
IMBRUVICA® By Your Side is a patient support program designed specifically to support IMBRUVICA® patients throughout their treatment journey.
IMBRUVICA® By Your Side offers patients:

Comprehensive resources individually selected for your patients

Financial guidance for commercially, federally, or uninsured patients

Dedicated IMBRUVICA® By Your Side Nurse Ambassadors† to provide one-on-one guidance
Enroll IMBRUVICA® patients in IMBRUVICA® By Your Side- so they can get the support they need, when they need it.
To learn more about IMBRUVICA® By Your Side patient support, call 1-888-YourSide(1-888-968-7743) Monday-Friday,8:00 AM-8:00 PM ET
Enroll Patients Faster
Enrolling patients in the IMBRUVICA® By Your Side patient support program is easier than ever.

Step 1: Enroll
You can enroll your patients directly online or by fax.
Online:
- Click the button below to complete the form online with your patient’s consent (no patient or physician signature is required).
- If your patient is eligible for the IMBRUVICA® Copay Card, it will be immediately available upon successful enrollment.
-OR-
Fax:
- Click the button below to download the form and Prescribing Information.
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Complete the form with your patient’s consent.
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Print it out and fax to 1-800-752-5896

Step 2: Inform
Let your patient know that once enrolled, they will receive:
- A call within one business day from their dedicated By Your Side Ambassador
- A welcome email
- Educational materials selected just for them
Help Patients Afford Treatment
Learn more about financial support for your patients with and without insurance. By Your Side Ambassadors connect your patients with Insurance Specialists to learn about access to IMBRUVICA® (ibrutinib), find affordability support options, and sign up for information and resources to support them along their treatment journey. Those with commercial insurance may be able to pay as little as $0 per prescription‡ of IMBRUVICA®.
For patients with federally funded Medicare, Medicaid, or commercial insurance, financial assistance may be available from independent charitable organizations. Contact information for such independent charitable organizations is available upon request. Independent charitable organizations have their own rules for eligibility. We have no control over these independent charitable organizations.
Additional Resources
*IMBRUVICA® By Your Side patient support program is not intended to provide medical advice, replace prescribed treatment plans, or provide treatment or case management services. Patients are advised to always talk to their healthcare provider and treatment team about any medical decisions and concerns they may have.
†By Your Side Ambassadors are provided by Janssen Biotech, Inc. and Pharmacyclics LLC, an AbbVie Company, and do not provide medical advice or work under the direction of the prescribing healthcare professional (HCP). They are trained to direct patients to speak with their HCP about any treatment-related questions, including further referrals.
‡Eligible patients may pay as little as $0 per prescription of IMBRUVICA®. Rules and maximum limits apply. Patients currently using the IMBRUVICA® Copay Card are not eligible for retroactive billing or reimbursement of previous copays. The IMBRUVICA® Copay Card is available to patients with commercial prescription coverage for IMBRUVICA® who meet eligibility criteria. The IMBRUVICA® Copay Card cannot be used by patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs, including Medicare Part D, Medicare Advantage Plan, Medicaid, Medigap, VA, DOD, and TRICARE, or where prohibited by law or the patient’s health insurance provider. The IMBRUVICA® Copay program may be updated or discontinued at any time without notice.