prescribing Information. *A JourneyMate Support Program ™ Insurance & Access Specialist is provided by UBC on behalf of Mitsubishi Tanabe Pharma America, …

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Important Updates to Out-of-Pocket Medication Costs

WEBHow Medicare Part D changes may impact patients. Actor portrayals. Important Updates . to Out-of-Pocket . Medication Costs. MEDICARE IN 2024 & 2025 …

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Radicava Benefit Investigation and Enrollment Form

WEBBenefit Investigation and Enrollment Form. Fax this completed form to 1-888-782-6157 or mail to JourneyMate Support ProgramTM, 680 Century Point, Lake Mary, FL 32746. For …

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PATIENT ASSISTANCE PROGRAM

WEBThe Patient Assistance Program covers only the cost of RADICAVA® and not the cost of any infusion services or healthcare provider visits, which are the sole responsibility of …

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Open Enrollment Information for Patients

WEB2 3 How to use this information 1 List all the medications you and family members on your health plan are taking. This can help give you an idea of your costs for next year. 2 …

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Understanding Government Health Plan Options

WEBCo-insurance: A percentage of the cost of your medications and healthcare services that you are responsible for paying. Typically, this is a lower percentage amount than what …

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Order Form for Buy & Bill for RADICAVA®

WEBUse this Order Form to order/reorder RADICAVA®. Fax this completed Order Form to 1-888-782-6157 or mail to the JourneyMate Support ProgramTM Insurance & Access …

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Provider Office Staff Exceptions and Appeals Checklist

WEBProvider Office Staff Exceptions and Appeals Checklist Steps for consideration toward obtaining the patient’s medication: Yes No 1 I have been notified that my patient’s …

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Sample Letter of Medical Necessity

WEBSample Letter of Medical Necessity This sample letter is intended to provide an example of the types of information that may be included when responding to a request from a …

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Sample Exceptions Letter

WEBSample Exceptions Letter This sample letter is intended to provide an example of the types of information that may be included when sending an exceptions letter for a Mitsubishi …

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