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Home , Enasidenib, Sonidegib

Manufacturer Patient Assistance Programs * Provisional Bridging Programs August 2021 highlighted below in blue For medications currently not funded per the BC Cancer Benefit Drug List - http://www.bccancer.bc.ca/systemic-therapy-site/documents/policy%20and%20forms/benefit%20drug%20list.pdf Disclaimer: BC Cancer intends to keep the information on this document as up to date as possible but cannot guarantee that the programs are all available as listed. Contact your local Drug Access Navigator (DAN) for more information

UPDATES: New MPAP/Compassionate Access Open: Abiraterone-JAMP, Abiraterone-Sandoz, -Sandoz, -JAMP, Gefinitib-Sandoz, -JAMP, (Braftovi), (Mektovi), (Gavreto), Deruxtecan (Enhertu) Provisional Bridging/Compassionate Access Closed: MPAP Closed: Additional Updates:

Drug Manufacturer / PAP Name Contact Information Support Offered Route Strength DIN (Verzenio) Lilly Phone 1.855.545.5922 Compassionate supply may be available PO 50mg 02487098 * Provisional Bridging Program Lilly Patient Support Program Fax 1.844.503.7749 Financial assistance for patients with or without private insurance may be available PO 100mg 02487101 Email [email protected] PO 150mg 02487128 Web PO 200mg 02487136 Abiraterone (Zytiga) Janssen Phone 1.844.511.2616 Compassionate supply may be available PO 250mg 02371065 * Provisional Bridging Program Janssen BioAdvance Patient Assistance Program Fax 1.855.629.7100 Financial assistance for patients with or without private insurance may be available PO 500mg 02457113 Email [email protected] Web Abiraterone JAMP Phone 1.844.445.5267 No compassionate supply available PO 250mg 02502305 Fax 1.833.580.1263 Financial assistance for patients with or without private insurance may be available (Copay Card) Email Web https://jampcare.ca/ Abiraterone PMS Phone 1.833.255.9100 Compassionate supply may be available PO 250mg 02492601 Ally Patient Support Program Fax 1.833.255.9544 Financial assistance for patients with or without private insurance may be available PO 500mg 02501503 Email [email protected] Web Abiraterone Sandoz Phone 1.888.672.6369 No compassionate supply available PO 250mg 02486393 Fax 1.833.835.6637 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Calquence) Astra Zeneca Phone 1.877.280.6208 Compassionate supply may be available PO 100mg 02491788 * Provisional Bridging Program AstraZeneca Oncology Patient Support Program Fax 1.877.280.6221 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Giotrif) Boehringer Ingelheim Phone 1.800.987.9080 Compassionate supply may be available PO 20mg 02415666 HeadStart Patient Assistance Program Fax 1.800.637.3515 Financial assistance for patients with or without private insurance may be available PO 30mg 02415674 Email PO 40mg 02415682 Web www.biheadstart.ca (Alecensaro) Roche Phone 1.888.748.8926 No compassionate supply available PO 150mg 02458136 OnCare Patient Assistance Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available Innomar Email [email protected] Web (Campath) Genzyme Phone 44.1283.494340 No compassionate supply available IV 12mg / 1.2mL 02418320 Clinigen Group Fax 44.1283.494341 Financial assistance for patients with or without private insurance may be available IV 30mg / mL 02290960 Email Web Alpelisib (Piqray) Phone 1.877.516.5353 Compassionate supply may be available PO 50mg 02497042 Fax 1.877.516.5352 Financial assistance for patients with or without private insurance may be available 150mg 02497069 Email [email protected] Compassionate Fulvestrant may be available in combination with Alpelisib 200mg 02497077 Web Compassionate access closing Dec 31, 2021 Apalutamide (Erleada) Janssen Phone 1.844.511.2616 Compassionate supply may be available PO 60mg 02478374 Janssen BioAdvance Patient Assistance Program Fax 1.855.629.7100 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Aprepitant (Emend) Merck Phone 1.866.906.3725 Compassionate supply may be available PO 80mg 02298791 Merck Compassionate Access Program Fax 1.800.754.0151 PO 125mg Tri-Pack 02298805 Email [email protected] Web (Tecentriq) Roche Phone 1.833.651.2047 No compassionate supply available IV 1200mg / 20mL vial 02462990 OnCare Patient Assistance Program Fax 1.833.651.2048 Financial assistance for patients with or without private insurance may be available 840mg / 14mL vial 02492393 McKesson Email [email protected] Web (Bavencio) EMD Serono & Pfizer Canada Inc. Phone 1.888.755.2250 No compassionate supply available IV 20mg / mL 02469723 BAVENCIO Patient Support Program Fax 1.833.303.5740 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Inlyta) Pfizer Phone 1.844.616.6888 Compassionate supply may be available PO 1mg 02389630 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available PO 5mg 02389649 Email [email protected] Web Azacitidine (Onureg) BMS Phone 1.833.951.2485 Compassionate supply may be available PO 200mg 02510197 Fax 1.833.951.2486 Financial assistance for patients with or without private insurance may be available PO 300mg 02510200 Email [email protected] Web Azacitidine (Vidaza) Celgene Phone 1.877.384.3292 Compassionate supply may be available IV 100mg / vial 02336707 Vidaza Patient Support Program Fax Financial assistance