Asclera

(polidocanol)
2 ML polidocanol 10 MG/ML Injection [Asclera]2 ML polidocanol 5 MG/ML Injection [Asclera]
NO BLACK BOX WARNING

Dosage & administration

For intravenous use only. Solution strength and the volume injected depend on the size and extent of the varicose veins. Extensive varicosities may require multiple treatment sessions.

Spider veins (varicose veins ≤1 mm in diameter): Use Asclera 0.5%.

Reticular veins (varicose veins 1 to 3 mm in diameter): Use Asclera 1%.

Use 0.1 to 0.3 mL for each injection into each varicose vein. The maximum recommended volume per treatment session is 10 mL.

drug label

Asclera prescribing information

Need to report an Asclera issue?

ONLINE FORM
Report adverse event
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prior authorization

Asclera Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Coverage Authorization Appeals
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Benefits investigation

NOT PROVIDED BY BRAND
Benefits investigation resources
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Asclera Financial assistance options

Co-pay savings program

commercial only

NOT PROVIDED BY BRAND
Enroll in Patient Savings Program
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
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patient education

Asclera Patient education

Getting started on Asclera

NOT PROVIDED BY BRAND
Instructions For Use: Varicose Veins

Patient toolkit

About Asclera
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Sclerotherapy
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Before & After
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.