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Insurance Coverage Information

LENVIMA® is generally covered by Insurance Companies, Medicare and Medicaid. Coverage may vary based on the specific type of insurance you have and your Healthcare Provider. Ask your Healthcare Provider about how your insurance will cover LENVIMA®.

Getting Coverage

Understanding your insurance coverage is the first step in getting your treatments covered. In most cases, this is going to start with your healthcare provider contacting your insurance company. For LENVIMA®, Specialty Pharmacies can oversee the process and assist you and your Healthcare Provider in managing your coverage. Specialty Pharmacies deliver specialized medicines for complex diseases. Your Specialty Pharmacy is an important part of your health care team. They will mail your medication directly to you. The Specialty Pharmacy will help you from the start of therapy and will be in regular contact with you throughout your treatment.

LENVIMA® can also be dispensed through select eligible physician office/clinic or hospital pharmacies.  Your doctors office can help you understand your coverage for LENVIMA®.  

Once your coverage has been established you can explore your alternatives. If your insurance covers most of your treatment costs, there may be assistance paying the copays on your medications. Eisai's Patient Assistance Program may be available for eligible uninsured and financially burdened patients who have been prescribed LENVIMA. Eisai offers a Patient Assistance Program that may help. Contact your Healthcare Provider to start understanding your coverage needs and determine eligibility for assistance.

Specialty Pharmacy Information

One of the ways you can obtain LENVIMA® is through our Specialty Pharmacy Partners. 

Accessing LENVIMA® Through a Specialty Pharmacy

LENVIMA® is available through 2 Specialty Pharmacies that will mail the medication directly to you. Patients receiving LENVIMA® from these Specialty Pharmacies, Accredo or Biologics, will be automatically enrolled in our Patient Support Program upon consent which will provide help throughout the treatment journey. Please see below for a list of services that are provided through the Patient Support Program.

For more information on how to get LENVIMA®, contact these Specialty Pharmacies:

 

Accredo Specialty Pharmacy

 

 

Biologics

 

 

Phone: 1-844-693-0156
Fax: 1-877-247-4847

Accredo Specialty Pharmacy

 

 

Phone: 1-800-850-4306
Fax: 1-800-823-4506

Biologics Specialty Pharmacy

 

 

Physician Office/Clinic or Hospital Dispensing Information

Coverage and financial assistance for LENVIMA® are also facilitated by select eligible physician office/clinic or hospital pharmacies.

Accessing LENVIMA® Through select Eligible Physician Office or Hospital Pharmacy

LENVIMA® is available through eligible provider offices/clinics or hospital pharmacies. Patients receiving LENVIMA® can enroll in our Patient Support Program which will provide help throughout the treatment journey via the LENVIMA® Intake Form or by calling the Eisai Assistance Program at 1-866-61-EISAI (1-866-613-4724).

Please see below for a list of services that are provided through the Patient Support Program.

Patient Support Includes:

  • A patient starter kit that includes key LENVIMA® educational materials and helpful resources for patients receiving therapy
  • Ongoing patient communications for monitoring patient progress, adverse reactions, and questions about LENVIMA® therapy
  • Comprehensive benefit investigation to help patients understand their coverage for LENVIMA®

Complete reimbursement assistance for patients receiving LENVIMA® from a source other than Accredo or Biologics will be provided by the Eisai Assistance Program. Please call 1-866-61-EISAI (1-866-613-4724) for more information. 


Eisai offers financial assistance to eligible patients who can’t afford LENVIMA®. Talk to your Healthcare Provider about what assistance options may be available to you. The Eisai Assistance Program can assist you with understanding your options and can be reached at 1-866-61-EISAI or 1-866-613-4724. 

Do You Need Financial Assistance?

Programs run by Eisai and Assistance Foundations are available to help with out-of-pocket costs

Is LENVIMA® Right for Me?

LENVIMA is a therapy for patients with RAI refractory DTC, unresectable HCC, or in combination with everolimus for advanced RCC

Eisai cannot guarantee payment of any claim. Coding, coverage, and reimbursement may vary significantly by payor, plan, patient, and setting of care. Actual coverage and reimbursement decisions are made by individual payors following the receipt of claims. For additional information, customers should consult with their payors for all relevant coding, reimbursement, and coverage requirements. It is the sole responsibility of the provider to select the proper code and ensure the accuracy of all claims used in seeking reimbursement. All services must be medically appropriate and properly supported in the patient medical record.

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INDICATIONS

What is LENVIMA?

LENVIMA is a prescription medicine that is used to treat certain kinds of cancer.

  • LENVIMA is used by itself to treat differentiated thyroid cancer (DTC), a type of thyroid cancer that can no longer be treated with radioactive iodine and is progressing.
  • LENVIMA is used along with another medicine called everolimus to treat advanced renal cell carcinoma (RCC), a type of kidney cancer, after one course of treatment with another anti-cancer medicine.
  • LENVIMA is used by itself as the first treatment for a type of liver cancer called hepatocellular carcinoma (HCC) when it cannot be removed by surgery.

It is not known if LENVIMA is safe and effective in children.

