Briviact

(brivaracetam)
5 ML brivaracetam 10 MG/ML Injection [Briviact]brivaracetam 10 MG Oral Tablet [Briviact]
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NO BLACK BOX WARNING

Dosage & administration

Most viewed Briviact resources

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drug label

Briviact prescribing information

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Submit MSL Request
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Need to report a Briviact issue?

ONLINE FORM
Report adverse event
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prior authorization

Briviact Prior authorization resources

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Complete Letter of Medical Necessity

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Coverage Authorization Request

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Coverage Authorization Appeals
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Benefits investigation

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Benefits investigation resources
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Reimbursement help (FRM)

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Reimbursement help (FRM) resources
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financial assistance

Briviact Financial assistance options

Co-pay savings program

commercial only
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+
UCB Patient Assistance Program
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patient education

Briviact Patient education

Getting started on Briviact

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Instructions for Use (Adults ) - Partial Onset Focal Seizures

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Instructions for Use ( Pediatrics) - Partial Onset Focal Seizures

NOT PROVIDED BY BRAND
Instructions for Use ( IV) - Partial Onset Focal Seizures

Patient toolkit

About Briviact - Adults
ASK PATIENT TO:
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Scan QR Code & Tap Link
About Briviact - Pediatrics
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
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Scan QR Code & Tap Link
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people also ask

Briviact FAQs

FAQ Data Source

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Our trained staff can help you:
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.