Besremi

(ropeginterferon alfa-2b)
BESREMi 500 MCG in 1 ML Prefilled Syringe

Dosage & administration

biomarker testing

Besremi clinical details

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

drug label

Besremi prescribing information

prior authorization

Besremi prior authorization resources

OTHER
Complete Letter of Medical Necessity

OTHER
Coverage Authorization Appeals

OTHER
Formulary Exception Letter
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Benefits investigation

PDF
PharmaEssentia SOURCE Enrollment Form
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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pharmacy

Besremi preferred pharmacy

PDF
Pharmacy List

financial assistance

Besremi financial assistance options

Co-pay savings program

commercial only

PDF
PharmaEssentia SOURCE Enrollment Form

OTHER
Enroll in Patient Savings Program
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Bridge program

commercial only

PDF
PharmaEssentia SOURCE Enrollment Form

OTHER
Bridge Program
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Foundation programs

under insured
no insurance
goverment insurance
65+

PDF
PharmaEssentia SOURCE Enrollment Form

OTHER
Patient Assistance Program
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patient education

Besremi patient education

Getting started on Besremi

BRAND PAGE
Instructions For Use: Polycythemia Vera
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Polycythemia Vera - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Instructions For Use: Polycythemia Vera
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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 Besremi
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

OTHER
Patient Resources
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
Doctor Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

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

PDF
Letter of Medical Necessity for Travel
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Other resources

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people also ask

Besremi FAQs

How is the dosage of Besremi?Besremi is available in 1 dosages, including 0.5 mg/ml Prefilled Syringe 1 ml
What does Besremi treat?Besremi treats Polycythemia Vera
How Is Besremi Administered?Besremi is administered as a Injectable
FAQ Data Source