HERE TO HELP YOUR PATIENTS START ON QINLOCK® (ripretinib)*
*Information and services provided by Deciphera AccessPoint are not intended to take the place of a healthcare provider.
Nurse Advocates cannot provide medical or clinical advice.
Time matters. From comprehensive access support for your practice, to insurance education for your patients, Deciphera AccessPoint offers a single point of contact serving patients and practices alike.
Navigating insurance issues?
Let us point the way.
1‑833‑4DACCES (1‑833‑432‑2237) Monday–Friday 8AM–8PM ET.
1‑833‑DCPH‑FAX (1‑833‑327‑4329)
Email info@decipheraaccesspoint.com to schedule a call back.
Insurance & financial support
Support services to help navigate patients' coverage
Waiting for insurance decisions can create delays. We provide the following services to help get patients started.
Benefits investigation (BI)
Get comprehensive BI results when you need them and assistance navigating coverage delays or other complex insurance issues.
Insurance education
If your patients have questions about whether their insurance covers QINLOCK® (ripretinib), tell them to call us. We'll point the way.
For questions about Medicare coverage or the Low-Income Subsidy program (also known as "Extra Help"), refer to our Medicare Overview Brochure.
Prior authorization (PA) and appeals support
Call us to help navigate the process quickly and accurately.
Plus, use our sample Letter of Medical Necessity and Letter of Appeal templates to help speed up the process. These sample letters can be customized based on your patient's condition and plan requirements.
Case Managers
Our dedicated team is readily available to answer your and your patients' access questions. Call 1‑833‑4DACCES (1‑833‑432‑2237) Monday–Friday 8AM–8PM ET, or email info@decipheraaccesspoint.com to schedule a call back.
Deciphera AccessPoint provides informational resources for patients and healthcare professionals; specific eligibility requirements are determined by the payer. Therefore, patients and healthcare professionals should confirm information directly with payers. Deciphera does not guarantee coverage or payer reimbursement.
Financial support for patients
If patients need help affording their medication, Deciphera AccessPoint is here to help. We have financial support options for patients with different types of insurance, or no insurance at all:
Commercial
Copay Program
For eligible patients with commercial insurance, our copay program may cover ALL out-of-pocket drug costs (as little as $0 copay).†
Patient Assistance
Program
Patients with no insurance or without coverage may qualify for free medication. Some patients with Medicare Part D may also qualify for this program.†
Patient
Education
Case Managers are available to help patients understand their benefits and other resources that may be available to them.
†Terms and conditions apply. Not every patient is eligible. Copay program is subject to an annual benefit maximum.
If cost is an issue, call us. We'll work to find a solution.
Contact our dedicated Case Managers.
1‑833‑4DACCES (1‑833‑432‑2237) Monday–Friday 8AM–8PM ET.
1‑833‑DCPH‑FAX (1‑833‑327‑4329)
Email info@decipheraaccesspoint.com to schedule a call back.
Enroll a patient
One form unlocks a host of potential access solutions
Deciphera AccessPoint offers support to patients and practices in navigating insurance issues and financial support opportunities.
Enroll your patients to get them started right away. Simply fill out and submit the enrollment form and we do the rest.
The Enrollment Form is available for download here.
Our Enrollment Form Instruction Guide explains how to obtain, fill out, and submit the form to help patients access services quickly.
Fax a completed enrollment form to 1‑833‑DCPH‑FAX (1‑833‑327‑4329).
Be sure to include:
- Prescription
- Prescriber signatures
- Patient signatures
- Optional/recommended: A request for a temporary 10-day supply of free medication, in case the patient faces an insurance delay or interruption
Deciphera AccessPoint assesses coverage and helps identify financial assistance options.
Specialty pharmacy delivers the prescription directly to the patient, or eligible offices may dispense via an in-office pharmacy.
Monday–Friday 8AM–8PM ET,
or email info@decipheraaccesspoint.com
to schedule a call back.
To get started
- Fax a completed enrollment form to 1‑833‑DCPH‑FAX (1‑833‑327‑4329)
- Call our dedicated Case Managers at 1‑833‑4DACCES (1‑833‑432‑2237), Monday–Friday 8AM–8PM ET
Insurance delays?
Help patients get a Rapid Start.
Time matters. With the Rapid Start program, you can help patients dealing with coverage delays get started on QINLOCK right away.
Eligible patients receive a 10-day
supply with 5 refills.§
Interruptions in coverage?
We can Bridge the gap.
We're here to help patients stay on therapy. With the Bridge program, patients experiencing a lapse in coverage may be eligible for a temporary supply of QINLOCK.
Eligible patients receive a 10-day
supply with 5 refills.§
§Terms and conditions apply. Not every patient is eligible.
Talk to one of our dedicated Case Managers to see if your patient is eligible. Call 1‑833‑4DACCES (1‑833‑432‑2237), Monday–Friday 8AM–8PM ET, or email info@decipheraaccesspoint.com to schedule a call back.
Is cost an issue? See our financial support opportunities for patients.
Downloadable forms & resources
Enrollment resources
Deciphera AccessPoint™ Enrollment Form
A form that connects your patients to the many services of Deciphera AccessPoint
Deciphera AccessPoint™ Enrollment Form Instruction Guide
A guide that explains how to obtain, fill out, and submit the form to help patients access services quickly
Deciphera AccessPoint™ Brochure
An overview of the many services available to support HCPs, office staff, and patients in helping patients access QINLOCK
PA RESOURCES
Sample Letter of Medical Necessity
A letter template that you can customize to formally explain why a patient needs specific treatment with QINLOCK and help speed the prior authorization process
Sample Letter of Appeal
A letter template that you can customize based on the patient's condition and plan requirements to challenge a payer denial of QINLOCK
HCP RESOURCES
Medicare Overview Brochure for HCPs
Information for HCPs and office staff about Medicare and the Low-Income Subsidy ("Extra Help") program
QINLOCK® (ripretinib) Fact Sheet and Ordering Information
Product information about QINLOCK, including the specialty pharmacy and distribution network, and storage and handling instructions
PATIENT RESOURCES
Medicare Overview Brochure for Patients
Information for patients about Medicare and the Low-Income Subsidy ("Extra Help") program
Helpful Resources Brochure for Patients
A collection of useful resources, available in one convenient download
Can't find what you're looking for?
Call our dedicated Case Managers at 1-833-4DACCES (1-833-432-2237),
Monday–Friday 8AM–8PM ET, or email info@decipheraaccesspoint.com to schedule a call back.