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Manufacturer Patient Assistance Programs

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Manufacturer Patient Assistance Programs 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, Everolimus-Sandoz, Gefitinib-JAMP, Gefinitib-Sandoz, Imatinib-JAMP, Encorafenib (Braftovi), Binimetinib (Mektovi), Pralsetinib (Gavreto), Trastuzumab Deruxtecan (Enhertu) Provisional Bridging/Compassionate Access Closed: MPAP Closed: Additional Updates: Drug Manufacturer / PAP Name Contact Information Support Offered Route Strength DIN Abemaciclib (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 Acalabrutinib (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 Afatinib (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 Alectinib (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 Alemtuzumab (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) Novartis 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 Atezolizumab (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 Avelumab (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 Axitinib (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 Bevacizumab (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 Blinatumomab (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 Bosutinib (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 Brigatinib (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 Cabozantinib (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 Cemiplimab (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 Cetuximab (Erbitux) Eli-Lilly Phone 1.844.367.4889 Compassionate supply may be available IV 2mg / mL 02271249 Erbitux Patient
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