Firdapse

(amifampridine)
amifampridine 10 MG Oral Tablet [Firdapse]
NO BLACK BOX WARNING

Dosage & administration

Most viewed Firdapse resources

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drug label

Firdapse prescribing information

Need to report a Firdapse issue?

ONLINE FORM
Report adverse event
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prior authorization

Firdapse Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

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Coverage Authorization Request

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Coverage Authorization Appeals
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Benefits investigation

Catalyst Pathways Enrollment Form
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Reimbursement help (FRM)

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Reimbursement help (FRM) resources
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financial assistance

Firdapse Financial assistance options

Co-pay savings program

commercial only
Catalyst Pathways Enrollment Form
Enroll in Patient Savings Program
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Bridge program

commercial only
Catalyst Pathways Enrollment Form
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Foundation programs

under insured
no insurance
goverment insurance
65+
Catalyst Pathways Enrollment Form
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patient education

Firdapse Patient education

Getting started on Firdapse

NOT PROVIDED BY BRAND
Instructions For Use - Lambert-Eaton Myasthenic Syndrome (LEMS)

Patient toolkit

About Firdapse
ASK PATIENT TO:
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Patient Stories
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people also ask

Firdapse FAQs

FAQ Data Source

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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.