SANCUSO^® (Granisetron Transdermal System)
Patch Replacement Program

If your chemotherapy is delayed or canceled, the SANCUSO Patch Replacement Program may be able to help you get a replacement patch.

• Be sure to work with your physician to complete the application
• The application must be signed by your physician prior to submission
• A receipt for proof of purchase and the completed, signed application must be faxed to 1-866-694-2546