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

Dosage & Administration

Dosage & Administration

drug label

Defitelio Prescribing Information

prior authorization

Defitelio Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Jun 26, 2024Arizona - Uniform Prior Authorization Form
Verified: Jun 26, 2024Colorado - Uniform Prior Authorization Form
Verified: Jun 26, 2024Hawaii - Uniform Prior Authorization Form
Verified: Jul 26, 2024Illinois - Uniform Prior Authorization Form
Verified: Jun 26, 2024Indiana - Uniform Prior Authorization Form
Verified: Jun 26, 2024Louisiana - Uniform Prior Authorization Form
Verified: Jun 26, 2024Minnesota - Uniform Prior Authorization Form
Verified: Jun 26, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Jun 26, 2024New Mexico - Uniform Prior Authorization Form
Verified: Jun 26, 2024Oregon - Uniform Prior Authorization Form
Verified: Jun 26, 2024Texas - Uniform Prior Authorization Form
Verified: Jul 07, 2024Washington - Uniform Prior Authorization Form
Verified: Jul 07, 2024Wisconsin - Uniform Prior Authorization Form

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

patient education

Defitelio Patient Education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

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