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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 a support service from Genentech that can help provide information about 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