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Patients can submit the Patient Consent Form online using the eSubmit option. They do not have to use the mouse to create a digitally “written” signature.

MySMA Support is here for your patients. The MySMA Support team can help you understand your patient’s insurance coverage and refer your patients to appropriate financial assistance options to help them start and stay on Evrysdi.

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Help understanding benefits and coverage, such as benefits investigations and prior authorization resources

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Sample coding information and resources for denials and appeals

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Product Distribution

Information about the authorized specialty pharmacy for Evrysdi

genentech patient support services

To learn more about your patient’s treatment, visit


For assistance, call (877) GENENTECH/(877) 436-3683
6 a.m.–5 p.m. PT, Monday through Friday


To enroll in MySMA Support, complete and submit the Evrysdi Start Form