Dosage & Administration Efficacy safety testing Drug label Prior authorization Financial assistance

Faslodex

(fulvestrant)

5 ML fulvestrant 50 MG/ML Prefilled Syringe [Faslodex]

NO BLACK BOX WARNING

Dosage & administration

* FASLODEX 500 mg should be administered intramuscularly into the buttocks (gluteal area) slowly (1 - 2 minutes per injection) as two 5 mL injections, one in each buttock, on Days 1, 15, 29, and once monthly thereafter.
* A dose of 250 mg is recommended in patients with moderate hepatic impairment to be administered intramuscularly into the buttock (gluteal area) slowly (1 - 2 minutes) as one 5 mL injection on Days 1, 15, 29, and once monthly thereafter.

eficacy, safety & testing

Faslodex clinical details

drug label

Faslodex prescribing information

Have more Faslodex questions?

Submit MSL Request

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Need to report a Faslodex issue?

ONLINE FORMReport adverse event

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prior authorization

Faslodex 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

Faslodex Enrollment Form

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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

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financial assistance

Faslodex Financial assistance options

Co-pay savings program

commercial only

Faslodex Enrollment Form

Enroll in Patient Savings Program - HCP Office

Enroll in Patient Savings Program - Patient

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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+

AZ & Me Prescription Savings Program - Patient Assistance Program

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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

Faslodex Patient education

Getting started on Faslodex

NOT PROVIDED BY BRANDInstructions For Use: HR+ HER- Breast Cancer

Patient toolkit

Faslodex Affordability Brochure

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

Learn More

Faslodex FAQs

FAQ Data Source

Can't find what you're looking for?

Our trained staff can help you:

Please note:

Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
Samples are provided at the discretion of the brand.
We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.

Faslodex

Dosage & administration

eficacy, safety & testing

Faslodex clinical details

drug label

Faslodex prescribing information

Have more Faslodex questions?

Need to report a Faslodex issue?

prior authorization

Faslodex Prior authorization resources

Benefits investigation

Reimbursement help (FRM)

financial assistance

Faslodex Financial assistance options

Co-pay savings program

Bridge program

Foundation programs

patient education

Faslodex Patient education

Getting started on Faslodex

Patient toolkit

people also ask

Faslodex FAQs

Can't find what you're looking for?