Product Access Program

To learn more, call
1-844-SRCHLGT (1-844-772-4548)

We're here for you and your patients

Searchlight Support provides education and assistance for people who receive Radicava® (edaravone) and those who care for them. Our care coordinators are ready to help.

Get forms and resources to order Radicava® for your patients >

For Healthcare Providers
For Your Practice

Benefit and eligibility verification, general coding and billing information, and more*

Provider Portal

Secure online access to programs and resources

Benefit Investigation and Enrollment

Help with ordering Radicava® and enrolling patients in Searchlight Support

*Each healthcare provider is ultimately responsible for determining the appropriate codes, coverage, and payment for individual patients. Searchlight Support does not guarantee third-party coverage or payment for Radicava® or reimburse for claims that are denied by third-party payers.

For Patients
Cost Support Options
Out-of-Pocket Cost Support Options

Help obtaining co-pay assistance, if eligible

Infusion Center Directory
Infusion Center Directory

Help finding an infusion site of care

Clinical Educators
Available to answer questions about Radicava®

For Your Practice

Searchlight Support can help you and your office staff navigate product access challenges.

We can provide:

  • Rapid benefit investigation and verification of benefits and limited prior authorization assistance
  • Payer policy research for efficient claims submission
  • General coding and billing information for Radicava®
  • Assistance with the exceptions and appeals process
  • Training for product handling and administration
  • Secure online access to the Searchlight Support Provider Portal

Restrictions apply. See Terms and Conditions.

For questions or more information, you can or call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548).

Provider Portal

The Searchlight Support Provider Portal gives you secure online access to programs and resources for your patients and your practice.

Registered users have unlimited access to a wide variety of services, including:

Sign in or sign up Provider Portal

The Searchlight Support Provider Portal is HIPAA and HITECH compliant.

Restrictions apply. See Terms and Conditions.

To learn more or get help registering for a secure Provider Portal account, call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548).

Benefit Investigation and Enrollment

To order Radicava® and conduct a benefit investigation for your patients, you will need to complete and submit a Benefit Investigation and Enrollment Form. In addition to ordering Radicava® and starting the benefit investigation process, this form can also enroll your patients in the Searchlight Support program.

Searchlight Support will:
  • Acknowledge receipt of Benefit Investigation and Enrollment Form within 1 business day
  • Advise if a prior authorization is required, provide a concise benefit summary to your office and your patient, and offer limited prior authorization and appeals assistance within 2 business days
  • Offer streamlined product acquisition options through Buy & Bill (through our Limited Distribution Network) or specialty pharmacies (including assignment of medical benefit)
Let your patients know

After the enrollment process is complete, a care coordinator from Searchlight Support will be assigned and can call your patients to help with:

Searchlight Support cannot enroll a patient in Searchlight Support services without patient authorization, which can be found on the Benefit Investigation and Enrollment Form, or a separate signed Patient Authorization Form for Radicava® on file. In addition, a Searchlight Support Benefit Investigation and Enrollment Form must be submitted for each patient for whom treatment with Radicava® is requested.

Following receipt of a completed Benefit Investigation and Enrollment Form including all required information.

Restrictions apply. See Terms and Conditions.

For questions or more information, you can or call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548).

Out-of-Pocket Cost Support Options

Searchlight Support can help you and your patients navigate options that may be available to help cover applicable out-of-pocket costs associated with Radicava®, if they are eligible.

 Out-of-Pocket Assistance Program
Out-of-Pocket Assistance Program
Support for eligible patients with commercial insurance

Patients who have commercial insurance coverage for treatment with Radicava® may be eligible to receive help from the Out-of-Pocket Assistance Program (OOP Program).

If enrolled in the program:

  • Patients will save on their deductible, co-pay, and co-insurance costs for Radicava® and for their infusions
  • Patients will pay as little as $0 per infusion§
  • Applicable out-of-pocket costs for Radicava® are covered for 12 months—up to $20,000

To share information about the OOP Program with your patients, please find a downloadable Out-of-Pocket Assistance Program Brochure for patients below. This information is also available on the Radicava.com patient website.

§Restrictions apply.

Patient will be contacted each year before the end of their eligibility period to re-enroll for continued out-of-pocket assistance for treatment with Radicava®. They will be responsible for any costs associated with Radicava® and their infusion above the maximum annual program benefit.

Restrictions apply. See Eligibility Requirements & Terms and Conditions.

Enrolling your patients

How to get started:

You and your patient must complete a Benefit Investigation and Enrollment Form, including all required information. Searchlight Support will verify your patient’s commercial insurance benefits to determine if your patient is eligible for the Searchlight Support OOP Program.a

If your patient is eligible, your office will receive:

  • Detailed instructions for submitting out-of-pocket cost reimbursement claims
  • The unique OOP Patient ID number for each patient (your patient will also receive this number). Keep a copy of this number in your patient's file. You'll need it when submitting out-of-pocket cost reimbursement claims
  • A Medical Out-of-Pocket Reimbursement Provider Cover Sheet with a unique bar code for each patient, to use with the out-of-pocket cost reimbursement claim submission for the initial course of 14 infusion treatments

aIf enrolled, payment is based on your patient’s out-of-pocket costs as determined by their health plan coverage. Patient out-of-pocket costs are detailed in the Final Benefit Summary provided by Searchlight Support to both you and your patient. Patients who have already paid you for the out-of-pocket costs associated with their treatment can contact Searchlight Support for information on how they may receive reimbursement.