for patients with or without private insurance may be available Email Web (Mvasi) Amgen Phone 1.888.706.4717 Compassionate supply may be available IV 100mg / 4mL 02470748 Victory Program Fax 1.833.884.5608 Financial assistance for patients with or without private insurance may be available IV 400mg / 16mL 02470756 Email Web Bevacizumab (Zirabev) Pfizer Phone 1.844.533.0150 Compassionate supply may be available IV 100mg / 4mL 02489430 Pfizer Liaison Patient Support Program Fax 1.844.533.1151 Financial assistance for patients with or without private insurance may be available IV 400mg / 16mL 02489449 Email [email protected] Web www.pfizerliaison.ca Bevacizumab (Avastin) Roche Phone 1.888.748.8926 Compassionate supply may be available IV 25mg / mL 02270994 OnCare Patient Assistance Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available Innomar Email Web Bicalutamide TEVA Phone 1.800.268.4129 Compassionate supply may be available PO 50mg 02270226 TEVA Care Plan Fax None See 'TEVA' Email None Web Binimetinib (Mektovi) Pfizer Phone 1.844.616.6888 Compassionate supply may be available PO 15mg 02513080 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Blincyto) Amgen Phone 1.888.706.4717 Compassionate supply may be available IV 38.5mcg / vial 02450283 Victory Program Fax 1.833.884.5608 Financial assistance for patients with or without private insurance may be available Email Web Bortezomib Celgene Phone 1.888.738.2431 No compassionate supply available IV 3.5mg / vial 02452456 Bortezomib Support Program Fax 1.877.585.2382 Financial assistance for patients with or without private insurance may be available Email [email protected] Web www.revaid.ca (Bosulif) Pfizer Phone 1.844.616.6888 Compassionate supply may be available PO 100mg 02419149 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available PO 500mg 02419157 Email [email protected] Web (Alunbrig) Takeda Phone 1.844.691.7284 Compassionate supply may be available PO 30mg 02479206 * Provisional Bridging Program OnePath Fax 1.844.951.7284 Financial assistance for patients with or without private insurance may be available PO 90mg 02479214 Email PO 180mg 02479222 Web PO 90mg / 180mg 02479230 Cabazitaxel (Jevtana) Sanofi Phone 1.855.572.6634 No compassionate supply available IV 40mg / mL 02369524 Sanofi Cancer Patient Assitance Program Fax 1 866 417 1945 Financial assistance for patients with or without private insurance may be available Email Web (Cabometyx) Ipsen Phone 1.855.215.2288 No compassionate supply available PO 20mg 02480824 Ipsen Cares Program Fax 1.844.686.0661 Financial assistance for patients with or without private insurance may be available 40mg 02480832 Email 60mg 02480840 Web Carfilzomib (Kyprolis) Amgen Phone 1.888.706.4717 Compassionate supply may be available IV 10mg / vial 02459930 Victory Program Fax 1.833.884.5608 Financial assistance for patients with or without private insurance may be available IV 30mg / vial 02459949 Email IV 60mg / vial 02451034 Web (Libtayo) Sanofi - Aventis Phone 1.855.572.6634 Compassionate supply may be available IV 250mg / 5mL 02487152 REACH Patient Support Program Fax 1.844.342.4534 Financial assistance for patients with or without private insurance may be available IV 350mg / 7mL 02487144 Email Web (Erbitux) Eli-Lilly Phone 1.844.367.4889 Compassionate supply may be available IV 2mg / mL 02271249 Erbitux Patient Support Program Fax 1.844.682.8997 Financial assistance for patients with or without private insurance may be available Email Web (Cotellic) Roche Phone 1.833.651.2047 Compassionate supply may be available PO 20mg 02452340 OnCare Patient Assistance Program Fax 1.833.651.2048 Financial assistance for patients with or without private insurance may be available Innomar Email [email protected] Web (Xalkori) Pfizer Phone 1.800.563.3274 No compassionate supply available PO 200mg 02384256 Pfizer Liaison Patient Support Program Fax 1.855.874.9069 Financial assistance for patients with or without private insurance may be available PO 250mg 02384264 Email [email protected] Web (Tafinlar) Novartis Phone 1.888.475.4255 Compassionate supply may be available PO 50mg 02409607 The Village Patient Support Program Fax 1.888.475.3291 Financial assistance for patients with or without private insurance may be available PO 75mg 02409615 Email [email protected] Web (Vizimpro) Pfizer Phone 1.844.616.6888 No compassionate supply available PO 15mg 02486024 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available PO 30mg 02486032 Email [email protected] PO 45mg 02486040 Web Dalteparin (Fragmin) Pfizer Phone 1.800.563.3274 Sample card - 5 syringes (treatment doses) SC 2,500 Unit / 0.2mL 02132621 (Supportive medication) Fax 1.855.874.9069 Sample card - 10 syringes (prophylactic doses) SC 5,000 Unit / 0.2mL 02132648 Email Financial assistance for patients with or without private insurance may be available SC 10,000 Unit / mL 02132664 Web SC 25,000 Unit / mL 02231171 SC 7,500 Unit / 0.3mL 02352648 SC 10,000 Unit / 0.4mL 02352656 SC 12,500 Unit / 0.5mL 02352664 SC 15,000 Unit / 0.6mL 02352672 SC 18,000 unit / 0.72mL 02352680 SC 3,500 Unit / 0.28mL 02430789 (Darzalex) Janssen Phone 1.833.562.8433 No compassionate supply available IV 100mg / 5mL 02455951 Janssen BioAdvance Patient Assistance