Faslodex

(fulvestrant)

FASLODEX 250 MG in 5 ML Prefilled Syringe

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.

biomarker testing

Faslodex clinical details

Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.

drug label

Faslodex prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Faslodex prior authorization resources

Most recent Faslodex prior authorization forms

View By Payer

Verified: Sep 27, 2023Cigna - Faslodex Prior Authorization Form

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Benefits investigation

PDFFaslodex Enrollment Form

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Reimbursement help (FRM)

OTHERReceive Assistance from an FRM Regarding Reimbursement Information

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financial assistance

Faslodex financial assistance options

Co-pay savings program

commercial only

PDFFaslodex Enrollment Form

Enroll in Patient Savings Program - HCP Office

OTHEREnroll 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

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

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link

Patient toolkit

PDFFaslodex Affordability Brochure

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

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Other resources

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Faslodex FAQs

How is the dosage of Faslodex?Faslodex is available in 1 dosages, including 250 mg/5ml Prefilled Syringe 5 ml

What does Faslodex treat?Faslodex treats Breast Neoplasms

What is Faslodex made of?Faslodex contains fulvestrant which is a Estrogen Receptor Antagonist

How Is Faslodex Administered?Faslodex is administered as a Injectable

What Are The Faslodex Mechanism Of Action?Faslodex mechanism of action is Estrogen Receptor Antagonists or Selective Estrogen Receptor Modulators

FAQ Data Source

Faslodex

Dosage & administration

biomarker testing

Faslodex clinical details

drug label

Faslodex prescribing information

prior authorization

Faslodex prior authorization resources

Most recent Faslodex prior authorization forms

Benefits investigation

Reimbursement help (FRM)

financial assistance

Faslodex financial assistance options

Co-pay savings program

Foundation programs

patient education

Faslodex patient education

Getting started on Faslodex

Patient toolkit

Other resources

people also ask

Faslodex FAQs