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In it right
from the start

Seagen Secure® works with your patients to get them enrolled* and started on their prescribed ADCETRIS® (brentuximab vedotin) for injection therapy quickly. Once a patient is enrolled, Seagen Secure® will help patients understand their insurance coverage and financial assistance options.

*Seagen does not guarantee that enrollment will result in patient assistance, coverage, and/or reimbursement.

*Seagen does not guarantee that enrollment will result in patient assistance, coverage, and/or reimbursement.

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How to enroll your patients for ADCETRIS® (brentuximab vedotin) for injection access support

Computer

Complete the online enrollment form

OR
Fax

FAX 855-557-2480

Download, complete, and fax the following:

Healthcare Provider Request Form Patient Authorization Form
Phone

PHONE 855-473-2873

Contact Seagen Secure® to enroll over the phone, Monday-Friday, 8 am-8 pm ET.

CLICK TO CALL NOW

Oncology Access Advocate

Once enrolled, your patient will be assigned a dedicated Oncology Access Advocate who can assist with any coverage or financial issues:

Benefits Investigation

Benefits investigation

The Oncology Access Advocate will help determine coverage, evaluate prior authorization requirements or other restrictions, and determine the patient’s financial responsibility

Appeals Assistance

Appeal assistance

If a patient’s insurer denies a prior authorization request and you want to appeal, the Oncology Access Advocate can identify the appropriate steps

Commercial OOP Assistance

Commercial out-of-pocket assistance program 

The Oncology Access Advocate can offer your patient enrollment in this program, designed to lower out-of-pocket costs for each prescription

Uninsured/Underinsured Patient Assistance

Uninsured and underinsured patient assistance

The Oncology Access Advocate may be able to approve eligible patients for ADCETRIS therapy, free of charge

Patients must meet eligibility requirements. Terms and conditions apply.

Enrollment

Enrollment Steps

  1. Complete this form with your patient
    • In-office
    • Remotely
  2. Submit to Seagen Secure®
    • An Oncology Access Advocate will reach out within 1-2 business days

Make sure you have the following information to complete the enrollment form:

  • Your practice information, including:
    • Address and contact details
    • Tax ID Number
    • National Provider Identifier (NPI)
  • Details regarding your patient's clinical diagnosis and treatment
  • Your patient's personal, financial, and contact details
  • Your patient's insurance card and/or insurance information
CLICK TO ENROLL ONLINE NOW

Resources and Forms

Seagen Secure® provides materials to help your patients get started on therapy

All materials listed are readily available to download:

Reimbursement and Other Resources

Appeals Request Guide

Download PDF

Coding and Billing Guide

Download PDF

ICD-10 Guide

Download PDF

Prior Authorization Guide

Download PDF

ADCETRIS® (brentuximab vedotin) Prescribing Information, including BOXED WARNING for PML

Download PDF

Quick Guides

Seagen Secure® Flashcard

Download PDF

Online Enrollment Navigational Resource

Download PDF