Patient Assistance Program

SeaGen Secure® offers a Patient Assistance Program for uninsured and underinsured patients who have been prescribed ADCETRIS┬« (brentuximab vedotin).

Once an enrollment form has been completed, fax it to 855.557.2480. It is important that each field is filled out completely and accurately to ensure timely processing of the application.

If you have any questions, please call toll-free 855.4SEAGEN (855.473.2436), option 1, to speak with a reimbursement counselor.

Reimbursement counselor request

If you would like a reimbursement counselor to contact you directly, please provide the following information:

*Indicates a required field.

* I am a healthcare professional  

* Name:

* Preferred method of contact

Phone:

E-mail: