Besponsa

(inotuzumab ozogamicin)
inotuzumab ozogamicin 0.9 MG Injection [Besponsa]

Dosage & administration

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eficacy, safety & testing

Besponsa clinical details

Mechanism of Action (MOA)
Dosing & Administration
Clinical Trials
Efficacy
Safety Profile

drug label

Besponsa prescribing information

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Need to report a Besponsa issue?

ONLINE FORM
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prior authorization

Besponsa Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

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Complete Coverage Authorization appeals
Coverage Authorization Appeal
Formulary Exception Letter
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Benefits investigation

Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Besponsa Financial assistance options

Co-pay savings program

commercial only
Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish
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+
Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish
Pfizer Patient Assistance Program
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patient education

Besponsa Patient education

Getting started on Besponsa

NOT PROVIDED BY BRAND
Instructions For Use: Relapsed or Refractory B-cell Acute Lymphoblastic Leukemia (ALL)

Patient toolkit

About Besponsa
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Receiving Besponsa
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Patient Brochure
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Pfizer Oncology Patient Access Guide
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Pfizer Oncology Patient Access Guide - Spanish
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Side Effects
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people also ask

Besponsa FAQs

FAQ Data Source

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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.