Welcome to SeaGen Secure

Your comprehensive resource for Seattle Genetics reimbursement and access support

  1. Click on the form you want to complete in the language you prefer.
  2. Choose from the following options for completing the form:
    • Fill it out online and print a copy.
    • Print out the blank form and complete it in pen.
  3. Once the form has been completed, mail or fax it to the address/fax number listed at the top of page 1.

It is important that each field is filled out completely and accurately to ensure timely processing of your application.

If you have any questions regarding how to complete the form, please call 855.4SEAGEN (855.473.2436) to speak with a counselor.

SeaGen Secure™ is a comprehensive assistance program for patients who have been prescribed products from Seattle Genetics and for the healthcare providers caring for them. Services offered by the program include:

  • Patient Assistance and Reimbursement Support
  • Benefits Verification
  • Prior Authorization Assistance
  • Co-insurance Assistance
  • Claims Tracking
  • Appeal Assistance and Tracking
  • Billing and Coding Support
  • General Payer and Policy Research

Call 855.4SEAGEN (855.473.2436) Monday–Friday

  • Option 1
  • Option 2
  • Option 3
  • Option 4
     
  • Option 5
  • Option 6
  • 6 AM–5 PM, PST
  • 8 AM–6 PM, PST
  • 6 AM–5 PM, PST
  • 24 hours/day,
    7 days/week
  • 6 AM–4 PM, PST
  • 6 AM–4 PM, PST
  • Patient Assistance and Reimbursement Support
  • Product Quality, Drug Safety, and Compliance
  • Medical Information
  • Leave a Voice Mail for Your Local Seattle Genetics
    Oncology Account Manager
  • Product Purchasing
  • Customer Service