Defitelio

(defibrotide)
Defitelio 200 MG in 2.5 ML Injection
NO BOXED WARNING

Dosage & administration

drug label

Defitelio prescribing information

prior authorization

Defitelio prior authorization resources

Most recent Defitelio prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Medicare Prescription Drug Medication Request Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Short Acting Opioid Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Feb 27, 2024Arizona - Uniform Prior Authorization Form
Verified: Feb 27, 2024Colorado - Uniform Prior Authorization Form
Verified: Feb 27, 2024Hawaii - Uniform Prior Authorization Form
Verified: Feb 27, 2024Illinois - Uniform Prior Authorization Form
Verified: Feb 27, 2024Indiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Louisiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Michigan - Uniform Prior Authorization Form
Verified: Feb 27, 2024Minnesota - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Mexico - Uniform Prior Authorization Form
Verified: Feb 27, 2024Oregon - Uniform Prior Authorization Form
Verified: Feb 27, 2024Texas - Uniform Prior Authorization Form
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Reimbursement help (FRM)

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PubMed™ | Defitelio

Defitelio PubMed™ News

patient education

Defitelio patient education

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people also ask

Defitelio FAQs

How is the dosage of Defitelio?Defitelio is available in 1 dosages, including 80 mg/ml Injection 2.5 ml
What does Defitelio treat?Defitelio treats Hepatic Veno-Occlusive Disease
How Is Defitelio Administered?Defitelio is administered as a Injectable
FAQ Data Source