Welcome to Mirati & Me

Welcome to
Mirati & Me

Your Partner for Personalized Support and Access to Navigate Targeted Treatment

Your Partner for Personalized Support and Access to Navigate Targeted Treatment

Enroll Now

Select one of the buttons below to access the Mirati & Me
Enrollment Form. Certain program services will require specific
information and signatures from both you and your eligible patient.

Complete & Submit
Electronically

Initiate services by completing the
Electronic Enrollment Form.

Download & Print

Download the Enrollment Form.
Complete the appropriate sections.
Print and fax the completed form to
1-844-647-2844.

Enroll Now

Enroll Now

Select one of the buttons below to access the Mirati & Me
Enrollment Form. Certain program services will require specific
information and signatures from both you and your eligible patient.

Select one of the buttons below to access the Mirati & Me
Enrollment Form. Certain program services will require specific
information and signatures from both you and your eligible patient.

Complete & Submit
Electronically

Complete & Submit
Electronically

Initiate services by completing the
Electronic Enrollment Form.

Download & Print

Download & Print

Download the Enrollment Form.
Complete the appropriate sections.
Print and fax the completed form to
1-844-647-2844.

Support with Mirati & Me

Start your patient’s journey with assistance from a comprehensive support
team that can help answer questions about coverage, costs, and
navigating care. The Mirati & Me Patient Support Program offers:

Coverage & Access
Support

Financial
Support*

Educational & Emotional Support

*Restrictions and conditions apply.

Support with Mirati & Me

Support with Mirati & Me

Start your patient’s journey with assistance from a comprehensive support team that can help answer questions about coverage, costs, and navigating care. The Mirati & Me Patient Support Program offers:

Start your patient’s journey with assistance from a comprehensive support
team that can help answer questions about coverage, costs, and
navigating care. The Mirati & Me Patient Support Program offers:

Coverage & Access
Support

Coverage & Access
Support

Financial
Support*

Financial Support*

Educational & Emotional Support

Educational & Emotional Support

*Restrictions and conditions apply.

Oncology Nurse Advocate Spotlight

Dedicated Mirati & Me Oncology Nurse Advocates

Tabitha

Tabitha is an Oncology Nurse Advocate with 21 years of nursing experience. She takes pride in providing education and support to oncology patients through emotional support and working to reduce access-to-care barriers.

Beth

Beth is an Oncology Nurse Advocate with 23 years of nursing experience. She is passionate about supporting oncology patients and their families. Her mission is to make a difference by attempting to help improve patients’ quality of life.

Kathy

Kathy is an Oncology Nurse Advocate with over 20 years of nursing experience. She has worked in the inpatient and outpatient oncology settings, including radiation oncology and ambulatory infusion therapy, and directly with oncology physicians in the outpatient clinic. Kathy’s goal is to be of service and advocate for those who are trying to navigate the complexities of the healthcare system.

Oncology Nurse Advocate Spotlight

Oncology Nurse Advocate Spotlight

Dedicated Mirati & Me Oncology Nurse Advocates

Dedicated Mirati & Me Oncology Nurse Advocates

Tabitha

Tabitha is an Oncology Nurse Advocate with 21 years of nursing experience. She takes pride in providing education and support to oncology patients through emotional support and working to reduce access-to-care barriers.

Tabitha is an Oncology Nurse Advocate with 21 years of nursing experience. She takes pride in providing education and support to oncology patients through emotional support and working to reduce access-to-care barriers.

Beth

Beth

Beth is an Oncology Nurse Advocate with 23 years of nursing experience. She is passionate about supporting oncology patients and their families. Her mission is to make a difference by attempting to help improve patients’ quality of life.

Beth is an Oncology Nurse Advocate with 23 years of nursing experience. She is passionate about supporting oncology patients and their families. Her mission is to make a difference by attempting to help improve patients’ quality of life.

Kathy

Kathy

Kathy is an Oncology Nurse Advocate with over 20 years of nursing experience. She has worked in the inpatient and outpatient oncology settings, including radiation oncology and ambulatory infusion therapy, and directly with oncology physicians in the outpatient clinic. Kathy’s goal is to be of service and advocate for those who are trying to navigate the complexities of the healthcare system.

Kathy is an Oncology Nurse Advocate with over 20 years of nursing experience. She has worked in the inpatient and outpatient oncology settings, including radiation oncology and ambulatory infusion therapy, and directly with oncology physicians in the outpatient clinic. Kathy’s goal is to be of service and advocate for those who are trying to navigate the complexities of the healthcare system.

Forms & Resources

Enrollment Form

Mirati & Me
Patient Brochure

Distribution Sell Sheet

Savings Card Brochure

Appeal Letter and Letter of Medical Necessity Guide

Letter of Medical Necessity Template

Appeal Letter Template

Clinical Resources*

*This content is being provided to the extent that it is necessary for an HCP in their development of any appeal and/or any Medical Necessity letter.

Forms & Resources

Enrollment Form

Mirati & Me
Patient Brochure

Distribution Sell Sheet

Savings Card Brochure

Appeal Letter and Letter of Medical Necessity Guide

Letter of Medical Necessity Template

Appeal Letter Template

Clinical Resources*

*This content is being provided to the extent that it is necessary for an HCP in their development of any appeal and/or any Medical Necessity letter.