Enrolling your practice

Searchlight Support will send your office the following forms, to be completed one time only, with instructions to register your practice with the OOP Program:

  • IRS W-9 Form
  • Direct Deposit Authorization Form

If you would like to receive your reimbursements via electronic funds transfer, complete the Direct Deposit Authorization Form and include your bank account information. The required Tax Identification Number and legal name on the Direct Deposit Authorization Form must match the information on the IRS W-9 Form to ensure out-of-pocket cost reimbursement claim payments are not delayed. If your office does not register for direct deposit, payments will be made by check.

If your patient has already paid your office for treatment with Radicava®, ask your patient to contact Searchlight Support for a Patient Reimbursement Form. We will provide your patient with information on how they may receive reimbursement for their applicable out-of-pocket costs.

Monitoring your patient’s benefits
Searchlight Support will notify you when your patient’s remaining annual benefit is approaching $1,000. You can monitor your patient’s OOP Program account status on the Provider Portal by registering for an online account.

To learn more or get help registering for a secure Provider Portal account, call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548).

Requesting Reimbursement

Once your patient and your practice have been successfully enrolled in the OOP Program, follow these steps to obtain reimbursement for applicable patient out-of-pocket costs for treatment with Radicava®.

For the initial course of 14 infusion treatments with Radicava®
Submitting for reimbursement prior to receipt of the primary Explanation of Benefits (EOB)

  1. Searchlight Support will complete a benefit investigation to determine your patient’s out-of-pocket costs
    • Medical Out-of-Pocket Reimbursement Provider Cover Sheet (you will receive a unique cover sheet for each patient from Searchlight Support upon enrollment in the program)
    • Complete claim form (Universal, UB-04, or CMS-1500 Claim Form)
  2. Allow 7-10 business days for receipt of reimbursementb
  3. When you receive the patient’s EOB for the initial course of 14 infusion treatments, submit a copy for review to Searchlight Support
    • If an adjustment is necessary the OOP Program will apply or deduct the applicable amount from future out-of-pocket cost reimbursement claims

For subsequent courses of 10 infusion treatments with Radicava®
Submitting for reimbursement following receipt of the primary Explanation of Benefits (EOB)

  1. Submit the following documents to Searchlight Support:
    • Copy of the patient’s EOB
    • Completed claim form (Universal, UB-04, or CMS-1500 Claim Form)
    • If an adjustment is required after review of the patient’s EOB, the OOP Program will apply or deduct the applicable amount from the reimbursement
  2. Allow 7-10 business days for receipt of payment

Submit documents by:

Fax: 1-844-678-8978
Mail: Searchlight Support, PO Box 2930, Phoenix, AZ 85062
Reimbursement for Pharmacy Benefits claims

If Radicava® is covered under your patient’s pharmacy benefit, the claim for reimbursement for the medication costs only will be managed by the specialty pharmacy and the OOP Program.

Your out-of-pocket cost reimbursement claims for administration costs should be submitted as outlined above.

bProgram will not provide patient reimbursement above the Wholesale Acquisition Cost (WAC) price.

Patient Assistance Program
For patients who are in financial need and have no insurance

Your patients who are in financial need and have no insurance may be eligible to participate in our Patient Assistance Program. Patients who meet program requirements may be able to receive medication at no charge for up to 2 years.

To share this information with your patients, please find a downloadable Patient Assistance Program Brochure. This information is also available on the Radicava.com patient website.

Only product provided at no charge. The Patient Assistance Program covers only the cost of Radicava® and not the cost of any infusion services or healthcare provider visits, which are the sole responsibility of the patient.

Restrictions apply. See Eligibility Requirements & Terms and Conditions.

Enrolling your patients
  1. Complete the Benefit Investigation and Enrollment Form and submit to Searchlight Support with all required documentation.
  2. If a patient meets the Patient Assistance Program requirements, the program will cover their Radicava® medication as prescribed by you at no charge for 1 year.c
  3. Patients must reconfirm their eligibility for continued participation in the program after the initial 12-month eligibility period by providing required financial documentation.
  4. If a patient continues to meet the program requirements, they may be able to receive Radicava® at no charge for an additional 12 months.

cOnly the product provided at no charge. The Patient Assistance Program covers only the cost of Radicava® and not the cost of any infusion services or healthcare provider visits, which are the sole responsibility of the patient.