Program Fax 1.833.281.1595 Financial assistance for patients with or without private insurance may be available IV 400mg / 20mL 02455978 Email [email protected] Web Darbepoetin (Aranesp) Amgen Phone 1.888.706.4717 No compassionate supply available SC 10mcg / 0.4mL PFS 02392313 (Supportive medication) Victory Program Fax 1.833.884.5608 Financial assistance for patients with or without private insurance may be available SC 20mcg / 0.5mL PFS 02392321 Email SC 30mcg / 0.3mL PFS 02392348 Web SC 40mcg / 0.4mL PFS 02391740 SC 50mcg / 0.5mL PFS 02391759 SC 60mcg / 0.3mL PFS 02392356 SC 80mcg / 0.4mL PFS 02391767 SC 100mcg / 0.5mL PFS 02391775 SC 130mcg / 0.65mL PFS 02391783 SC 150mcg / 0.3mL PFS 02391791 SC 200mcg / 0.4mL PFS 02391805 SC 300mcg / 0.6mL PFS 02391821 SC 500mcg / 1mL PFS 02392364 Darolutamide (Nubeqa) Bayer Phone 1.833.955.3278 Compassionate supply may be available PO 300mg 02496348 * Provisional Bridging Program Darolutamide Access & Reimbursement Touchpoint Fax 1.877.208.4393 Financial assistance for patients with or without private insurance may be available (DART) Email [email protected] Web (Sprycel) BMS Phone 1.877.967.6626 Compassionate supply may be available PO 20mg 02293129 Access to Hope Program Fax 1.800.572.4971 Financial assistance for patients with or without private insurance may be available PO 50mg 02293137 Email PO 70mg 02293145 Web PO 80mg 02360810 PO 100mg 02320193 PO 140mg 02360829 Dasatinib Apotex Phone 1.888.303.1273 press 2 Compassionate supply may be available PO 20mg 02470705 ApoAssist Patient Assistance Program Fax 1.833.815.4163 Financial assistance for patients with or without private insurance may be available PO 50mg 02470713 Email [email protected] PO 70mg 02481499 Web PO 80mg 02481502 PO 100mg 02470721 Denosumab (Xgeva) Amgen Phone 1.888.706.4717 No compassionate supply available SC 120mg / 1.7mL 02368153 Victory Program Fax 1.833.884.5608 Financial assistance for patients with or without private insurance may be available Email Web Doxorubicin Pegylated Liposomal Janssen Phone No compassionate supply available IV 2mg / mL 02238389 (Caelyx) Fax Financial assistance for patients with or without private insurance may be available Email Web (Imfinzi) Astra Zeneca Phone 1.877.280.6208 No compassionate supply available IV 500mg 02468816 AstraZeneca Oncology Patient Support Program Fax 1.877.280.6221 Financial assistance for patients with or without private insurance may be available IV 120mg Email [email protected] Web Eltrombopag (Revolade) Novartis Phone 1.888.475.4255 Compassionate supply may be available PO 25mg 02361825 (Supportive medication) The Village Patient Support Program Fax 1.888.475.3291 Financial assistance for patients with or without private insurance may be available PO 50mg 02361833 Email [email protected] Web (Idhifa) Celgene Phone 1.833.847.4311 No compassionate supply available PO 50mg 02485427 Idhifa Patient Support Program Fax 1.833.443.4432 Financial assistance for patients with or without private insurance may be available PO 100mg 02485435 Email [email protected] Web Encorafenib (Braftovi) Pfizer Phone 1.844.616.6888 Compassionate supply may be available PO 75mg 02513099 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Rozlytrek) Roche Phone 1.877.354.0492 Compassionate supply may be available PO 100mg 02495007 Fax 1.877.354.0493 Financial assistance for patients with or without private insurance may be available PO 200mg 02495015 Email [email protected] Web Enzalutamide (Xtandi) Astellas Phone 1.855.982.6348 Compassionate supply may be available PO 40mg 02407329 * Provisional Bridging Program Xtandi Patient Assistance Program Fax 1.855.982.6349 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Epoetin Alfa (Eprex) Janssen Phone 1.833.562.8433 Compassionate supply may be available IV/SC 1,000 Unit / 0.5 mL 02231583 (Supportive medication) Janssen BioAdvance Patient Assistance Program Fax 1.833.281.1595 Financial assistance for patients with or without private insurance may be available IV/SC 2,000 Unit / 0.5 mL 02231584 Email [email protected] IV/SC 3,000 Unit / 0.3 mL 02231585 Web IV/SC 4,000 Unit / 0.4 mL 02231586 IV/SC 5,000 Unit / 0.5 mL 02243400 IV/SC 6,000 Unit / 0.6 mL 02243401 IV/SC 8,000 Unit / 0.8 mL 02243403 IV/SC 10,000 Unit / mL 02231587 IV/SC 20,000 Unit / 0.5 mL 02243239 IV/SC 30,000 Unit / 0.75 mL 02288680 IV/SC 40,000 Unit / mL 02240722 (Balversa) Janssen Phone 1.888.329.9254 Compassionate supply may be available PO 3mg 02493217 * Provisional Bridging Program Janssen BioAdvance Patient Assistance Program Fax 1.888.333.6410 Financial assistance for patients with or without private insurance may be available PO 4mg 02493225 Email PO 5mg 02493233 Web PO 4mg starter pack 02493241 Eribulin (Halaven) Eisai Phone 1.866.601.7340 Compassionate supply may be available IV 0.5mg / mL 02377438 Eisai Assistance Program Fax 1.866.246.7195 Financial assistance for patients with or without private insurance may be available Email Web (Tarceva) Roche Phone 1.888.748.8926 Covers up to difference in cost between brand and generic PO 25mg 02269007 InnoviCares Fax 1.888.532.1198 PO 100mg 02269015 Email PO 150mg 02269023 Web www.innovicares.ca Erlotinib TEVA Phone 1.800.268.4129 Compassionate supply may be available