Available Resources with EASE
Help your eligible patients start and stay on CABOMETYX® (cabozantinib) with additional resources available by Exelixis Access Services® (EASE).
Resources for Providers
EASE Enrollment Form
This form allows you to help request financial assistance or coverage-related information for patients.
The Enrollment Form can also be downloaded, completed, and faxed back to 1-844-901-3273.
Patient Authorization Form
This form is for your patients to authorize the use of their health care information in relation to support with EASE.
Dose Exchange Program
Provides a free 15-tablet supply in the lower dose to help patients who require a dose reduction.*†
15-Day Free Trial Program
Provides a free trial to help new CABOMETYX patients start treatment quickly, regardless of insurance type. For patients with a payer decision delay of 5 days or more, up to three additional 15-day supplies are available.*‡
Specialty Pharmacy Flashcard
Comprehensive list of specialty pharmacies that carry and distribute CABOMETYX.
*Additional restrictions and eligibility rules apply.
†Patients are required to return any unused product.
‡Limited to on-label indications.
At your request, EASE Case Managers can help provide assistance to finding coverage
- Benefits Investigation Support: Review patient’s insurance coverage and health plan requirements
- Prior Authorization Assistance: Identify authorization criteria and obtain and/or provide information on any necessary paperwork required by a patient’s health plan for services related to treatment
- Appeals Support: Help review reason for denial(s) and with understanding any appeals guidelines related to a patient's health plan
- Follow-ups and Status Updates: Check on status of any authorization, appeals or approval of coverage, and provide status updates
The completion and submission of coverage- or reimbursement-related documentation are the responsibility of the patient and health care provider.
Call 1-844-900-EASE (1-844-900-3273) for live support | Monday to Friday, 8:00 AM to 8:00 PM (ET)
Resources for Your Patients
If your patient has not received a Patient Care Kit, they can request one here.
Your patient can learn more about what he or she may expect while on treatment with CABOMETYX, including:
- Recognizing side effects
- Where to find useful resources
- Lifestyle tips offering wellness support
- Information about organizations that may offer support
Need something else for your patient? A variety of educational and functional resources can be accessed and downloaded at CABOMETYX.com.
§Limit one per patient, US residents only. Additional restrictions and eligibility rules apply. Exelixis may at its sole option modify these terms and conditions without notice.
Have questions about
Exelixis Access Services® (EASE)?
Our team is here to help.
Contact us at 1-844-900-EASE
(1-844-900-3273)
We’re available Monday - Friday
8:00 AM to 8:00 PM (ET)