Independent Foundations
Resources for patients with public or government-funded insurance who need information about independent patient assistance programs

Searchlight Support can refer patients with public or government-funded insurance coverage to independent foundations that may be able to help with out-of-pocket costs for Radicava®.

These foundations are independent, nonprofit organizations that have their own eligibility criteria and application processes. Referral to an independent foundation is not a guarantee of out-of-pocket cost assistance.

Government Health Plan Options
Information for patients who are eligible for government-funded insurance

Searchlight Support can provide information to help your patients explore options for government health plan coverage for Radicava® including Medicare, Social Security Disability Insurance, Medicaid, and TRICARE/DOD/Veterans Administration.

To learn more, download the Government Health Plan Options brochure. You may share this brochure with your patients, or they may review information about these health plans on the Radicava.com patient website and on medicare.gov.

Infusion Center Directory

For your patients who receive Radicava® outside of their home, Searchlight Support can help find an infusion site of care from our National Infusion Center Directory based on:

  • Where patients live and their insurance
  • Hours of operation

For more information about adding your site of care to our National Infusion Center Directory, call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548) or go to the Infusion Center Enrollment page.

Searchlight Support FAQs

Who can use Searchlight Support?

To help navigate access to treatment with Radicava®, Searchlight Support offers product access programs for healthcare providers and people who receive Radicava®. Caregivers may also seek support on behalf of a loved one who receives Radicava®.

For questions about the services available for your patients and your practice, call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548).

Does Searchlight Support offer product access support options for Radicava® for veterans with ALS?

No. However, the Department of Veterans Affairs (VA) provides assistance and access to treatment options for veterans with ALS. This includes treatment with Radicava®, which is on the VA National Formulary with a national prior authorization. You can learn more about these services and accessing Radicava® for veterans here.

Can you send a representative to my office?

Yes. To arrange for a Rep to come to your office, sign up to request a visit.

How can I start ordering Radicava®?

At Searchlight Support, we offer tools and services to help you navigate access to treatment for your patients. To help you order and track patient benefit status for Radicava®, you can register for secure online access to the Searchlight Support Provider Portal.

Sign up for a Provider Portal account >

Do I need to register for a Provider Portal account to order Radicava®?

You don’t need a Provider Portal account to order Radicava® for your patients. You may choose to order Radicava® and request benefit investigations by fax, by mail, or electronically through the Provider Portal.

Registering for a Provider Portal account will also provide secure access to other product access services and resources.

Sign up for a Provider Portal account >

For questions about the Provider Portal or registering for an account, call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548).

Is the Provider Portal secure?

Yes. The Searchlight Support Provider Portal is HIPAA and HITECH compliant. 

Is product training available?

Yes. A representative from Searchlight Support can visit your practice to show you how to properly store and administer Radicava®.

To request a visit, you can sign up or call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548).

These topics are also discussed in the Administration Guide video.

How can I tell if product has been exposed to oxygen and is unusable?

When you remove Radicava® from the carton, you will notice that the IV bags are protected by a secondary overwrap packaging that contains an oxygen absorber and an oxygen indicator. You should only use Radicava® if the indicator is pink prior to opening the overwrap packaging. This reflects appropriate oxygen levels.

However, if the indicator is blue or purple before the overwrap is opened, it means that the product was exposed to oxygen and should not be used.

For more information, watch the Administration Guide video or call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548).

How do I return damaged or unused product?

To return damaged or unused product, contact Return Goods Customer Service at 1-844-529-8990.

For other product-related questions, call Searchlight Support at 1-844-SRCHLGT (1-844-772-4548).

Review the Return Goods Policy >


To learn more, call 1-844-SRCHLGT (1-844-772-4548).

Important Safety Information

Hypersensitivity Reactions

Radicava® (edaravone) is contraindicated in patients with a history of hypersensitivity to edaravone or any of the inactive ingredients in Radicava®. Hypersensitivity reactions (redness, wheals, and erythema multiforme) and cases of anaphylaxis (urticaria, decreased blood pressure, and dyspnea) have been reported. Patients should be monitored carefully for hypersensitivity reactions, and if they occur, discontinue Radicava®, treat per standard of care, and monitor until the condition resolves.

Sulfite Allergic Reactions

Radicava® contains sodium bisulfite, and may cause allergic type reactions, including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown, but occurs more frequently in asthmatic people.

Most Common Adverse Reactions

Most common adverse reactions (at least 10% and greater than placebo) are contusion, gait disturbance, and headache.

Pregnancy

Based on animal data, Radicava® may cause fetal harm.

Geriatric Use

No overall differences in safety or effectiveness were observed between patients 65 years of age and older and younger patients, but greater sensitivity of some older individuals cannot be ruled out.

To report suspected adverse reactions or product complaints, contact Mitsubishi Tanabe Pharma America, Inc., at 1-888-292-0058. You may also report suspected adverse reactions to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Indication

Radicava® is indicated for the treatment of amyotrophic lateral sclerosis (ALS).

Please see full Prescribing Information.