Besponsa

(inotuzumab ozogamicin)
BESPONSA 0.9 MG Injection

Dosage & administration

Most viewed Besponsa resources

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biomarker testing

Besponsa clinical details

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

drug label

Besponsa prescribing information

prior authorization

Besponsa prior authorization resources

Most recent Besponsa prior authorization forms

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Verified: Sep 27, 2023Cigna - Besponsa Prior Authorization Form
Verified: Sep 21, 2023Aetna - Besponsa Prior Authorization Form
Verified: Sep 19, 2023Aetna - Medicare Part B Besponsa Prior Authorization Form

PDF
Complete Letter of Medical Necessity

PDF
Coverage Authorization Appeal

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Formulary Exception Letter
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Benefits investigation

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Pfizer Oncology Together Form

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Pfizer Oncology Together Form - Spanish
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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pharmacy

Besponsa preferred pharmacy

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Pharmacy List

financial assistance

Besponsa financial assistance options

Co-pay savings program

commercial only

PDF
Pfizer Oncology Together Form

PDF
Pfizer Oncology Together Form - Spanish
Enroll in Patient Savings Program
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Foundation programs

under insured
no insurance
goverment insurance
65+

PDF
Pfizer Oncology Together Form

PDF
Pfizer Oncology Together Form - Spanish

OTHER
Pfizer Patient Assistance Program
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patient education

Besponsa patient education

Getting started on Besponsa

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

Patient toolkit

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

OTHER
Receiving Besponsa
ASK PATIENT TO:
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Scan QR Code & Tap Link

PDF
Patient Brochure
ASK PATIENT TO:
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Scan QR Code & Tap Link

PDF
Pfizer Oncology Patient Access Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Pfizer Oncology Patient Access Guide - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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Other resources

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people also ask

Besponsa FAQs

How is the dosage of Besponsa?Besponsa is available in 1 dosages, including 0.9 mg Injection
What does Besponsa treat?Besponsa treats Precursor Cell Lymphoblastic Leukemia-Lymphoma
What is Besponsa made of?Besponsa contains inotuzumab ozogamicin which is a CD22-directed Immunoconjugate
How Is Besponsa Administered?Besponsa is administered as a Injectable
What Are The Besponsa Mechanism Of Action?Besponsa mechanism of action is CD22-directed Antibody Interactions
FAQ Data Source