Dosage & Administration Biomarker testing Drug label Samples Prior authorization Pharmacy Financial assistance

Balversa

(erdafitinib)

erdafitinib 3 MG Oral Tablet [Balversa]erdafitinib 4 MG Oral Tablet [Balversa]

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NO BLACK BOX WARNING

Dosage & administration

* Confirm the presence of FGFR genetic alterations in tumor specimens prior to initiation of treatment with BALVERSA.
* Recommended initial dosage: 8 mg orally once daily with a dose increase to 9 mg daily if criteria are met.
* Swallow whole with or without food.

Balversa clinical details

Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.

drug label

Balversa prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Balversa prior authorization resources

OTHERComplete Letter of Medical Necessity

OTHERFormulary Exception Letter

PDFPrior Authorization Considerations Checklist

PDFBalversa Access and Affordability Guide

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pharmacy

Balversa preferred pharmacy

PDFPharmacy List

financial assistance

Balversa financial assistance options

Co-pay savings program

commercial only

Enroll in Patient Savings Program

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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

Foundation programs

under insured

no insurance

goverment insurance

65+

Janssen Patient Assistance Program Application - Check Eligibiligy

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Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.

How to sign up

Patients submit proof of out-of-pocket drug costs to charities for reimbursement

patient education

Balversa patient education

Getting started on Balversa

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link