PO 25mg 02377691 TEVA Care Plan Fax None See 'TEVA' PO 100mg 02377705 Email None PO 150mg 02377713 Web Erlotinib Apotex Phone 1.888.303.1273 press 2 Compassionate supply may be available PO 25mg 02461862 ApoAssist Patient Assistance Program Fax 1.833.815.4163 Financial assistance for patients with or without private insurance may be available PO 100mg 02461870 Email [email protected] PO 150mg 02461889 Web Everolimus (Afinitor) Novartis Phone 1.866.281.4688 Compassionate supply may be available PO 2mg 02425645 Access Patient Support Program Fax 1.866.281.4689 Financial assistance for patients with or without private insurance may be available PO 2.5mg 02369257 Email PO 3mg 02425653 Web PO 5mg 02339501 PO 7.5mg 02450267 PO 10mg 02339528 Everolimus Sandoz Phone 1.888.672.6369 No compassionate supply available PO 2.5mg 02492911 Fax 1.833.835.6637 Financial assistance for patients with or without private insurance may be available PO 5mg 02492938 Email [email protected] PO 10mg 02492946 Web Everolimus TEVA Phone 1.800.268.4129 Compassionate supply may be available PO 2.5mg 02463229 TEVA Care Plan Fax None See 'TEVA' PO 5mg 02463237 Email None PO 10mg 02463253 Web Exemestane TEVA Phone 1.800.268.4129 Compassionate supply may be available PO 25mg 02408473 TEVA Care Plan Fax None See 'TEVA' Email None Web (Inrebic) BMS Phone 1.833.951.2475 Compassionate supply may be available PO 100mg 02502445 Fax 1.833.951.2476 Financial assistance for patients with or without private insurance may be available Email Web Filgrastim (Neupogen) Amgen Phone 1.888.706.4717 No compassionate supply available SC 300mcg / mL 01968017 (Supportive medication) Victory Program Fax 1.833.884.5608 Financial assistance for patients with or without private insurance may be available SC 600mcg / mL 02420104 Email Web Filgrastim (Grastofil) Apotex Phone 1.866.276.1664 Compassionate supply may be available SC 300mcg / 0.5mL 02441489 (Supportive medication) Answers Patient Support Program Fax 1.866.772.1458 Financial assistance for patients with or without private insurance may be available SC 480mcg / 0.8mL 02454548 Email [email protected] Reimbursement may be available Web Filgrastim (Nivestym) Pfizer Phone 1.844.616.6888 No compassionate supply available SC 300mcg / 0.5mL 02485575 (Supportive medication) Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available (Copay Card) SC 480mcg / 0.8mL 02485583 Email [email protected] SC 300mcg / 1mL vial 02485591 Web SC 480mcg / 1.6mL vial 02485656 Fulvestrant (Faslodex) Astra Zeneca Phone 1.877.790.1991 No Patient Assistance Program IM 50mg / mL 02248624 Fax No compassionate supply available Email [email protected] Financial assistance for patients with or without private insurance may be available (Copay Card) Web www.innovicares.ca Fulvestrant Sandoz Phone 1.888.672.6369 No compassionate supply available IM 50mg / mL 02483610 Continum Patient Support Program Fax 1.833.835.6637 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Fulvestrant TEVA Phone No assistance available for BC Cancer patients IM 50mg / mL 02460130 TEVA Care Plan Fax Email Web Gefitinib Apotex Phone 1.888.303.1273 press 2 Compassionate supply may be available PO 250mg 02468050 ApoAssist Patient Assistance Program Fax 1.833.815.4163 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Gefitinib JAMP Phone 1.844.445.5267 No compassionate supply available PO 250mg 02500663 Fax 1.833.580.1263 Financial assistance for patients with or without private insurance may be available (Copay Card) Email Web https://jampcare.ca/ Gefitinib Sandoz Phone 1.888.672.6369 No compassionate supply available PO 250mg 02487748 Fax 1.833.835.6637 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Xospata) Astellas Phone 1.855.967.7282 Compassionate supply may be available PO 40mg 02495058 Xospata Patient Support Program Fax 1.833.918.1827 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Imbruvica) Janssen Phone 1.833.562.8433 Compassionate supply may be available PO 140mg 02434407 Janssen BioAdvance Patient Assistance Program Fax 1.833.281.1595 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Idelalisib (Zydelig) Gilead Phone 1.844.453.6777 Compassionate supply may be available PO 100mg 02438798 Gilead Oncology Patient Support Program Fax 1.844.663.6777 Financial assistance for patients with or without private insurance may be available PO 150mg 02438801 Email Web Imatinib (Gleevec) Novartis Phone 1.855.489.4362 Compassionate supply may be available PO 100mg 02253275 GIST Alliance Fax 1.855.788.3159 Financial assistance for patients with or without private insurance may be available PO 400mg 02253283 Email Web Imatinib JAMP Phone 1.844.445.5267 No compassionate supply available PO 100mg 02495066 Fax 1.833.580.1263 Financial assistance for patients with or without private insurance may be available (Copay Card) PO 400mg 02495074 Email Web https://jampcare.ca/ Imatinib TEVA Phone 1.800.268.4129 Compassionate supply may be available PO 100mg 02399806 TEVA Care Plan Fax None See 'TEVA' PO 400mg 02399814 Email None Web Infliximab (Renflexis) Organon Phone 1.866.556.5663 Compassionate supply may be available IV 100 mg / vial 02470373 Harmony Patient Support Program Fax 1.866.240.4076 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Inotuzumab (Bespona) Pfizer Phone 1.844.616.6888 No compassionate supply available IV 0.9 mg / vial 02473909 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Interferon Alpha (Intron A) Merck Phone 1.877.494.0454 No compassionate supply available SC 6MU / mL 02238674 Merck Care Oncology Fax 1.877.656.0686 Financial assistance for patients with or without private insurance may be available SC 10MU / mL 02238675 Email SC 10MU / vial 02223406 Web SC 15MU / mL 02240693 SC 25MU / mL 02240694 SC 50MU / mL 02240695 (Yervoy) BMS Phone 1.877.967.6626 Compassionate supply may be available IV 5mg / mL 02379384 Access to Hope Program Fax 1.800.572.4971 Financial assistance for patients with or without private insurance may be available Email Web Irinotecan Liposome (Onivyde) Baxalta/Shire Phone 1.844.423.2090 No compassionate supply available IV 43mg / 10mL 02467135 Onward Patient Support Program Fax 1.844.423.2060 Financial assistance for patients with or without private insurance may be available Email Web (Sarclisa) Sanofi Phone 1.855.572.6694 Compassionate supply may be available IV 100mg / 5mL 02498235 REACH Patient Support Program Fax 1.844.342.4534 Financial assistance for patients with or without private insurance may be available 500mg / 25mL 02498243 Email Web Ixazomib (Ninlaro) Takeda Phone 1.844.691.7284 Compassionate supply may be available PO 2.3mg 02456798 * Provisional Bridging Program OnePath Fax 1.844.951.7284 Financial assistance for patients with or without private insurance may be available PO 3mg 02456818 Email [email protected] PO 4mg 02456826 Web (Tykerb) Novartis Phone 1.888.475.4255 No compassionate supply available PO 250mg 02326442 The Village Patient Support Program Fax 1.888.475.3291 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Vitrakvi) Bayer Phone 1.888.561.8725 Compassionate supply may be available PO 20mg / mL 02490331 * Provisional Bridging Program TRAKtion Patient Assistance Program Fax 1.833.780.2077 Financial assistance for patients with or without private insurance may be available PO 25mg 02490315 Email [email protected] PO 100mg 02490323 Web Lenalidomide (Revlimid) Celgene Phone 1.888.738.2431 Compassionate supply may be available PO 2.5mg 02459418 RevAid Program Fax 1.877.585.2382 Financial assistance for patients with or without private insurance may be available PO 5mg 02304899 Email [email protected] PO 10mg 02304902 Web www.revaid.ca PO 15mg 02317699 PO 20mg 02440601 PO 25mg 02317710 (Lenvima) Eisai Limited Phone 1.844.980.0410 Compassionate supply may be available PO 4mg 02484056 * Provisional Bridging Program Eisai Cares Patient Support Program Fax 1.844.980.0416 Financial assistance for patients with or without private insurance may be available PO 8mg 02468220 Email [email protected] PO 10mg 02450321 Web PO 12mg 02484129 PO 14mg 02450313 PO 18mg 02468239 PO 20mg 02450305 PO 24mg 02450291 Letrozole (Femara) Novartis Phone 1.855.489.4362 Compassionate supply may be available PO 2.5mg 02231384 Access Femara Fax 1.855.788.3159 Financial assistance for patients with or without private insurance may be available Email Web Letrozole TEVA Phone 1.800.268.4129 Compassionate supply may be available PO 2.5mg 02343657 TEVA Care Plan Fax None See 'TEVA' Email None Web (Lorbrena) Pfizer Phone 1.844.616.6888 No compassionate supply available PO 25mg 02485966 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available 100mg 02485974 Email [email protected] Web Nab-Paclitaxel (Abraxane) Celgene Phone 1.844.234.2272 No compassionate supply available IV 100mg / vial 02281066 Abraxane Patient Support Program Fax 1.844.253.2272 Financial assistance for patients with or without private insurance may be available Email Web (Nerlynx) Knight Therapeutics Phone 1.855.635.2372 Compassionate supply may be available PO 40mg 02490536 Fax 1.833.930.1614 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Netupitant-Palonosetron Purdue Phone 1.877.790.1991 No financial assistance available PO 300mg / 0.5mg 02468735 (Akynzeo) Fax Email [email protected] Web www.innovicares.ca (Tasigna) Novartis Phone 1.855.489.4362 Compassionate supply may be available PO 150mg 02368250 The Alliance Patient Support Program Fax 1.855.788.3159 Financial assistance for patients with or without private insurance may be available PO 200mg 02315874 Email Web Niraparib (Zejula) GSK Phone 1.833.839.7181 Compassionate supply may be available PO 100mg 02489783 Fax 1.833.924.1045 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Opdivo) BMS Phone 1.877.967.6626 Compassionate supply may be available IV 40mg / mL 02446626 Access To Hope Fax 1.800.572.4971 Financial assistance for patients with or without private insurance may be available IV 100mg / 10mL 02446634 Email Web (Gazyva) Roche Phone 1.888.748.8926 No compassionate supply available IV 25mg / mL 02434806 OnCare Patient Assistance Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available Innomar Email [email protected] Web Olaparib (Lynparza) Astra Zeneca Phone 1.877.280.6208 Compassionate supply may be available PO 100mg 02475200 * Provisional Bridging Program AstraZeneca Oncology Patient Support Program Fax 1.877.280.6221 Financial assistance for patients with or without private insurance may be available 150mg 