
Downloads
- XELODA Patient Brochure
Refer to your brochure to help you start and stay on treatment with XELODA - XELODA Treatment Planner
Use your XELODA Treatment Planner to track your dosing schedule and record any side effects you may have - Questions To Ask Your Healthcare Team
Prepare for your office visit in advance and bring this list of questions to ask your healthcare team about XELODA - A Patient Guide to Oral Medicine for Cancer
Key discussion points for you to help treat and manage your cancer - Spanish XELODA Patient Brochure / Folleto para paciente XELODA en español
Consulte su folleto para ayudarle comenzar y continuar en tratamiento con XELODA
When seeking coverage and payment help from XELODA Access Solutions, there are two forms you and your doctor need to complete:
- The Statement of Medical Necessity (SMN)
a form filled out by your doctor - The Patient Authorization and Notice of Release of Information (PAN)
a form you must sign and date. This form lets us discuss your case with you, the doctor and your health care plan. It is easy to understand. It has clear instructions on where to sign and date the form



