What is the dosage of Eligard?

Eligard is available in 8 dosages, including 120 mg/ml Prefilled Syringe 0.375 ml, 120 mg/ml Prefilled Syringe 0.375 ml, 30 mg/ml Prefilled Syringe 0.25 ml, 30 mg/ml Prefilled Syringe 0.25 ml, 60 mg/ml Prefilled Syringe 0.375 ml, 60 mg/ml Prefilled Syringe 0.375 ml, 60 mg/ml Prefilled Syringe 0.5 ml and 60 mg/ml Prefilled Syringe 0.5 ml

What does Eligard treat?

Eligard treats Breast Neoplasms, Endometriosis, Infertility, Leiomyoma, Ovarian Neoplasms, Prostatic Hyperplasia, Prostatic Neoplasms, Precocious Puberty and Endometrial Neoplasms

What is Eligard made of?

Eligard contains leuprolide which is a Gonadotropin Releasing Hormone Receptor Agonist

How is Eligard administered?

Eligard is administered as a Injectable

What is Eligard mechanism of action?

Eligard mechanism of action is Gonadotropin Releasing Hormone Receptor Agonists

Dosage & Administration Drug label Samples Prior authorization Financial assistance

Patient education

Eligard

(leuprolide)

0.25 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Eligard]0.375 ML leuprolide acetate 120 MG/ML Prefilled Syringe [Eligard]

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NO BLACK BOX WARNING

Dosage & administration

* 7.5 mg subcutaneously every month
* 22.5 mg subcutaneously every 3 months
* 30 mg subcutaneously every 4 months
* 45 mg subcutaneously every 6 months

drug label

Eligard prescribing information

Have more Eligard questions?

Submit MSL Request

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Need to report an Eligard issue?

ONLINE FORMReport adverse event

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samples

Request Eligard samples

NOT PROVIDED BY BRANDView Online Sample Form

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prior authorization

Eligard Prior authorization resources

NOT PROVIDED BY BRANDComplete Letter of Medical Necessity

NOT PROVIDED BY BRANDCoverage Authorization Request

NOT PROVIDED BY BRANDCoverage Authorization Appeals

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Benefits investigation

Tolmar Patient Services Form

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Reimbursement help (FRM)

NOT PROVIDED BY BRANDReimbursement help (FRM) resources

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financial assistance

Eligard Financial assistance options

Co-pay savings program

commercial only

NOT PROVIDED BY BRANDEnroll in Patient Savings Program

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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+

Tolmar Patient Services Form

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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

Eligard Patient education