Tools and resources for your practice
RESOURCES TO SUPPORT REIMBURSEMENT
Letter of medical necessity
Use this letter template to document your rationale for a patient’s treatment.
Appeals letter
Utilize this letter template to request a review of a denied insurance benefit or payment.
Checklist for completing PAs and appeals
Use this checklist when completing a PA or when appealing a denial.
BTK inhibitor drug interaction guide
A BTK inhibitor guide that discusses drug interactions, dosing modifications, and access support with BRUKINSA.
SUPPORT PROGRAM RESOURCES
myBeOne Support HCP brochure
An overview of the services myBeOne Support provides to practices and their patients.
myBeOne Support FAQs
FAQs about myBeOne Support and our Oncology Nurse Advocates.
myBeOne Support enrollment form
The digital version of the enrollment form in an interactive PDF format.
Resources for your patients
Patient resources
BRUKINSA® (zanubrutinib) patient starter kit*
Request a starter kit for your patient by calling a myBeOne Support Oncology Nurse Advocate at
1-833-234-4363 Monday through Friday from 8 AM to 8 PM Eastern Time (ET).
Patient starter kits are available in English, Spanish, and Chinese, and can be shipped to your office or directly to your patient’s home.
*All patients are offered a patient starter kit with their first shipment of BRUKINSA.
myBeOne Support patient brochure
An overview of the services myBeOne Support provides to practices and their patients.
BRUKINSA Tablet FAQs
Answers to Frequently Asked Questions about the BRUKINSA tablet.
BRUKINSA patient brochure
A guide to help answer patient questions about treatment.
Patient Advocacy Resources
Blood Cancer United
Blood Cancer United funds groundbreaking research, connects people with financial assistance, offers personal one-on-one support, and advocates for policies that improve access to quality care for all blood cancer patients and their families.
Lymphoma Research Foundation (LRF)
The LRF is devoted to improving care through education and support services and improving outcomes through investment in the most promising lymphoma research.
CLL Society
CLL Society is an inclusive, patient-centric, physician-curated, nonprofit organization that addresses the unmet needs of the chronic lymphocytic leukemia and small lymphocytic lymphoma (CLL/SLL) community through patient education, advocacy, support, and research.
International Waldenstrom’s Macroglobulinemia Foundation (IWMF)
The International Waldenstrom’s Macroglobulinemia Foundation is a patient-founded and patient-driven, nonprofit organization dedicated to supporting and educating everyone affected by Waldenstrom’s macroglobulinemia (WM), while advancing the search for a cure.
Cancer Support Community (CSC)
The Cancer Support Community is a global nonprofit that uplifts and strengthens people impacted by cancer. We provide professionally led support and navigation services, along with social connections and award-winning education — when, where, and how impacted individuals prefer throughout their cancer experience. These resources are available at over 200 Cancer Support Community, Gilda’s Club, and healthcare partner locations as well as online and over the phone — all at no cost.
National Comprehensive Cancer Network® (NCCN®)
nccn.org/patientresources/patient-resources
The NCCN is devoted to patient care, research, and education, and is dedicated to improving and facilitating quality, effective, efficient, and accessible cancer care so patients can live better lives.
CancerCare®
Founded in 1944, CancerCare is the leading national organization providing free, professional support services and information to help people manage the emotional, practical, and financial challenges of cancer. CancerCare’s comprehensive services include resource navigation, counseling, and support groups over the phone, online, and in-person; educational workshops; publications; and financial and co-payment assistance. All CancerCare services are provided by master’s-prepared oncology social workers and world-leading cancer experts. To learn more, visit cancercare.org or call 800-813-HOPE (4673).
Caregiver Action Network (CAN)
Caregiver Action Network (CAN) is the nation’s leading family caregiver organization. It works to improve the quality of life for tens of millions of family caregivers. These Americans care for loved ones with chronic conditions, disabilities, or diseases. CAN also supports those meeting the living needs of older adults.
American Cancer Society®
The American Cancer Society’s mission is to improve the lives of people with cancer and their families through advocacy, research, and patient support, to ensure everyone has an opportunity to prevent, detect, treat, and survive cancer. ACS provides information, answers, and support, such as transportation and lodging, to people in every community who have been touched by cancer. ACS can be reached 24 hours a day, 7 days a week at cancer.org or 800-227-2345.
Independent third-party organizations have their own rules for eligibility. BeOne Medicines has no involvement in their decision‑making or eligibility criteria. This information is non‑exhaustive and not meant as an endorsement from BeOne Medicines.