Fabhalta(iptacopan)
FABHALTA 200 MG Oral Capsule

Dosage & Administration

Dosage & Administration

200 mg orally twice daily with or without food.

drug label

Fabhalta Prescribing Information

prior authorization

Fabhalta 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
Complete Letter of Medical Necessity
Coverage Authorization Request
Coverage Authorization Appeals
PA & Appeals Kit

Benefits investigation

Fabhalta Start Form

pharmacy

Fabhalta Preferred Pharmacy

Pharmacy List

financial assistance

Fabhalta Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program
Learn More

Bridge program

Bridge Program
Learn More

patient education

Fabhalta Patient Education

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

people also ask

Fabhalta FAQs

How is the dosage of Fabhalta?Fabhalta is available in 1 dosages, including 200 mg Cap
What does Fabhalta treat?Fabhalta treats Paroxysmal Hemoglobinuria
How Is Fabhalta Administered?Fabhalta is administered as a Oral Pill
FAQ Data Source