What is the dosage of Calquence?

Calquence is available in 1 dosages, including 100 mg Tab

What does Calquence treat?

Calquence treats Lymphoma, Mantle-Cell

What is Calquence made of?

Calquence contains acalabrutinib which is a Kinase Inhibitor

How is Calquence administered?

Calquence is administered as a Oral Pill

What is Calquence mechanism of action?

Calquence mechanism of action is Tyrosine Kinase Inhibitors

Calquence Tablets Prescribing & Dosing Schedule

Dosage & Administration

* Recommended dose is 100 mg orally approximately every 12 hours; swallow whole with water and with or without food.
* Advise patients not to chew, crush, dissolve, or cut tablets.
* Manage toxicities using treatment interruption, dose reduction, or discontinuation.
* Avoid CALQUENCE in patients with severe hepatic impairment.

Get Your Patient on Calquence Tablets

See your patient's specific prior authorization requirements including coverage restrictions and step therapies

Or select your Insurance from the list below:

Calquence Tablets Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

Calquence Tablets 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: Oct 05, 2024Washington - Uniform Prior Authorization Form

Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form

Coverage Authorization Appeals

Complete Letter of Medical Necessity

Benefits investigation

Calquence Enrollment Form

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

Calquence Tablets Preferred Pharmacy

Pharmacy List

Calquence Tablets Financial Assistance Options

Copay savings program

Calquence Enrollment Form

Enroll in Patient Savings Program - HCP Portal

Enroll in Patient Savings Program - Patient

Learn More

Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

Foundation programs

AZ & Me Prescription Savings Program - Patient Assistance Program

Learn More

Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and copays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.