What is the dosage of Folotyn?

Folotyn is available in 2 dosages, including 20 mg/ml Injection 1 ml and 20 mg/ml Injection 2 ml

What does Folotyn treat?

Folotyn treats Peripheral T-Cell Lymphoma

What is Folotyn made of?

Folotyn contains pralatrexate which is a Folate Analog Metabolic Inhibitor

How is Folotyn administered?

Folotyn is administered as a Injectable

Dosage & Administration Drug label Prior authorization Financial assistance

Patient education

Folotyn

(pralatrexate)

1 ML pralatrexate 20 MG/ML Injection [Folotyn]2 ML pralatrexate 20 MG/ML Injection [Folotyn]

NO BLACK BOX WARNING

Dosage & administration

* Supplement patients with vitamin B12 mg intramuscularly every 8-10 weeks starting 10 weeks before the first dose and folic acid 1 to 1.25 mg orally once daily starting 10 days before the first dose.
* The recommended dosage of FOLOTYN is 30 mg/m2 intravenously over 3 to 5 minutes once weekly for 6 weeks in 7-week cycles.
* For patients with severe renal impairment (GFR 15 to 29 mL/min/1.73 m2), reduce the FOLOTYN dose to 15 mg/m2 .

Folotyn prescribing information

Have more Folotyn questions?

Submit MSL Request

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Need to report a Folotyn issue?

ONLINE FORMReport adverse event

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prior authorization

Folotyn 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

STAR Patient Enrollment Form

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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

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financial assistance

Folotyn Financial assistance options

Co-pay savings program

commercial only

STAR Patient Enrollment Form

Enroll in Patient Savings Program

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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+

STAR Patient Enrollment Form

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

Folotyn Patient education

Getting started on Folotyn

NOT PROVIDED BY BRANDInstructions For Use: Relapsed or Refractory PTCL

Patient toolkit

About Folotyn

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

Receiving Folotyn

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

Can't find what you're looking for?

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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.

Folotyn

Dosage & administration

Most viewed Folotyn resources

drug label

Folotyn prescribing information

Have more Folotyn questions?

Need to report a Folotyn issue?

prior authorization

Folotyn Prior authorization resources

Benefits investigation

Reimbursement help (FRM)

financial assistance

Folotyn Financial assistance options

Co-pay savings program

Overview

Patient benefit

Patient eligibility

How to sign up

Bridge program

Overview

Patient benefit

Patient eligibility

How to sign up

Foundation programs

Overview

Patient benefit

Patient eligibility

How to sign up

patient education

Folotyn Patient education

Getting started on Folotyn

Patient toolkit

Can't find what you're looking for?