IMPORTANT SAFETY INFORMATION

LENVIMA may cause serious side effects, including:

  • high blood pressure (hypertension): High blood pressure is a common side effect of LENVIMA and can be serious. Your blood pressure should be well controlled before you start taking LENVIMA. Your healthcare provider should check your blood pressure regularly during treatment with LENVIMA. If you develop blood pressure problems, your healthcare provider may prescribe medicine to treat your high blood pressure, lower your dose of LENVIMA, or stop your treatment with LENVIMA
  • heart problems: LENVIMA can cause serious heart problems that may lead to death. Call your healthcare provider right away if you get symptoms of heart problems, such as shortness of breath or swelling of your ankles
  • problem with blood clots in your blood vessels (arteries): Get emergency medical help right away if you get any of the following symptoms: severe chest pain or pressure; pain in your arms, back, neck, or jaw; shortness of breath; numbness or weakness on one side of your body; trouble talking; sudden severe headache; sudden vision changes
  • liver problems: LENVIMA may cause liver problems that may lead to liver failure and death. Your healthcare provider will check your liver function before and during treatment with LENVIMA. Tell your healthcare provider right away if you have any of the following symptoms: your skin or the white part of your eyes turns yellow (jaundice); dark, “tea-colored” urine; light-colored bowel movements (stools); feeling drowsy, confused, or loss of consciousness
  • kidney problems: Kidney failure, which can lead to death, has happened with LENVIMA treatment. Your healthcare provider should do regular blood tests to check your kidneys
  • increased protein in your urine (proteinuria): Proteinuria is a common side effect of LENVIMA and can be serious. Your healthcare provider should check your urine for protein before and during your treatment with LENVIMA. If you develop protein in your urine, your healthcare provider may decrease your dose of LENVIMA or stop your treatment
  • diarrhea: Diarrhea is a common side effect of LENVIMA and can be serious. If you get diarrhea, ask your healthcare provider about what medicines you can take to treat your diarrhea. It is important to drink more water when you get diarrhea. Tell your healthcare provider or go to the emergency room if you are unable to drink enough liquids and your diarrhea is not able to be controlled
  • an opening in the wall of your stomach or intestines (perforation) or an abnormal connection between two or more body parts (fistula): Get emergency medical help right away if you have severe stomach (abdomen) or chest pain
  • changes in the electrical activity of your heart called QT prolongation: QT prolongation can cause irregular heartbeats that can be life threatening. Your healthcare provider will do blood tests before and during your treatment with LENVIMA to check the levels of potassium, magnesium, and calcium in your blood, and may check the electrical activity of your heart with an ECG
  • low levels of blood calcium (hypocalcemia): Your healthcare provider will check your blood calcium levels during treatment with LENVIMA and may tell you to take a calcium supplement if your calcium levels are low
  • a condition called Reversible Posterior Leukoencephalopathy Syndrome (RPLS): Call your healthcare provider right away if you get severe headache, seizures, weakness, confusion, or blindness or change in vision
  • bleeding: LENVIMA may cause serious bleeding problems that may lead to death. Tell your healthcare provider if you have any signs or symptoms of bleeding during treatment with LENVIMA, including severe and persistent nose bleeds; vomiting blood; red or black (looks like tar) stools; blood in your urine; coughing up blood or blood clots; heavy or new onset vaginal bleeding
  • change in thyroid hormone levels: You may have changes in your thyroid hormone levels when taking LENVIMA. Your healthcare provider may need to change your dose of thyroid medicine while you are taking LENVIMA. Your healthcare provider should check your thyroid hormone levels before starting and every month during treatment with LENVIMA
  • wound healing problems: If you need to have a surgical procedure, tell your healthcare provider that you are taking LENVIMA. LENVIMA should be stopped until your wound heals

The most common side effects of LENVIMA in people treated for thyroid cancer include tiredness; joint and muscle pain; decreased appetite; weight loss; nausea; mouth sores; headache; vomiting; rash, redness, itching, or peeling of your skin on your hands and feet; stomach (abdomen) pain; and hoarseness.

The most common side effects of LENVIMA in people treated for kidney cancer include tiredness, joint and muscle pain, decreased appetite, vomiting, nausea, mouth sores, swelling in your arms and legs, cough, stomach (abdomen) pain, trouble breathing, rash, weight loss, and bleeding.

The most common side effects of LENVIMA in people treated for liver cancer include tiredness; decreased appetite; joint and muscle pain; weight loss; stomach (abdomen) pain; rash, redness, itching, or peeling of your skin on your hands and feet; hoarseness; bleeding; change in thyroid hormone levels; nausea.

LENVIMA may cause fertility problems in males and females. Talk to your healthcare provider if this is a concern for you.

These are not all the possible side effects of LENVIMA. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Please see full Prescribing Information

The information contained herein is provided for educational purposes only and is not intended to replace discussions with a health care professional. All decisions regarding patient care must be made with a health care professional, considering the unique characteristics of the patient.

This site is intended for residents of the United States only. Any products discussed herein may have different product labeling in different countries.

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