Avsola

(infliximab)
AVSOLA 100 MG Injection

Dosage & administration

drug label

Avsola prescribing information

prior authorization

Avsola prior authorization resources

Most recent Avsola prior authorization forms

View By Payer
Verified: Sep 04, 2023Highmark BCBS Northeastern NY - Outpatient Infliximab Prior Authorization Form (Medical Benefit)
Verified: Sep 04, 2023Highmark BCBS Western NY - Outpatient Infliximab Prior Authorization Form (Medical Benefit)
Verified: Oct 03, 2023Highmark BCBS West Virginia - Outpatient Infliximab Prior Authorization Form (Medical Benefit)
Verified: Oct 03, 2023Highmark BCBS Delaware - Outpatient Infliximab Prior Authorization Form (Medical Benefit)
Verified: Oct 03, 2023Highmark BCBS Central PA - Outpatient Infliximab Prior Authorization Form (Medical Benefit)
Verified: Oct 02, 2023Highmark BCBS Western PA - Outpatient Infliximab Prior Authorization Form (Medical Benefit)
Verified: Sep 27, 2023Cigna - Infliximab Biosimilar Prior Authorization Form
Verified: Sep 26, 2023Blue Cross Blue Shield of Michigan - Infliximab Products Prior Authorization Form (Medical Benefit)
Verified: Sep 21, 2023Aetna - Avsola Prior Authorization Form
Verified: Sep 19, 2023Aetna - Medicare Part B Avsola Prior Authorization Form

PDF
Complete Letter of Medical Necessity

PDF
Coverage Authorization Appeals
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Benefits investigation

PDF
Benefits Investigation Form
Benefits Investigation - Online
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Reimbursement help (FRM)

OTHER
Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Avsola financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
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Foundation programs

under insured
no insurance
goverment insurance
65+

OTHER
Amgen Patient Assistance Program Eligibility
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patient education

Avsola patient education

Getting started on Avsola

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

BRAND PAGE
About Avsola
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Receiving Avsola
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
NICA Infusion Center Locator
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

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

PDF
Patient Brochure - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Biosimilar Patient Flashcard
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Switching From Remicade to Avsola Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Other resources

NICA Infusion Center Locator
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

people also ask

Avsola FAQs

How is the dosage of Avsola?Avsola is available in 1 dosages, including 100 mg Injection
What does Avsola treat?Avsola treats Rheumatoid Arthritis, Ulcerative Colitis, Crohn Disease, Ankylosing Spondylitis and Psoriatic Arthritis
What is Avsola made of?Avsola contains infliximab which is a Tumor Necrosis Factor Blocker
How Is Avsola Administered?Avsola is administered as a Injectable
What Are The Avsola Mechanism Of Action?Avsola mechanism of action is Tumor Necrosis Factor Receptor Blocking Activity
FAQ Data Source