What is the dosage of Daurismo?

Daurismo is available in 2 dosages, including 100 mg Tab and 25 mg Tab

What does Daurismo treat?

Daurismo treats Acute Myeloid Leukemia

What is Daurismo made of?

Daurismo contains glasdegib which is a Hedgehog Pathway Inhibitor

How is Daurismo administered?

Daurismo is administered as a Oral Pill

What is Daurismo mechanism of action?

Daurismo mechanism of action is Smoothened Receptor Antagonists

Dosage & Administration Drug label Samples Prior authorization Financial assistance

Patient education

Daurismo

(glasdegib)

glasdegib 100 MG Oral Tablet [Daurismo]glasdegib 25 MG Oral Tablet [Daurismo]

BLACK BOX WARNING

Dosage & administration

Recommended dosage: 100 mg orally once daily.

Daurismo prescribing information

Have more Daurismo questions?

Submit MSL Request

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Need to report a Daurismo issue?

ONLINE FORMReport adverse event

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samples

Request Daurismo samples

Online Sample Form

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prior authorization

Daurismo Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRANDCoverage Authorization Request

Coverage Authorization Appeals

Formulary Exeception Letter

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Benefits investigation

Pfizer Oncology Together Form

Pfizer Oncology Together Form - Spanish

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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

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financial assistance

Daurismo Financial assistance options

Co-pay savings program

commercial only

Enroll in Patient Savings Program

HCP Office : Attest & Print Co-Pay Card

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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

Bridge program

commercial only

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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+

Pfizer Oncology Together Form

Pfizer Oncology Together Form - Spanish

Pfizer Patient Assistance Progam

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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

Daurismo Patient education

Getting started on Daurismo

NOT PROVIDED BY BRANDInstructions For Use: Acute Myeloid Leukemia (AML) in Adult Patients ≥75 Years Old

Patient toolkit

Pfizer Oncology Patient Access Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Pfizer Oncology Patient Access Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Patient Brochure

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Daurismo Patient Dosing Tracker

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

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.

Daurismo

Dosage & administration

Most viewed Daurismo resources

drug label

Daurismo prescribing information

Have more Daurismo questions?

Need to report a Daurismo issue?

samples

Request Daurismo samples

Is my patient elegible for Daurismo samples?

How do I find out who my Daurismo rep is?

prior authorization

Daurismo Prior authorization resources

Benefits investigation

Reimbursement help (FRM)

financial assistance

Daurismo Financial assistance options

Co-pay savings program

Overview

Patient benefit

Patient eligibility

How to sign up

Bridge program

Overview

Patient benefit

Patient eligibility

How to sign up

Foundation programs

Overview

Patient benefit

Patient eligibility

How to sign up

patient education

Daurismo Patient education

Getting started on Daurismo

Patient toolkit

Can't find what you're looking for?