What is the dosage of Empaveli?

Empaveli is available in 1 dosages, including 54 mg/ml Injection 20 ml

What is Empaveli mechanism of action?

Empaveli mechanism of action is Complement Inhibitors

Empaveli Prescribing & Dosing Schedule

Q: What does Empaveli treat?

Empaveli treats Hemoglobinuria, Paroxysmal

Q: What is Empaveli made of?

Empaveli contains pegcetacoplan which is a Complement Inhibitor

Q: How is Empaveli administered?

Empaveli is administered as a Injectable

Dosage & Administration

* Recommended dosage is 1,080 mg administered subcutaneously twice weekly.
* EMPAVELI can be administered via a commercially available pump or with EMPAVELI Injector.
* See Full Prescribing Information for instructions on preparation and administration.

Get Your Patient on Empaveli

See your patient's specific prior authorization requirements including coverage restrictions and step therapies

Or select your Insurance from the list below:

Empaveli Prescribing Information

Report Adverse Event

Empaveli Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form

Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form

Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form

Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form

Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form

Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form

Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form

Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form

Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form

Complete Letter of Medical Necessity

Benefits investigation

ApellisAssist Start Form

ApellisAssist Start Form - Spanish

Empaveli Preferred Pharmacy

Pharmacy List

Empaveli Financial Assistance Options

Copay savings program

ApellisAssist Start Form

ApellisAssist Start Form - Spanish

Enroll in Patient Savings Program

Learn More

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

ApellisAssist Start Form

ApellisAssist Start Form - Spanish

Bridge Program

Learn More

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