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.
In it right
from the start
*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.
Actor Portrayal
How to enroll your patients for ADCETRIS® (brentuximab vedotin) for injection access support
OR
FAX 855-557-2480
Download, complete, and fax the following:
Healthcare Provider Request Form Patient Authorization Form
PHONE 855-473-2873
Contact Seagen Secure® to enroll over the phone, Monday-Friday, 8 am-8 pm ET.
CLICK TO CALL NOWOncology 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
The Oncology Access Advocate will help determine coverage, evaluate prior authorization requirements or other restrictions, and determine the patient’s financial responsibility
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 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 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 Steps
- Complete this form with your patient
- In-office
- Remotely
- 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
Resources and Forms
Seagen Secure® provides materials to help your patients get started on therapy
All materials listed are readily available to download:
Enrollment Forms
Reimbursement and Other Resources
Appeals Request Guide
Coding and Billing Guide
ICD-10 Guide
Prior Authorization Guide
ADCETRIS® (brentuximab vedotin) Prescribing Information, including BOXED WARNING for PML
Quick Guides
Seagen Secure® Flashcard
FAQs
Online Enrollment Navigational Resource