Gazyva
(obinutuzumab)Gazyva 1000 MG in 40 ML Injection
Dosage & administration
biomarker testing
Gazyva clinical details
Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.
drug label
Gazyva prescribing information
prior authorization
Gazyva prior authorization resources
Most recent Gazyva prior authorization forms
View By PayerVerified: Sep 28, 2023Cigna - Gazyva Prior Authorization Form
Verified: Sep 20, 2023Aetna - Medicare Part B Gazyva Prior Authorization Form
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If available, these templates are provided by the brand to help you navigate insurance, especially with newer drugs.
Benefits investigation
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Benefits investigations are conducted to determine whether a therapy is covered under a patient's insurance, if a prior authorization is required, and which specialty pharmacies are preferred.
Reimbursement help (FRM)
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Some brands offer a field reimbursement manager who will work with your clinical staff and preferred pharmacy to help make sure patients don't fall through the cracks.
pharmacy
Gazyva preferred pharmacy
OTHERPharmacy List
financial assistance
Gazyva financial assistance options
Co-pay savings program
commercial only
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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+
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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
Gazyva patient education
Getting started on Gazyva
To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link
Patient toolkit
PDFPatient Brochure: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
PDFPatient Brochure: Untreated Follicular Lymphoma - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEAbout Gazyva: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGESide Effects: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERQuestions To Ask Your Doctor: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERPreparing For Infusion: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERReceiving Gazyva: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERPatient Resources: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
PDFPatient Brochure: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
PDFPatient Brochure: Relapsed/Refractory Follicular Lymphoma - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEAbout Gazyva: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGESide Effects: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERPreparing For Infusion: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERReceving Gazyva: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERQuestions To Ask Your Doctor: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERPatient Resources: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEAbout Gazyva: Untreated Chronic Lymphoid Leukemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGESide Effects: Untreated Chronic Lymphoid Leukemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERQuestions To Ask Your Doctor: Untreated Chronic Lymphoid Leukemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERPreparing For Treatment: Untreated Chronic Lymphoid Leukemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link