Forms & Resources

Our dedicated Case Managers are standing by to help in whatever way they can. But if you're looking for something specific, or just more information, check out the resources below.

Downloadable resources

Deciphera AccessPoint™ Enrollment Form

A form that connects your patients to the many services of Deciphera AccessPoint
Download form

Sample Letter of Medical Necessity

A letter template that you can customize based on the patient's condition and plan requirements to help speed the prior authorization process for Qinlock™ (ripretinib)
Download template

Sample Letter of Appeal

A letter template that you can customize based on the patient's condition and plan requirements to help navigate the appeals process for Qinlock
Download template

Qinlock™ (ripretinib) Fact Sheet and Ordering Information

Product information about Qinlock, including the specialty pharmacy and distribution network, and storage and handling instructions
Download fact sheet

Deciphera AccessPoint™ Brochure for HCPs

An overview of the many services available to support HCPs and office staff in helping patients access Qinlock
Download brochure

Deciphera AccessPoint™ Brochure for Patients

An overview of the financial and insurance support options available to patients
Download brochure

Medicare Overview Brochure for HCPs

Information for HCPs and office staff about Medicare and the Low-Income Subsidy ("Extra Help") program
Download brochure

Medicare Overview Brochure for Patients

Information for patients about Medicare and the Low-Income Subsidy ("Extra Help") program
Download brochure

Helpful Resources Brochure for Patients

A large collection of valuable resources, available in one convenient download
Download brochure

Can’t find what you’re looking for?

Call our dedicated Case Managers at 1‑833‑4DACCES (1‑833‑432‑2237), Monday–Friday 8AM–8PM ET

Or email info@decipheraaccesspoint.com to schedule a call back

Insurance & financial support

We provide solutions to help you get patients started faster.

See our services

Ordering information

Qinlock is available through a limited network of specialty pharmacies and distributors.

How to order

Enroll a patient

Find out how to enroll patients in Deciphera AccessPoint or the Commercial Copay Program.

Enroll patients here