Cinqair

(reslizumab)

CINQAIR 100 MG in 10 ML Injection

Dosage & administration

* CINQAIR is for intravenous infusion only. Do not administer as an intravenous push or bolus
* CINQAIR should be administered by a healthcare professional prepared to manage anaphylaxis
* Recommended dosage regimen is 3 mg/kg once every 4 weeks by intravenous infusion over 20-50 minutes

drug label

Cinqair prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Cinqair prior authorization resources

Most recent Cinqair prior authorization forms

View By Payer

Verified: Sep 04, 2023Highmark BCBS Northeastern NY - Outpatient Medical Injectable Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Verified: Sep 04, 2023Highmark BCBS Western NY - Outpatient Outpatient Medical Injectable Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Verified: Oct 03, 2023Highmark BCBS West Virginia - Outpatient Medical Injectable Drug Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Verified: Oct 03, 2023Highmark BCBS Delaware - Outpatient Medical Injectable Drug Prior Authorization Form -Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Verified: Oct 03, 2023Highmark BCBS Central PA - Outpatient Injectable Drug Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Verified: Oct 02, 2023Highmark BCBS Western PA - Outpatient Injectable Drug Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Verified: Oct 02, 2023Blue Cross Blue Shield of Michigan - FEP Cinqair Prior Authorization Form (Medical Benefit)

Verified: Sep 27, 2023Cigna - Cinqair Prior Authorization Form

Verified: Sep 26, 2023Blue Cross Blue Shield of Michigan - Cinqair Prior Authorization Form (Medical Benefit)

Verified: Sep 21, 2023Aetna - Cinqair Prior Authorization Form

PDFComplete Letter of Medical Necessity

PDFCoverage Authorization Appeals

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Benefits investigation

PDFPrescription & Service Request Form

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financial assistance

Cinqair financial assistance options

Co-pay savings program

commercial only

PDFPrescription & Service Request Form

OTHEREnroll in Patient Savings Program

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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

patient education

Cinqair patient education

Getting started on Cinqair

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link