Available Resources with EASE
Help your eligible patients start and stay on COMETRIQ® (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.
Specialty Pharmacy Flashcard
Comprehensive list of specialty pharmacies that carry and distribute COMETRIQ.
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)
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)