SpringWorks CareConnections®
Resources & Forms

Additional Resources to Support Your Patients

We provide information you need, when you need it, so you can support your patients on their treatment journey with PIMJETMI® (pimicotinib).

Enrollment Form

Enrollment Form

SpringWorks CareConnections®
Enrollment Form

Complete this form to get your patients started with SpringWorks CareConnections today.

SpringWorks CareConnections Brochures

HCP Brochure

SpringWorks CareConnections HCP Brochure

Discover the resources available for you and your office staff through SpringWorks CareConnections to help facilitate patient access to PIMJETMI.

Sample Letters and Checklists

Sample Letter of Medical Necessity or Medical Exception for PIMJETMI

Sample Letter of Medical Necessity or Medical Exception for PIMJETMI

Refer to this example when a letter of medical necessity or medical exception is appropriate.

Sample Letter of Appeal for PIMI

Sample Letter of Appeal for PIMJETMI

Refer to this example when a letter of appeal of a PA denial is appropriate.

PIMJETMI Appeals Tips and Checklist

PIMJETMI Appeals Tips and Checklist

This checklist can serve as a guide through the appeals process.

OGSIVEO Peer-to-Peer Checklist

PIMJETMI Peer-to-Peer Checklist

This resource provides a checklist and relevant tips to help you prepare and engage in a peer-to-peer discussion.

Additional Resources

[PIMJETMI] Product Fact Sheet and Ordering Guide

PIMJETMI Product Fact Sheet and Ordering Guide

Find out about PIMJETMI and how to prescribe through our limited network of Specialty Pharmacies or order directly through our Specialty Distributor partners.*

*May not be available for all practices or organizations.

Navigating Health Insurance Brochure

Navigating Health Insurance Brochure

Share with patients to help them learn about some of the different types of health insurance as well as select terms related to obtaining coverage.

Alternative Funding Program Information for Providers

Alternative Funding Program Information for Providers

This guide provides information on the impact of AFPs on patient care and offers guidance to HCPs and office staff on helping patients navigate AFPs.

Starting the SpringWorks
CareConnections Enrollment
Process is simple

Have Questions?

Call SpringWorks
CareConnections today

844-CARES-55

(844-227-3755)

Monday-Friday
8 AM-8 PM ET

Field Access
Manager (FAM) Support

For questions about patient access to
PIMJETMI, click to connect with a FAM

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