Besponsa (inotuzumab ozogamicin)
BESPONSA 0.9 MG Injection

Dosage & Administration


Day 1

Day 8

Day 15

Dosing regimen for Cycle 1

All patients:

  Dose

0.8 mg/m2

0.5 mg/m2

0.5 mg/m2

  Cycle length

21 days *

Dosing regimen for subsequent cycles depending on response to treatment

Patients who have achieved a CR or CRi:

  Dose

0.5 mg/m2

0.5 mg/m2

0.5 mg/m2

  Cycle length

28 days

Patients who have not achieved a CR or CRi:

  Dose

0.8 mg/m2

0.5 mg/m2

0.5 mg/m2

  Cycle length

28 days


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Besponsa Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Sep 05, 2024Washington - Uniform Prior Authorization Form
Verified: Sep 05, 2024Wisconsin - Uniform Prior Authorization Form
Appeals Checklist
Coverage Authorization Appeal
Formulary Exception Letter
Complete Letter of Medical Necessity
PA Checklist

Benefits investigation

Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish

Reimbursement help (FRM)

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Besponsa Preferred Pharmacy

Pharmacy List

Besponsa Financial Assistance Options

Copay savings program

Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish
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Foundation programs

Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish
Pfizer Patient Assistance Program
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Besponsa PubMed™ News

Besponsa Patient Education

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3.Scan QR code with camera
4.Tap link

Patient toolkit

About Besponsa
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Receiving Besponsa
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Side Effects
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Patient Resources
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Pfizer Oncology Patient Access Guide
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Pfizer Oncology Patient Access Guide - Spanish
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Patient Brochure
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Besponsa FAQs

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