Insurance Coverage Forms, Prior Auth, Cover My Meds: Sancuso

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SANCUSO can be worn
for 7 days.

Talk to a rep for more info.

The easiest way to complete coverage determination forms

Helps you complete coverage determination (Prior Authorization, Step, Quantity Limit, and Formulary Request) forms for most drug plans and for any drug
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Works with
- Medicare Part D prescription drug plans
- Some commercial health insurance plans
For further information, call 1-866-452-5017 between 8:30 am and 5:30 pm ET

IMPORTANT SAFETY INFORMATION
SANCUSO^® (Granisetron Transdermal System) is indicated for the prevention of nausea and vomiting in patients receiving moderately and/or highly emetogenic chemotherapy regimens of up to 5 consecutive days duration.¹ SANCUSO is contraindicated in patients with known hypersensitivity to granisetron or to any of the components of the patch.¹ Granisetron may mask a progressive ileus and/or gastric distention caused by the underlying condition.¹ Mild application site reactions have occurred; remove the patch if severe reaction or a generalized skin reaction occurs.¹ Patients should avoid direct exposure of application site to natural or artificial sunlight by covering with clothing while wearing the patch and for 10 days after removing it.¹ The most common adverse reaction in patients receiving SANCUSO is constipation (5.4%).¹ SANCUSO contains granisetron.¹ Healthcare professionals should avoid prescribing any additional products that contain granisetron. No clinically relevant drug interactions have been reported in clinical studies with SANCUSO.¹