Evrysdi Prescribing & Dosing Schedule

Dosage & Administration Drug label Prior authorization Pharmacy Financial assistance Patient education People also ask

Evrysdi(risdiplam)

Evrysdi 0.75 MG/mL Oral Solution

NO BOXED WARNING

Dosage & Administration

EVRYSDI must be constituted by a healthcare provider prior to dispensing.

Administer orally once daily after a meal using the provided oral syringe.

Age and Body Weight	Recommended Daily Dosage
Less than 2 months of age	0.15 mg/kg
2 months to less than 2 years of age	0.2 mg/kg
2 years of age and older weighing less than 20 kg	0.25 mg/kg
2 years of age and older weighing 20 kg or more	5 mg

See Full Prescribing Information for important preparation and administration instructions.

drug label

Evrysdi Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Evrysdi Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Jul 26, 2024Arizona - Uniform Prior Authorization Form

Verified: Jul 26, 2024Colorado - Uniform Prior Authorization Form

Verified: Jul 26, 2024Hawaii - Uniform Prior Authorization Form

Verified: Jul 26, 2024Illinois - Uniform Prior Authorization Form

Verified: Jul 26, 2024Indiana - Uniform Prior Authorization Form

Verified: Jul 26, 2024Louisiana - Uniform Prior Authorization Form

Verified: Jul 26, 2024Minnesota - Uniform Prior Authorization Form

Verified: Jul 26, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Jul 26, 2024New Mexico - Uniform Prior Authorization Form

Verified: Jul 26, 2024Oregon - Uniform Prior Authorization Form

Verified: Jul 26, 2024Texas - Uniform Prior Authorization Form

Verified: Jul 07, 2024Washington - Uniform Prior Authorization Form

Verified: Jul 07, 2024Wisconsin - Uniform Prior Authorization Form

Letter Of Medical Necessity

Coverage Authorization Appeals

Benefits investigation

Evrysdi Start Form

Evrysdi Start From - Online

Patient Consent Form

Patient Consent Form - Spanish

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

pharmacy

Evrysdi Preferred Pharmacy

Pharmacy List

financial assistance

Evrysdi Financial Assistance Options

Copay savings program

Evrysdi Start Form

Evrysdi Start From - Online

Patient Consent Form

Patient Consent 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

Foundation programs

Evrysdi Start Form

Evrysdi Start From - Online

Patient Consent Form

Patient Consent Form - Spanish

Genentech Patient Assistance Foundation - Prescriber Form

Learn More

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 copays) 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

Evrysdi Patient Education

Getting started on Evrysdi

Instructions For Use: Spinal Muscular Atrophy (SMA)

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

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link

Patient toolkit

About Evrysdi

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

Side Effects

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

View How to Take Evrysdi

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

Patient Stories

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

Evrysdi FAQs

How is the dosage of Evrysdi?Evrysdi is available in 1 dosages, including 0.75 mg/ml Sol

What does Evrysdi treat?Evrysdi treats Spinal Muscular Atrophy

What is Evrysdi made of?Evrysdi contains risdiplam which is a Survival of Motor Neuron 2 Splicing Modifier

How Is Evrysdi Administered?Evrysdi is administered as a Oral Liquid

What Are The Evrysdi Mechanism Of Action?Evrysdi mechanism of action is Multidrug and Toxin Extrusion Transporter 1 Inhibitors, Multidrug and Toxin Extrusion Transporter 2 K Inhibitors or Survival of Motor Neuron 2 Splicing Modifiers

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Evrysdi Prescribing Information

prior authorization

Evrysdi Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

Reimbursement help (FRM)

pharmacy

Evrysdi Preferred Pharmacy

financial assistance

Evrysdi Financial Assistance Options

Copay savings program

Foundation programs

patient education

Evrysdi Patient Education

Getting started on Evrysdi

Patient toolkit

people also ask

Evrysdi FAQs