What is the dosage of Adstiladrin?

Adstiladrin is available in 1 dosages, including 15,000,000,000 viral-particles/ml Suspension

What does Adstiladrin treat?

Adstiladrin treats Urinary Bladder Neoplasms

How is Adstiladrin administered?

Adstiladrin is administered as a Topical

Adstiladrin Prescribing & Dosing Schedule

Dosage & Administration

* Premedication with an anticholinergic is recommended before each instillation of ADSTILADRIN.
* Administer ADSTILADRIN by intravesical instillation only.
* ADSTILADRIN is not for intravenous use, topical use, or oral administration.
* The dose is 75 mL of ADSTILADRIN at a concentration of 3 x 1011 viral particles (vp)/mL, instilled once every three (3) months.
* Allow ADSTILADRIN to be left in the bladder for 1 hour following instillation

Get Your Patient on Adstiladrin

See your patient's specific prior authorization requirements including coverage restrictions and step therapies

Or select your Insurance from the list below:

Adstiladrin Prescribing Information

Report Adverse Event

Adstiladrin Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form

Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form

Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form

Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form

Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form

Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form

Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form

Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form

Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form

Benefits investigation

Ferring Access Support Program Enrollment Form

Ferring Access Support Program Enrollment Form - Online

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

Adstiladrin Preferred Pharmacy

Pharmacy List

Adstiladrin Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program

Ferring Access Support Program Enrollment Form

Ferring Access Support Program Enrollment Form - Online

Learn More

Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

Adstiladrin PubMed™ News

Adstiladrin Patient Education

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link

Patient toolkit

About Adstiladrin

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Receiving Adstiladrin

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Patient Resources

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Dosage & Administration

Get Your Patient on Adstiladrin

Adstiladrin Prescribing Information

Adstiladrin Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

Reimbursement help (FRM)

Adstiladrin Preferred Pharmacy

Adstiladrin Financial Assistance Options

Copay savings program

Adstiladrin PubMed™ News

Adstiladrin Patient Education

Patient toolkit

Adstiladrin FAQs