Firazyr

(icatibant)
3 ML icatibant 10 MG/ML Prefilled Syringe [Firazyr]
NO BLACK BOX WARNING

Dosage & administration

drug label

Firazyr prescribing information

Have more Firazyr questions?

Submit MSL Request
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Need to report a Firazyr issue?

ONLINE FORM
Report adverse event
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samples

Request Firazyr samples

Online Sample Form
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prior authorization

Firazyr Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Complete Coverage Authorization appeals
Coverage Authorization Appeal
Letter of Appeal: Claim Denial
Formulary Exception Letter
Letter of Intent To Treat
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Benefits investigation

One Path Enrollment Form
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Firazyr Financial assistance options

Co-pay savings program

commercial only
One Path Enrollment Form
Enroll in Patient Savings Program
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
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patient education

Firazyr Patient education

Getting started on Firazyr

Instructions For Use: Hereditary Angioedema
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Patient toolkit

Patient Brochure
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About Firazyr
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View How to Take Firazyr
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Side Effects
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Patient Resources
ASK PATIENT TO:
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people also ask

Firazyr 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.