In it right
from the start

Seagen Secure® works with your practice and your patients to get them enrolled* and started on Tivdak™ (tisotumab vedotin-tftv) 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.

How to enroll your patients for Tivdak™ (tisotumab vedotin-tftv) for injection therapy

FAX 855-557-2480

Download, complete, and fax the following:

Healthcare Provider Request Form Patient Authorization Form
OR

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 icon

Benefits investigation

The Oncology Access Advocate will help determine coverage, evaluate prior authorization requirements or other restrictions, and determine the patient’s financial responsibility. The Oncology Access Advocate may also help them understand their benefits for an eye exam associated with their Tivdak prescription, as well as provide 3 eye care professionals closest to their home that are covered by their insurance

Commercial out-of-pocket assistance program icon

Commercial out-of-pocket assistance program 

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

Appeals assistance icon

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

Uninsured and underinsured patient assistance icon

Uninsured and underinsured patient assistance

The Oncology Access Advocate can approve eligible patients for Tivdak therapy, free of charge

Patients must meet eligibility requirements.

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

Healthcare Provider Request Form

Download English PDF Download Spanish PDF

Patient Authorization Form

Download English PDF Download Spanish PDF

Enrollment Form Instructions

Download PDF

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
Tivdak™ (tisotumab vedotin-tftv) Full U.S. Prescribing information, including BOXED WARNING for Ocular Toxicity
Download PDF

Quick Guides

Seagen Secure® Flashcard

Download PDF