Resources Available for Support

Nuvalent Patient Support provides access to resources for healthcare professionals supporting patients prescribed JIDEYTRO, including materials that may help support enrollment and coverage-related processes.

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Resources

These resources are designed to help guide you through the coverage process and support treatment initiation with JIDEYTRO️. Here you’ll find downloadable templates, forms, and educational resources for both you and your patients. Healthcare professionals should use their best medical judgement when utilizing resources.

For Providers:

JIDEYTRO Enrollment Form

Enroll patients in Nuvalent Patient Support and request Quick Start, Bridge, or Patient Assistance Program support.

Download

JIDEYTRO Enrollment Form Guide

Step-by-step guidance through the enrollment form.

Download

Nuvalent Patient Support Brochure for Providers

Provides an overview of key program components, including benefits verification, financial support programs, and assistance for patients and care teams throughout treatment.

Download

Guide to Letter of Medical Necessity

If JIDEYTRO is not on a plan’s formulary, a letter of medical necessity may help support coverage approval. Some plans may require a letter of medical necessity per their policy.

Download

Guide to Letter of Medical Exception

If JIDEYTRO is on formulary but your patient does not meet certain criteria, such as step therapy requirements, a letter of medical exception may help justify an exception request.

Download

Guide to Letter of Appeal

Submitting a letter of appeal can support the process of appealing a prior authorization denial for JIDEYTRO coverage.

Download

Ordering Guide

Key information about ordering and distribution for JIDEYTRO.

Download

Coverage Guide

Provides information to help navigate coverage and financial assistance, as well as an overview of support for timely treatment initiation and other helpful program information.

Download

For Your Patients:

Nuvalent Patient Support Financial Assistance Overview

Patient resource that highlights available Nuvalent Patient Support programs, including enrollment information, explanations of financial support programs, and treatment resources, including information about how JIDEYTRO may be dispensed.

Download

Visit the JIDEYTRO HCP Website to learn more

Our team is here to help.

(844) 688-5333 Monday to Friday 8:00 am to 8:00 pm ET