02475219 Email [email protected] Web (Tagrisso) Astra Zeneca Phone 1.877.280.6208 Compassionate supply may be available PO 40mg 02456214 AstraZeneca Oncology Patient Support Program Fax 1.877.280.6221 Financial assistance for patients with or without private insurance may be available 80mg 02456222 Email [email protected] Web (Ibrance) Pfizer Phone 1.844.616.6888 No compassionate supply available PO 75mg tablet 02493535 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available PO 100mg tablet 02493543 Email [email protected] PO 125mg tablet 02493551 Web (Vectibix) Amgen Phone 1.888.706.4717 Compassionate supply may be available IV 100mg / 5mL 02308487 Victory Program Fax 1.833.884.5608 Financial assistance for patients with or without private insurance may be available IV 400mg / 20mL 02308509 Email Web (Votrient) Novartis Phone 1.888.475.4255 No compassionate supply available PO 200mg 02352303 The Village Patient Support Program Fax 1.888.475.3291 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Pegfilgrastim (Lapelga) Apotex Phone 1.866.276.1664 No compassionate supply available SC 6 mg / 0.6 mL 02474565 (Supportive medication) Answers Patient Support Program Fax 1.866.772.1458 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Pegfilgrastim (Neulasta) Amgen Phone 1.888.706.4717 No compassionate supply available SC 10mg / mL 02249790 (Supportive medication) Victory Program Fax 1.833.884.5608 Financial assistance for patients with or without private insurance may be available Email Web Pegfilgrastim (Fulphila) Viatris Phone 1.833.847.4323 Compassionate supply may be available SC 10mg / mL 02484153 (Supportive medication) Advocate Fax 1.833.794.2382 Financial assistance for patients with or without private insurance may be available Email [email protected] Web www.BiosimilarsCanadaPSP.com Pegfilgrastim (Nyvepria) Pfizer Phone 1.844.533.0150 No compassionate supply available SC 6 mg / 0.6 mL 02506238 Pfizer Liaison Patient Support Program Fax 1.844.533.1151 Financial assistance for patients with or without private insurance may be available (Copay Card) Email [email protected] Web (Keytruda) Merck Phone 1.855.549.9416 Compassionate supply may be available IV 100mg / 4mL 02456869 * Provisional Bridging Program Merck Care Oncology Patient Assistance Program Fax 1.855.549.9415 Financial assistance for patients with or without private insurance may be available Email Closing for HNSCC on July 14, 2021 Web Pemetrexed (Alimta) Eli-Lilly Phone 1.800.268.4446 Compassionate supply may be available IV 100mg / vial 02306433 Alimta Assistance Fax 1.877.787.3376 Financial assistance for patients with or without private insurance may be available IV 500mg / vial 02253437 Email Web (Perjeta) Roche Phone 1.888.748.8926 No compassionate supply available IV 420 mg / 14mL 02405016 OnCare Patient Assistance Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available Innomar Email [email protected] Web (Polivy) Roche Phone 1.888.748.8926 No compassionate supply available IV 140 mg / vial 02499614 OnCare Patient Assistance Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available Innomar Email [email protected] Web Pomalidomide (Pomalyst) Celgene Phone 1.888.738.2431 Compassionate supply may be available PO 1mg 02419580 * Provisional Bridging Program RevAid Program Fax 1.877.585.2382 Financial assistance for patients with or without private insurance may be available PO 2mg 02419599 Email [email protected] PO 3mg 02419602 Web www.revaid.ca PO 4mg 02419610 (Iclusig) Paladin Phone 1.844.425.8744 No compassionate supply available PO 15mg 02437333 Iclusig Patient Support Program Fax 1.844.425.8329 Financial assistance for patients with or without private insurance may be available PO 45mg 02437341 Email Web Posaconazole (Posanol) Merck Phone 1.877.494.0454 Compassionate supply may be available PO 100mg 02424622 (Supportive medication) Merck Care Oncology Fax 1.877.656.0686 Financial assistance for patients with or without private insurance may be available IV 18mg / mL 02432676 Email IV 40mg / mL 02293404 Web Pralsetinib (Gavreto) Roche Phone 1.888.748.8926 No compassionate supply available PO 100mg 02517590 OnCare Patient Assistance Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Stivarga) Bayer Phone 1.844.384.3748 Compassionate supply may be available PO 40mg 02403390 * Provisional Bridging Program BTher4U Patient Support Program Fax 1.844.984.3748 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Kisqali) Novartis Phone 1.877.516.5353 Compassionate supply may be available PO 200mg 02473569 Kisqali Companion Support Program Fax 1.877.516.5352 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Qinlock) Medison Phone 1.833.444.0157 No compassionate supply available PO 50mg 02500833 Care Journey Patient Assistance Program Fax 1.833.444.0158 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Rituxan) Roche Phone 1.888.748.8926 Compassionate supply may be available IV 10mg / mL 02241927 OnCare Patient Assistance Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available SC 120mg / mL 02457350 Innomar Email [email protected] Web Rituximab (Rixmyo) Sandoz Phone 1.888.449.7673 Compassionate supply may be available IV 10mg / mL 02498316 Xpose by Sandoz Patient Support Program Fax 