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 Payer
Verified: Sep 28, 2023Cigna - Gazyva Prior Authorization Form
Verified: Sep 20, 2023Aetna - Medicare Part B Gazyva Prior Authorization Form

OTHER
Complete Letter of Medical Necessity

OTHER
Coverage Authorization Appeals
Learn More

Benefits investigation

Gazyva Prescriber Service Form - Online Portal
Learn More

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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pharmacy

Gazyva preferred pharmacy

OTHER
Pharmacy List

financial assistance

Gazyva financial assistance options

Co-pay savings program

commercial only
Gazyva Prescriber Service Form - Online Portal
Enroll in Patient Savings Program
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+
Gazyva Prescriber Service Form - Online Portal

PDF
Genentech Patient Foundation Application Form (1/2)
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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

PDF
Patient Brochure: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Untreated Follicular Lymphoma - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Gazyva: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Questions To Ask Your Doctor: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Preparing For Infusion: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Receiving Gazyva: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Patient Resources: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Relapsed/Refractory Follicular Lymphoma - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Gazyva: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Preparing For Infusion: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Receving Gazyva: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Questions To Ask Your Doctor: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Patient Resources: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Gazyva: Untreated Chronic Lymphoid Leukemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: Untreated Chronic Lymphoid Leukemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Questions To Ask Your Doctor: Untreated Chronic Lymphoid Leukemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Preparing For Treatment: Untreated Chronic Lymphoid Leukemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link