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 hemodialysis1500 mg1000 mg followed one week later by 500 mg
Less than 30 mL/min and not on regular hemodialysis1125 mg750 mg followed one week later by 375 mg
Dosage in Pediatric Patients with CLcr 30 mL/min/1.73m2 
and above ( 2.2)
Age RangeDosage (Single Dose Regimen)
Birth to less than 6 years22.5 mg/kg (maximum of 1500 mg)
6 to less than 18 years18 mg/kg (maximum of 1500 mg)

drug label

Dalvance prescribing information

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prior authorization

Dalvance Prior authorization resources

Complete Letter of Medical Necessity

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Coverage Authorization Request

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Complete Coverage Authorization appeals
Coverage Authorization Appeal
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Benefits investigation

Dalvance Connect Enrollment Form
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Dalvance Financial assistance options

Co-pay savings program

commercial only
Dalvance Connect Enrollment Form
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+
Abbvie Patient Asssitance Program Application - English
Abbvie Patient Assistance Program Application - Spanish
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patient education

Dalvance Patient education

Getting started on Dalvance

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Instructions For Use: Acute Bacterial Skin and Skin Structure Infections

Patient toolkit

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Not Provided By Brand
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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.
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