1.844.449.7673 Financial assistance for patients with or without private insurance may be available Email Web Romidepsin (Istodax) Celgene Phone 1.844.234.2279 No compassionate supply available IV 10mg / vial 02414295 Istodax Patient Support Program Fax 1.844.253.2279 Financial assistance for patients with or without private insurance may be available Email Web Romiplostim (Nplate) Amgen Phone 1.888.675.2832 No compassionate supply available SC 250mcg / 0.5mL 02322854 Enable Support Program Fax 1.888.675.2835 Financial assistance for patients with or without private insurance may be available SC 500mg / mL 02322862 Email Web (Jakavi) Novartis Phone 1.855.489.4362 Compassionate supply may be available PO 5mg 02388006 The Alliance Patient Support Program Fax 1.855.788.3159 Financial assistance for patients with or without private insurance may be available PO 10mg 02434814 Email PO 15mg 02388014 Web PO 20mg 02388022 Siltuximab (Sylvent) Janssen Phone 1.800.387.8781 Compassionate supply may be available IV 100mg / vial 02435128 Janssen Compassionate Use Program Fax 1.844.592.2559 Financial assistance for patients with or without private insurance may be available IV 400mg / vial 02435136 Email [email protected] Web (Odomzo) Sun Pharma Phone 1.844.266.2974 Compassionate supply may be available PO 200mg 02500337 Fax 1.833.950.2026 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Nexavar) Bayer Phone 1.844.384.3748 Compassionate supply may be available PO 200mg 02284227 BTher4U Patient Support Program Fax 1.844.984.3748 Financial assistance for patients with or without private insurance may be available Email [email protected] Web (Sutent) Pfizer Phone 1.844.616.6888 No compassionate supply available PO 12.5mg 02280795 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available PO 25mg 02280809 Email [email protected] PO 50mg 02280817 Web Tamoxifen TEVA Phone 1.800.268.4129 Compassionate supply may be available PO 10mg 00851965 TEVA Care Plan Fax None See 'TEVA' PO 20mg 00851973 Email None Web Telotristat Ethyl (Xermelo) Ipsen Phone 1.855.215.2288 Compassionate supply may be available PO 250mg 02481553 Ipsen Cares Program Fax 1.844.686.0661 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Temozolomide (Temodal) Merck Phone 1.877.494.0454 No compassionate supply available PO 5mg 02241093 Merck Care Oncology Patient Assistance Program Fax 1.877.656.0686 Financial assistance for patients with or without private insurance may be available PO 20mg 02241094 Email PO 100mg 02241095 Web PO 140mg 02312794 PO 250mg 02241096 Temozolomide TEVA Phone 1.800.268.4129 Compassionate supply may be available PO 5mg 02441160 TEVA Care Plan Fax None See 'TEVA' PO 20mg 02395274 Email None PO 100mg 02395282 Web PO 140mg 02395290 PO 250mg 02395312 (Torisel) Pfizer Phone 1.844.616.6888 No compassionate supply available IV 25mg / mL 02304104 Pfizer Liaison Patient Support Program Fax 1.844.636.6888 Financial assistance for patients with or without private insurance may be available Email [email protected] Web TEVA TEVA Phone 1.800.268.4129 Compassionate supply may be available TEVA Care Plan Fax None Will supply oral medication one month at a time. Refills not honoured. Email [email protected] Web Thalidomide (Thalomid) Celgene Phone 1.888.738.2431 Compassionate supply may be available PO 50mg 02355191 RevAid Program Fax 1.877.585.2382 Financial assistance for patients with or without private insurance may be available PO 100mg 02355205 Email [email protected] PO 200mg 02355221 Web www.revaid.ca Tinazparin (Innohep) Leo Pharma Phone 1.800.263.4218 Sample Card: 10 Syringes Treatment Dosages SC 2,500 Unit / 0.25mL 02229755 (Supportive medication) innohep Patient Support and Compassion Programs Fax 1.905.886.6622 Sample Card: 10 Syringes Prophylactic Dosages SC 3,500 Unit / 0.35mL 02358158 Email [email protected] Compassionate supply may be available SC 4,500 Unit / 0.45mL 02358166 Web www.leo.pharma.ca Financial assistance for patients with or without private insurance may be available SC 8,000 Unit / 0.4mL 02429462 SC 10,000 Unit / 0.5mL 02231478 SC 12,000 Unit / 0.6mL 02429470 SC 14,000 Unit / 0.7mL 02358174 SC 16,000 Unit / 0.8mL 02429489 SC 18,000 Unit / 0.9mL 02358182 Tocilizumab (Actemra) Roche Phone 1.888.748.8926 Compassionate supply may be available IV 80mg / 4mL 02350092 JointEffort Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available IV 200mg / 10mL 02350106 Email IV 400mg / 20mL 02350114 Web SC 162mg / 0.9mL 02424770 (Mekinist) Novartis Phone 1.888.475.4255 Compassionate supply may be available PO 0.5mg 02409623 The Village Patient Support Program Fax 1.888.475.3291 Financial assistance for patients with or without private insurance may be available PO 2mg 02409658 Email [email protected] Web AstraZeneca Phone 1.877.280.6208 Compassionate supply may be available IV 100mg vial 02514400 (Enhertu) AstraZeneca Oncology Patient Support Program Fax 1.877.280.6221 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Roche Phone 1.888.748.8926 No compassionate supply available IV 100mg vial 02412365 (Kadcyla) OnCare Patient Assistance Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available IV 160mg vial 02473224 Innomar Email [email protected] Web Trastuzumab (Kanjinti) Amgen Phone 