How to Help Your Patients Find Sonidegib in Stock: A Provider's Guide

For clinicians treating locally advanced basal cell carcinoma (laBCC), writing the prescription for Sonidegib (Odomzo) is just the beginning. Getting the medication into the patient's hands—quickly and affordably—requires proactive management of specialty pharmacy workflows, insurance prior authorization, and patient financial support programs.

This guide gives you a practical, step-by-step approach to streamlining access for your laBCC patients on Sonidegib in 2026.

Step 1: Route the Prescription to OdomzoCARE — Not a Retail Pharmacy

Sonidegib cannot be dispensed at retail pharmacies. All prescriptions must go to specialty pharmacies within Sun Pharma's OdomzoCARE network. If your front desk or e-prescribing system defaults to a local retail pharmacy, the prescription will be rejected and delay treatment.

Action item: Ensure your practice's EHR and e-prescribing workflow includes OdomzoCARE specialty pharmacies as the destination for all Sonidegib prescriptions. Contact Sun Pharma at 1-877-636-6961 to confirm which pharmacies are currently in the network.

Step 2: Submit Prior Authorization Documentation Immediately

Prior authorization is required by virtually all payers for Sonidegib. Delays in submitting PA paperwork are the number one reason patients wait weeks for their first dose. Submit PA documentation the same day you prescribe.

Prepare the following documentation in advance:

Pathology report confirming locally advanced BCC diagnosis

Clinical documentation that surgery or radiation is not feasible or has recurred

Baseline CK and renal function lab results

Letter of medical necessity from the prescribing specialist

Negative pregnancy test for females of reproductive potential

OdomzoCARE provides PA support services that can assist your office in submitting and tracking the authorization request. Use them—this can meaningfully reduce turnaround time.

Step 3: Enroll Patients in Financial Assistance Programs at the Time of Prescribing

The list price for Sonidegib is approximately $14,800 per month. Even with insurance, patients on high-deductible plans or Medicare face significant out-of-pocket costs. Enroll patients in the appropriate program based on their insurance status at the time of prescribing—not after they receive a bill:

Commercially insured patients: Sun Pharma's co-pay card can reduce out-of-pocket costs to as little as $10 per month with a maximum of $15,000 in annual savings. Activate at www.activatethecard.com/7436 or call 1-877-636-6961.

Uninsured or underinsured patients: The Sun Pharma Patient Assistance Program (PAP) may provide Sonidegib at no charge. Eligibility criteria apply. Foundations such as CancerCare and the Patient Advocate Foundation may provide additional financial assistance.

Medicare patients: Medicare co-pay cards are not available; refer patients to the Medicare Extra Help program (Low Income Subsidy) or disease-specific foundations that cover Medicare cost-sharing for oncology drugs.

Step 4: Counsel Patients on What to Expect

Managing patient expectations about the access process reduces anxiety and prevents patients from abandoning treatment. Let them know:

They will receive a call from the specialty pharmacy at an unfamiliar number — advise them to answer it.

The PA process can take days to weeks — this is normal and does not mean there is a problem.

They should not attempt to fill the prescription at a retail pharmacy — it will not work.

If they have not heard back within 5-7 business days, they should contact your office or OdomzoCARE directly to follow up.

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Step 5: Manage Side Effects Proactively to Improve Adherence

In the BOLT trial, 34% of patients permanently discontinued Sonidegib due to adverse reactions. The most common reasons included muscle spasms, elevated creatine kinase, and gastrointestinal effects. Proactive side effect management can improve treatment duration and outcomes:

Counsel patients to immediately report new or worsening muscle pain, weakness, or dark urine (signs of rhabdomyolysis)

Consider magnesium supplementation and stretching routines for patients with muscle cramps (not FDA-endorsed, but commonly used supportive care)

Set up regular monitoring visits with CK and creatinine every 4-8 weeks or as clinically indicated

Use dose interruption (not permanent discontinuation) for manageable CK elevations per the label algorithm

Referring Patients to medfinder for Additional Support

When your patients are struggling to navigate specialty pharmacy access on their own, medfinder provides a service that calls pharmacies on their behalf to find which ones can fill their specific prescription. This is particularly helpful for patients who are less tech-savvy or overwhelmed by the diagnosis. For more on access issues, see our overview of what providers need to know about Sonidegib access in 2026.

Skip the calls, skip the stress.

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Summary Checklist for Prescribers

☐ Route prescription to OdomzoCARE specialty pharmacy

☐ Submit prior authorization with complete documentation on day of prescribing

☐ Enroll patient in Sun Pharma co-pay card or PAP as appropriate

☐ Order baseline CK and renal function labs

☐ Confirm negative pregnancy test (females of reproductive potential)

☐ Counsel patient on specialty pharmacy call, PA wait time, side effects, and contraception requirements

☐ Schedule monitoring visit 4-8 weeks after initiation