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 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 email to ELAHERESupport@cardinalhealth.com
1-833-ELAHERE (1-833-352-4373)
1-833-464-6329
ELAHERESupport@cardinalhealth.com
830 Winter Street,
Waltham, MA 02451
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
Healthcare Professionals 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 - Spanish Version
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
Resources for your patients
Patient Brochure
Overview of treatment with ELAHERE for patients
Ocular Brochure
Help your patients prepare for their eye care management while on ELAHERE
Spanish Language Patient Resources
Spanish Medication Guide
Important information about ELAHERE treatment
Speak to an ELAHERE Rep
For questions about the clinical trial, ordering ELAHERE, obtaining a patient starter kit, or accessing financial support, please be in touch with an ELAHERE representative.
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. ImmunoGen does not guarantee reimbursement or payment of claims.
§See Labcorp and NeoGenomics websites for terms and conditions, or speak with a representative from any of the participating labs.
FOLR1=folate receptor 1; FRα=folate receptor alpha; IHC=immunohistochemistry.