1.888.706.4717 Compassionate supply may be available IV 420mg vial 02496690 Victory Program Fax 1.833.884.5608 Financial assistance for patients with or without private insurance may be available Email Web Trastuzumab (Trazimera) Pfizer Phone 1.844.533.0150 Compassionate supply may be available IV 150mg vial 02483475 Pfizer Liaison Patient Support Program Fax 1.844.533.1151 Financial assistance for patients with or without private insurance may be available IV 440mg vial 02483467 Email www.pfizerliaison.ca Web Trastuzumab (Herceptin) Roche Phone 1.888.748.8926 No compassionate supply available IV 440mg vial 02240692 OnCare Patient Assistance Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available SC 600mg / 5mL vial 02480697 Innomar Email [email protected] Web Trifluridine-Tipiracil (Lonsurf) Taiho Phone 1.833.266.3987 Compassionate supply may be available PO 15mg 02472104 Conexus Patient Support Program Fax 1.833.247.9843 Financial assistance for patients with or without private insurance may be available PO 20mg 02472112 Email [email protected] Web (Tukysa) Seagen Phone 1.833.464.0728 Compassionate supply may be available PO 50mg 02499827 Tukysa Patient Support Program Fax 1.833.464.0729 Financial assistance for patients with or without private insurance may be available PO 150mg 02499835 Email [email protected] Patient must also be treated with Capecitabine and Trastuzumab in order to be eligible Web Valacyclovir (Valtrex) GlaxoSmithKline Phone 1.844.794.3577 Compassionate supply may be available PO 500mg 02219492 (Supportive medication) Valtrex Patient Assistance Program Fax Financial assistance for patients with or without private insurance may be available PO 1000mg 02246559 Email Reimbursement may be available Web https://www.rxhelp.ca/valtrex (Caprelsa) Genzyme Phone 1.855.212.3922 No compassionate supply available PO 100mg 02378582 Caprelsa Patient Assistance Program Fax 1.855.212.7871 Financial assistance for patients with or without private insurance may be available PO 300mg 02378590 Email Web (Zelboraf) Roche Phone 1.833.651.2047 Compassionate supply may be available PO 240mg 02380242 OnCare Patient Assistance Program Fax 1.833.651.2048 Financial assistance for patients with or without private insurance may be available Innomar Email [email protected] Web (Venclexta) AbbVie Phone 1.844.346.6626 No compassionate supply available PO 10mg 02458039 AbbVie Care Program Fax 1.844.684.6626 Financial assistance for patients with or without private insurance may be available PO 50mg 02458047 Email PO 100mg 02458055 Web (Erivedge) Roche Phone 1.888.748.8926 Compassionate supply may be available PO 150mg 02409267 Erivedge Pregnancy Prevention Program Fax 1.888.532.1198 Financial assistance for patients with or without private insurance may be available Innomar Email [email protected] Web Vorinostat (Zolinza) Merck Phone 1.877.494.0454 Compassionate supply may be available PO 100mg 02327619 Merck Care Oncology Patient Assistance Program Fax 1.877.656.0686 Financial assistance for patients with or without private insurance may be available Email Web (Brukinsa) BeiGene Phone 1.833.234.4366 Compassionate supply may be available PO 80mg 02512963 MyBeiGene Patient Support Program Fax 1.833.567.0696 Financial assistance for patients with or without private insurance may be available Email [email protected] Web Home Injection Programs Buserelin (Suprefact) Sanofi-Aventis Phone 1.877.787.3228 Home Injection Program SC 1mg / mL 02225166 Medicum Patient Assistance Program Fax 1.877.787.3376 IMP 6.3mg / IMP 02228955 Email IMP 9.45mg / IMP 02240749 Web Degarelix (Firmagon) Ferring Phone 1.866.210.0399 Home Injection Program SC 80mg / vial 02337029 Coverdale Clinics Firmagon Injection Program Fax 1.866.793.5500 SC 120mg / vial 02337037 Email Web Goserelin LA (Zoladex) TerSera Phone 1.866.733.7511 Home Injection Program IM 10.8mg 02225905 Zoladex Community Care and Home Injection Program Fax 1.866.733.7514 Email Web Lanreotide (Somatuline) Ipsen Phone 1.855.215.2288 Home Injection Program SC 60mg 02283395 Ipsen Cares Program Fax 1.844.686.0661 Compassionate supply may be available SC 90mg 02283409 Email Financial assistance for patients with or without private insurance may be available SC 120mg 02283417 Web Leuprolide (Eligard) Sanofi-Aventis Phone 1.877.787.3228 Home Injection Program SC 7.5mg 02248239 Eligard Home Injection Program Fax 1.877.787.3376 SC 22.5mg 02248240 Email SC 30mg 02248999 Web SC 45mg 02268892 Leuprolide (Lupron) AbbVie Phone 1.844.458.7766 Home Injection Program IM 3.75mg / vial 00884502 AbbVie Care Program Fax 1.844.258.7766 Financial assistance for patients with or without private insurance may be available SC 5mg / mL 00727695 Email SC 7.5 mg / mL 00836273 Web IM 11.25 mg / vial 02239834 IM 22.5mg / vial 02230248 IM 30mg / vial 02239833 Octreotide (Sandostatin) Novartis Phone 1.866.281.4688 Home Injection Program IV/SC 50mcg / mL 00839191 Access Sandostatin Fax 1.866.281.4689 Financial assistance for patients with or without private insurance may be available IV/SC 100mcg / mL 00839205 Email IV/SC 200mcg / mL 02049392 Web IV/SC 500mcg / mL 00839213 IM 10mg / vial 02239323 IM 20mg / vial 02239324 IM 30mg / vial 02239325 Last Update: July 26, 2021 CDJ Created: May 2018