Welcome to Patient Rx Solutions

Healthcare providers have access to a suite of resources and services that may help your patients get access to Fareston (toremifene citrate). The Patient Rx Solutions program also provides the benefits of a dedicated team for benefit verification support, real-time status reporting, and options of home, practice, or pharmacy delivery.

it's easy to get your benefit verification started! Simply complete a one page form by logging into your secure account or send the form via fax.

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Fax

Complete and fax the FARESTON
Benefit Verification Form

Fax the form to Patient Rx Solutions at 844-214-3444

Additional Programs, Resources and Services

Copay Assistance
Card Program

Convenient copay cards can save your patients money on their FARESTON prescriptions.

Patient Assistance Program

Our team will help eligible uninsured patients explore coverage options for FARESTON.

Medical Information Request Form

When you want to know more about FARESTON, download the Medical Information Request Form and fax it to 1-866-433-0090.

Indication

FARESTON^® (toremifene citrate) is an estrogen agonist/antagonist indicated for the treatment of metastatic breast cancer in postmenopausal women with estrogen-receptor positive or unknown tumors.

Important Safety Information

WARNING: QT PROLONGATION

Fareston has been shown to prolong the QTc interval in a dose- and concentration-related manner. Prolongation of the QT interval can result in a type of ventricular tachycardia called Torsade de pointes, which may result in syncope, seizure, and/or death. Toremifene should not be prescribed to patients with congenital/acquired QT prolongation, uncorrected hypokalemia or uncorrected hypomagnesemia. Drugs known to prolong the QT interval and strong CYP3A4 inhibitors should be avoided.

CONTRAINDICATIONS

Fareston is contraindicated in patients with known hypersensitivity to the drug and in patients with congenital/acquired QT prolongation (long QT syndrome), uncorrected hypokalemia, or uncorrected hypomagnesemia.

WARNINGS AND PRECAUTIONS

Fareston has been shown to prolong the QT interval. Caution should be exercised in patients with congestive heart failure, hepatic impairment and electrolyte abnormalities. In patients at increased risk, ECGs should be obtained at baseline and as clinically indicated.
Both increases in the serum concentration for grade 3 and 4 transaminitis and hyperbilirubinemia have been reported. Liver function tests should be performed periodically.
Hypercalcemia and tumor flare have been reported during the first weeks of treatment with Fareston in some breast cancer patients with bone metastases. If hypercalcemia is severe, Fareston treatment should be discontinued.
Patients with preexisting endometrial hyperplasia should not be given long-term Fareston treatment, and patients at high risk for endometrial cancer should be closely monitored.
Patients with a history of thromboembolic diseases should generally not be treated with Fareston.
Periodic complete blood counts, calcium levels, and liver function tests should be obtained.
Fareston can cause fetal harm when administered to a pregnant woman.
Fareston is only indicated only in postmenopausal women. However, premenopausal women prescribed Fareston should use effective nonhormonal contraception and should be apprised of the potential hazard to the fetus should pregnancy occur.

ADVERSE REACTIONS

The most common adverse reactions are hot flashes, sweating, nausea, and vaginal discharge.

To report suspected adverse reactions, contact Kyowa Kirin, Inc. at 1-800-305-FARESTON (1-800-305-3273) or the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

PLEASE CLICK HERE TO SEE THE FULL PRESCRIBING INFORMATION.

Indication

FARESTON^® (toremifene citrate) is an estrogen agonist/antagonist indicated for the treatment of metastatic breast cancer in postmenopausal women with estrogen-receptor positive or unknown tumors.

Important Safety Information

WARNING: QT PROLONGATION

CONTRAINDICATIONS

WARNINGS AND PRECAUTIONS

Fareston has been shown to prolong the QT interval. Caution should be exercised in patients with congestive heart failure, hepatic impairment and electrolyte abnormalities. In patients at increased risk, ECGs should be obtained at baseline and as clinically indicated.
Both increases in the serum concentration for grade 3 and 4 transaminitis and hyperbilirubinemia have been reported. Liver function tests should be performed periodically.
Hypercalcemia and tumor flare have been reported during the first weeks of treatment with Fareston in some breast cancer patients with bone metastases. If hypercalcemia is severe, Fareston treatment should be discontinued.
Patients with preexisting endometrial hyperplasia should not be given long-term Fareston treatment, and patients at high risk for endometrial cancer should be closely monitored.
Patients with a history of thromboembolic diseases should generally not be treated with Fareston.
Periodic complete blood counts, calcium levels, and liver function tests should be obtained.
Fareston can cause fetal harm when administered to a pregnant woman.
Fareston is only indicated only in postmenopausal women. However, premenopausal women prescribed Fareston should use effective nonhormonal contraception and should be apprised of the potential hazard to the fetus should pregnancy occur.

ADVERSE REACTIONS

The most common adverse reactions are hot flashes, sweating, nausea, and vaginal discharge.

To report suspected adverse reactions, contact Kyowa Kirin, Inc. at 1-800-305-FARESTON (1-800-305-3273) or the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

PLEASE CLICK HERE TO SEE THE FULL PRESCRIBING INFORMATION

Welcome to Patient Rx Solutions

Copay AssistanceCard Program

Patient Assistance Program

Medical Information Request Form

Indication

Important Safety Information

Indication

Important Safety Information

Copay Assistance
Card Program