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Rubraca Connections materials for your patients and your practice

Practice materials

Rubraca Prescription Form
Rubraca Prescription Form

Form to prescribe Rubraca® (rucaparib) tablets and apply for the Rubraca Connections Coverage Link Program

Letter of Appeals Template
Letter of Appeals Template

Sample/template letter for coverage appeal to insurance company

Rubraca Connections Access Overview
Rubraca Connections Access Overview

An overview of patient access to Rubraca, organized by whether patient will receive treatment from IOD pharmacy or specialty pharmacy

Rubraca Connections Coverage Link Flashcard
Rubraca Connections Coverage Link Flashcard

More information on the Rubraca Connections Coverage Link program

Rubraca Connections Distribution Overview
Rubraca Connections Distribution Overview

Summary of the distribution options for Rubraca

Patient materials

Rubraca Connections<br> Patient Brochure
Rubraca Connections
Patient Brochure

Information on the Rubraca access and delivery process for patients