What is the dosage of Dalvance?

Dalvance is available in 1 dosages, including 500 mg Injection

What does Dalvance treat?

Dalvance treats Infectious Skin Diseases, Staphylococcal Infections and Streptococcal Infections

What is Dalvance made of?

Dalvance contains dalbavancin which is a Lipoglycopeptide Antibacterial

How is Dalvance administered?

Dalvance is administered as a Injectable

What is Dalvance mechanism of action?

Dalvance mechanism of action is

Dosage & Administration Drug label Prior authorization Financial assistance

Patient education

Dalvance

(dalbavancin)

dalbavancin 500 MG Injection [Dalvance]

NO BLACK BOX WARNING

Dosage & administration

Dosage in Adult Patients ( 2.1, 2.3):
Estimated Creatinine Clearance (CLcr)	Single Dose Regimen	Two-Dose Regimen
30 mL/min and above or on regular hemodialysis	1500 mg	1000 mg followed one week later by 500 mg
Less than 30 mL/min and not on regular hemodialysis	1125 mg	750 mg followed one week later by 375 mg

* Administer by intravenous infusion over 30 minutes ( 2.1, 2.4)

* See Full Prescribing Information for instructions on reconstitution of lyophilized powder and preparation of injection ( 2.4).

Dosage in Pediatric Patients with CLcr 30 mL/min/1.73m2 and above ( 2.2)
Age Range	Dosage (Single Dose Regimen)
Birth to less than 6 years	22.5 mg/kg (maximum of 1500 mg)
6 to less than 18 years	18 mg/kg (maximum of 1500 mg)

* Dosage adjustment in pediatric patients with CLcr less than 30 mL/min has not been studied.

drug label

Dalvance prescribing information

Have more Dalvance questions?

Submit MSL Request

Learn More

Need to report a Dalvance issue?

ONLINE FORMReport adverse event

Learn More

prior authorization

Dalvance Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRANDCoverage Authorization Request

NOT PROVIDED BY BRANDComplete Coverage Authorization appeals

Coverage Authorization Appeal

Learn More

Benefits investigation

Dalvance Connect Enrollment Form

Learn More

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

Learn More

financial assistance

Dalvance Financial assistance options

Co-pay savings program

commercial only

Dalvance Connect Enrollment Form

Enroll in Patient Savings Program

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

Bridge program

commercial only

Learn More

Overview

Provide patient immediate access to therapy during an insurance delay (typically new starts; some may cover change in insurance)
Limited time/ fill (typically 7-30 days; some may offer additional fill for continued delay up to certain limit)

Patient benefit

100% free (outside of insurance)

Patient eligibility

HCP must enroll patient
May be limited to commercially insured patients (i.e., no government beneficiaries); some programs may allow government beneficiaries

How to sign up

Typically HCP assisted enrollment (via form)

Foundation programs

under insured

no insurance

goverment insurance

65+

Abbvie Patient Asssitance Program Application - English

Abbvie Patient Assistance Program Application - Spanish

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 co-pays) 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.

How to sign up

Patients submit proof of out-of-pocket drug costs to charities for reimbursement

patient education

Dalvance Patient education

Getting started on Dalvance

NOT PROVIDED BY BRANDInstructions For Use: Acute Bacterial Skin and Skin Structure Infections

Patient toolkit

NOT PROVIDED BY BRANDNot Provided By Brand

Learn More

Can't find what you're looking for?

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.