SUPPORT FOR YOUR PATIENTS
Enroll in ELAHERE Support Services
ELAHERE Support Services: Here to help your patients navigate access to their treatment
ELAHERE Support Services (ESS) is committed to helping appropriate patients start on ELAHERE by offering access and reimbursement support, affordability assistance, and dedicated nursing support for patient questions based on the Prescribing Information.

What ESS offers
Once enrolled, ESS offers the following services and programs for patients:

Access & reimbursement
- Benefits investigation
- Prior authorization assistance
- Appeals assistance

Co-pay assistance*
- Support for commercially eligible patients with out-of-pocket costs
- Patients could pay as little as $0 for their medication

Patient assistance
- Support for uninsured or underinsured patients who meet eligibility requirements to access medication at no charge†

Nurse Navigators
- A resource available to patients and their caregivers to answer questions about their treatment based on the Prescribing Information
Get in touch with ELAHERE Support Services
For questions, connect with an ELAHERE Support Services Program specialist by calling 1-833-ELAHERE (1-833-352-4373) Monday to Friday, 8 AM to 8 PM ET or emailing ELAHERESupport@cardinalhealth.com

1-833-ELAHERE (1-833-352-4373)
1-833-464-6329

ELAHERESupport@cardinalhealth.com
Order ELAHERE
To order ELAHERE, contact your participating specialty distributor or specialty pharmacy listed in the ELAHERE Ordering Information Sheet.
J-Code for ELAHERE
Effective July 1, 2023, the permanent J-Code for ELAHERE is J9063 - Injection, mirvetuximab soravtansine-gynx, 1 mg.‡
The Centers for Medicare & Medicaid Services (CMS) released the April 2023 Quarterly Healthcare Common Procedural Coding System (HCPCS) file, which includes the designation of J9063 for injection, mirvetuximab soravtansine-gynx, 100 mg/20 mL.
Test for FRα
More than a dozen central labs are validated for FOLR1 IHC testing. Check with your preferred lab directly for availability
Contact your ELAHERE representative for updated information about testing for FRα
Resources for your practice

ELAHERE Overview Brochure
Clinical information about ELAHERE

Dosing and Administration Booklet
Information about how ELAHERE infusions are dosed and administered

Ocular Assessment Form
Offer your patients a checklist to track any ocular events they may experience

ELAHERE Ordering Information Sheet
Information on how to order ELAHERE through specialty distributors or specialty pharmacy partners

ELAHERE Support Services Patient Enrollment Form
Enroll your patients in the ELAHERE Support Services program to receive access, reimbursement, and affordability support

Spanish ELAHERE Support Services Patient Enrollment Form
Enroll your patients in the ELAHERE Support Services program to receive access, reimbursement, and affordability support

ELAHERE Billing and Coding Guide
Physician office and hospital/outpatient coding information to reference when billing and submitting claims for ELAHERE

Ocular Billing and Coding Guide
Ophthalmic exam codes for eye care providers to reference when billing and submitting claims

Cerner EHR Query Instructions
Considerations for identifying appropriate patients for FRα testing and mirvetuximab soravtansine-gynx treatment evaluation in the Cerner EHR system

Epic EHR Query Instructions
Considerations for identifying appropriate patients for FRα testing and mirvetuximab soravtansine-gynx treatment evaluation in the Epic EHR system

Epic FRα Testing Alert
A support tool to help create a Best Practice Advisory to identify patients with ovarian cancer who may be candidates for FRα testing in the Epic EHR system

Cerner FRα Testing Alert
A support tool to help create a discern alert to identify patients with ovarian cancer who may be candidates for FRα testing in the Oracle Cerner EHR system

Epic AIBW Calculator + Order Set Instructions
Instructions to optimize order sets and integrate an AIBW calculator into the Epic EHR system
Resources for your patients

Medication Guide
Important information about ELAHERE treatment
Spanish-language patient resources

Spanish Medication Guide
Important information about ELAHERE treatment
Helpful videos
Learn about ELAHERE from experts
Hear fellow healthcare professionals talk about various topics relevant to platinum-resistant ovarian cancer (PROC) and treatment with ELAHERE.
Eye care videos
Learn more about eye care for patients receiving ELAHERE, from how to effectively work with their care team to helping them understand what they can expect while on treatment.
Speak to an ELAHERE Rep
Have questions about ELAHERE? Contact a representative for help and updates.
Request a Rep
*Terms and conditions apply. Patients are eligible for co-pay assistance if enrolled in private commercial health insurance and are not covered by state or federal healthcare programs, and who meet the eligibility criteria. Patients will be enrolled for 12 months. There are no income requirements to participate in the program.
†Criteria include patients who are uninsured or have insurance that excludes coverage for ELAHERE (including patients on Medicare or Medicaid), residents of the United States or Puerto Rico, and patients who meet the financial eligibility requirements. Terms and conditions apply.
‡Providers are responsible for determining the appropriate coding and submission of accurate claims. AbbVie does not guarantee reimbursement or payment of claims.
AIBW=adjusted ideal body weight; EHR=electronic health record; FOLR1=folate receptor 1; FRα=folate receptor alpha; IHC=immunohistochemistry.