Downloadable resources

Deciphera AccessPoint™ Enrollment Form

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

Deciphera AccessPoint Enrollment Form Instructions

This guide explains how to obtain, fill out, and submit the form to help patients access services quickly
Download guide

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
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Deciphera AccessPoint™ Brochure for Patients

An overview of the financial and insurance support options available to patients
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Medicare Overview Brochure for HCPs

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