Fabhalta

(iptacopan)
FABHALTA 200 MG Oral Capsule

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: Jan 28, 2024Oregon - Uniform Prior Authorization Form
Verified: Jan 28, 2024Colorado - Uniform Prior Authorization Form
Verified: Jan 28, 2024Michigan - Uniform Prior Authorization Form
Verified: Jan 28, 2024Hawaii - Uniform Prior Authorization Form
Verified: Jan 28, 2024Minnesota - Uniform Prior Authorization Form
Verified: Jan 28, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Jan 28, 2024New Mexico - Uniform Prior Authorization Form
Verified: Jan 28, 2024Texas - Uniform Prior Authorization Form
Verified: Jan 28, 2024Louisiana - Uniform Prior Authorization Form
Verified: Jan 28, 2024Arizona - Uniform Prior Authorization Form
Verified: Jan 28, 2024Indiana - Uniform Prior Authorization Form
Verified: Jan 28, 2024Illinois - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
Coverage Authorization Request
Coverage Authorization Appeals
PA & Appeals Kit
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Benefits investigation

Fabhalta Start Form
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pharmacy

Fabhalta preferred pharmacy

Pharmacy List

financial assistance

Fabhalta financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
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Bridge program

commercial only
Bridge Program
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PubMed™ | Fabhalta

Fabhalta PubMed™ News

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
Learn More

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
How Is Fabhalta Administered?Fabhalta is administered as a Oral Pill
FAQ Data Source