Product Access Program

To learn more, call
1-844-SRCHLGT (1-844-772-4548)

We're here for you

Searchlight Support™ provides education and assistance for people who receive Radicava® (edaravone) and those who care for them. Our care coordinators are ready to help.

Searchlight Support

Searchlight Support™ Brochure
Cost Support Options

Out-of-Pocket Cost Support Options
We can help you obtain co-pay assistance, if eligible

Infusion Center Directory

Infusion Center Directory
We can help you find an infusion site of care

To be enrolled in Searchlight Support™, your healthcare provider (HCP) must order Radicava® for you. You will also need to provide authorization for enrollment in the program by reading and signing one of these forms:

  • The form your HCP submits the first time they order Radicava® for you (a Benefit Investigation and Enrollment Form)
  • A separate Patient Authorization Form

A Patient Authorization Form is available here, if you need one.

Searchlight Support

Patient Authorization
Form

You can submit your signed form by:

Fax Icon
Fax
1-888-782-6157
— OR —
Mail Icon
Mail
Searchlight Support™
PO Box 2930
Phoenix, AZ 85062

Once enrolled in Searchlight Support™, one of our care coordinators will be assigned to you and will reach out to offer care coordination and out-of-pocket cost support options that may be available to you.

Out-of-Pocket Cost Support Options

We understand that serious medical conditions place a financial burden on many families. That’s why Searchlight Support™ helps to provide affordable access to Radicava®.

Our dedicated Searchlight Support™ care coordinators can help you navigate cost support options that may be available to you. But first, you may want to learn about some of these options below.

Out-of-Pocket Assistance Program
Out-of-Pocket Assistance Program
Support for eligible patients with commercial insurance

If you have commercial insurance coverage for treatment with Radicava®, you may be eligible to receive help from the Out-of-Pocket Assistance Program.

If you are enrolled in the program, you will:

  • Save on your deductible, co-pay, and co-insurance costs for Radicava® and for your infusions
  • Pay as little as $0 per infusiona
  • Receive coverage for out-of-pocket costs for Radicava® for 12 monthsb—up to $20,000
Searchlight Support

Out-of-Pocket Assistance Program Brochure
How this program works

Eligible patients with commercial insurance coverage for Radicava® may be enrolled in the Searchlight Support™ Out-of-Pocket Assistance Program when you and your HCP complete and submit a Benefit Investigation and Enrollment Form.

  1. Searchlight Support™ will review your insurance benefits to determine your out-of-pocket costs, and your eligibility for the Out-of-Pocket Assistance Program.
  2. If eligible, you will receive a Welcome Letter which includes your Patient ID. Your HCP will also be notified of your enrollment and provided with your Patient ID.
  3. When you begin treatment with Radicava®, your HCP will use your Patient ID to receive payment from the program for your out-of-pocket costs for the initial 14-day treatment cycle:
    • Payment is based on your out-of-pocket costs as determined by your health plan coverage
    • Your out-of-pocket costs are detailed in the Final Benefit Summary provided by Searchlight Support™ to both you and your HCP.
  4. For treatments after the initial 14-day cycle, your HCP will submit a copy of the Explanation of Benefits (EOB) from your health plan and claim form to Searchlight Support™ for review and processing of payment of your out-of-pocket costs.

If you have already paid your HCP for the out-of-pocket costs for your treatment, please contact Searchlight Support™ for information on how you may receive reimbursement.

Restrictions apply. See Eligibility Requirements & Terms and Conditions.

aRestrictions apply.

bYou will be contacted each year before the end of your eligibility period to re-enroll for continued out-of-pocket assistance for treatment with Radicava®. You will be responsible for any costs associated with Radicava® and your infusion above the maximum annual program benefit.

Patient Assistance Program
For patients who are in financial need and have no insurance

If you are in financial need and have no insurance, you may be eligible to participate in our Patient Assistance Program. If you meet the program requirements, you may be able to receive Radicava® at no charge for up to 2 years.c

Searchlight Support

Patient Assistance Program Brochure
How this program works
  1. You and your HCP complete the Benefit Investigation and Enrollment Form and submit to Searchlight Support™ with all required documentation.
  2. If you meet the Patient Assistance Program requirements, the program will cover your Radicava® medication as prescribed by your HCP at no charge for 1 year.c
  3. You must reconfirm your eligibility for continued participation in the program after your initial 12-month eligibility period by providing required financial documentation.
  4. If you continue to meet the program requirements, you may be able to receive your medication at no charge for an additional 12 months.

Restrictions apply. See Eligibility Requirements & Terms and Conditions.

cOnly product provided at no charge. The Patient Assistance Program covers only the cost of Radicava® and not the cost of any infusion services or healthcare provider visits, which are the sole responsibility of the patient.

Independent Foundations
Resources for patients with public or government-funded insurance who need information about independent patient assistance programs

Searchlight Support™ can refer patients with public or government-funded insurance coverage to independent foundations that may be able to help with out-of-pocket costs for Radicava®.

These foundations are independent, nonprofit organizations that have their own eligibility criteria and application processes. Referral to an independent foundation is not a guarantee of out-of-pocket cost assistance.

Government Health Plan Options
Information for patients who are eligible for government-funded insurance

Searchlight Support™ can provide information to help patients explore options for government health plan coverage for Radicava®, including Medicare, Social Security Disability Insurance (SSDI), Medicaid, and TRICARE/DoD/Veterans Administration.

To learn more, download the Government Health Plan Options brochure.

