Our Kadmon ASSIST team is
available to help you Monday
through Friday, 8 AM-8 PM ET
.

Contact Us

Monday through Friday, 8 AM-8 PM ET.

Phone: 1-844-KADMON1 (523-6661)   Fax: 1-833-635-1481

Resources

Find helpful resources for you and your patients.

Enrollment form

Download the enrollment form, complete on behalf of your patient and fax it to 1-833-635-1481 to begin the Kadmon ASSIST enrollment process.

Letter of medical necessity

Use this template to verify your patient’s need for medical treatment with REZUROCK™ (belumosudil).

Letter of appeal

If your patient’s health insurance plan denies their request for prior authorization or coverage for REZUROCK™ (belumosudil), this templated letter may help with the appeal process.

Kadmon ASSIST brochure

A guide to financial assistance and support for patients on REZUROCK.

Program Enrollment Form

Program Enrollment Form

Find out which services your patients are eligible for by completing this form. Our Kadmon ASSIST Case Managers can find the best program for your patients.

Enroll for Co-Pay Support

Enroll for Co-Pay Support

For eligible patients with commercial or private
insurance plans.

CONTACT US

Our Kadmon ASSIST team is
available to help you Monday
through Friday, 8 AM-8 PM ET
.
Phone: 1-844-KADMON1 (523-6661)
Fax: 1-833-635-1481