Teva-Dasatinib Patient Care Program

Patients prescribed with ^PrTeva-Dasatinib have access to the bilingual Teva-Dasatinib Patient Care Program^SM. By helping patients enrol, you ensure they receive the financial support they need while taking this medication.

Financial support may be available:

The Teva-Dasatinib Patient Care Program^SM provides reimbursement and financial assistance for enroled patients. Download these program materials designed to quickly enrol patients into the program and provide details on the financial assistance that is available. For patients who qualify, the pharmacy will be reimbursed in the same way as any other third-party plan.

How to enrol patients:

Enroling a new patient into the Teva-Dasatinib Patient Care Program^SM is easy.

• Fax or email the completed enrolment form: Prescribers, pharmacists, technicians and pharmacy assistants can gather the patient’s information and send the completed enrolment form by fax to 1-877-211-5159 or email to info@DasatinibTevaCanada.com.
• Pharmacy enrolment portal: Additionally, pharmacists, technicians and pharmacy assistants can also complete patient enrolment through the Pharmacy Enrolment Portal.
• Patient self-enrolment: Patients also have the option of enrolling themselves with the help of a Bilingual Patient Care Specialist by calling 1-877-211-5156 (Monday to Friday, 8 am – 8pm).

Resources designed to help explain the program and its benefits to patients:

Program details and how it works: Use this document to gain a better understanding of the specific operation of the program and reimbursement process.

Patient information letter: This letter outlines the services provided by the program to your patients.

If you have any questions about this program, please contact your Teva Canada Sales Representative or a Teva-Dasatinib Patient Care Specialist at 1-877-211-5156.