Searchlight Support

Government Health Plan Options Brochure

For more information about out-of-pocket cost support and health plan coverage options, call Searchlight Support™ at 1-844-SRCHLGT (1-844-772-4548).

Infusion Center Directory

If you receive Radicava® outside your home, Searchlight Support™ can help you find an infusion site of care that is based on:

  • Where you live
  • Your insurance
  • The hours of operation

Contact Searchlight Support™ at 1-844-SRCHLGT (1-844-772-4548) to learn more.

Searchlight Support FAQs

Who can use Searchlight Support™?

To help people with ALS access treatment with Radicava®, Searchlight Support™ offers programs and assistance for healthcare providers and people who receive Radicava®. Caregivers may also seek support on behalf of a loved one who receives Radicava®.

For questions about how Searchlight Support™ can help, call at Searchlight Support™ at 1-844-SRCHLGT (1-844-772-4548).

How do I enroll for help from Searchlight Support™?

To be enrolled in Searchlight Support™, your healthcare provider must order Radicava® for you. You will also need to sign a form to authorize your enrollment in the program.

Can I get help paying for Radicava®?

Searchlight Support™ can give you information about out-of-pocket cost support programs and other sources of financial assistance that may be available to you.

If your healthcare provider includes all of the details needed when they first order Radicava® for you, you may be automatically enrolled in either the Searchlight Support™ Out-of-Pocket Assistance Program or Patient Assistance Program, if you are eligible.

For questions about out-of-pocket cost support, call Searchlight Support™ at 1-844-SRCHLGT (1-844-772-4548).

What can I do if my insurance company denies coverage for Radicava®?

Your insurance company may initially deny your treatment with Radicava®. If this happens, you may be able to do something about it. Here are some ideas you may find helpful:

  • Talk to your healthcare provider (HCP) and call your insurance provider to request an “exception” for coverage of your medication

    If you have been notified that your medication is not covered by your health plan or that you need to meet other requirements before obtaining it, you can call your insurance provider and request an “exception” for coverage of your medication.

    Review this guide for some helpful steps you may follow: Requesting an Exception from Your Health Plan.

  • Talk to your HCP to see if it may be possible to file an appeal

    If your request for an exception is denied you may be able to appeal the decision.

    Having your HCP file an appeal may help give your insurance provider more details about why you should receive treatment.

    If the appeal does not work, your HCP may request a next-level appeal. Some of the people that may be involved include a panel of HCPs, an administrative judge, or a local state representative.

  • Consider other insurance plan options

    For example, even if you are under 65, you may be eligible for Medicare or Social Security Disability Insurance (SSDI).

    For questions about appeals or insurance coverage, call Searchlight Support™ at 1-844-SRCHLGT (1-844-772-4548) to learn more.

What can I do if I am denied infusion by a site of care?

If your preferred site of care is unable to accommodate you, our National Infusion Center Directory may help identify another location. Call Searchlight Support™ at 1-844-SRCHLGT (1-844-772-4548) to learn more.

To learn more, call 1-844-SRCHLGT (1-844-772-4548).

The information and advice provided here are general in nature and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. You are strongly encouraged to seek the advice of your doctor or other qualified healthcare provider with any questions regarding a medical condition.

Important Safety Information

Before you receive Radicava® (edaravone), tell your healthcare provider about all of your medical conditions, including if you:

  • have asthma.
  • are allergic to other medicines.
  • are pregnant or plan to become pregnant. It is not known if Radicava® will harm your unborn baby.
  • are breastfeeding or plan to breastfeed. It is not known if Radicava® passes into your breastmilk. You and your healthcare provider should decide if you will receive Radicava® or breastfeed.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

What are the possible side effects of Radicava®?

  • Radicava® may cause serious side effects, including hypersensitivity (allergic) reactions and sulfite allergic reactions.
  • Hypersensitivity reactions have happened in people receiving Radicava® and can happen after your infusion is finished.
  • Radicava® contains sodium bisulfite, a sulfite that may cause a type of allergic reaction that can be serious and life-threatening. Sodium bisulfite can also cause less severe asthma episodes in certain people. Sulfite sensitivity can happen more often in people who have asthma than in people who do not have asthma.
  • Tell your healthcare provider right away or go to the nearest emergency room if you have any of the following symptoms: hives; swelling of the lips, tongue, or face; fainting; breathing problems; wheezing; trouble swallowing; dizziness; itching; or an asthma attack (in people with asthma).
  • Your healthcare provider will monitor you during treatment to watch for signs and symptoms of all the serious side effects.

The most common side effects of Radicava® include bruising (contusion), problems walking (gait disturbance), and headache.

These are not all the possible side effects of Radicava®. Call your healthcare provider for medical advice about side effects. You may report side effects to Mitsubishi Tanabe Pharma America, Inc. at 1-888-292-0058 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Indication

Radicava® is indicated for the treatment of amyotrophic lateral sclerosis (ALS).

Please see full Prescribing Information and Patient Information.

Back to Top
MT Pharma America

Radicava, the Radicava logo, and the corporate symbol of Mitsubishi Tanabe Pharma America are registered trademarks of Mitsubishi Tanabe Pharma Corporation.

Searchlight Support is a trademark of Mitsubishi Tanabe Pharma America, Inc.

Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc., registered in the U.S. and other countries. Google Play and the Google Play logo are trademarks of Google Inc.

All other trademarks are property of their respective owners.

For US audiences only.

© 2018 Mitsubishi Tanabe Pharma America, Inc. All rights reserved.    CP-RC-US-0654 10/18    For more information about Radicava®, call 1-844-SRCHLGT (1-844-772-4548).