Gazyva

(obinutuzumab)
Gazyva 1000 MG in 40 ML Injection

Dosage & administration

drug label

Gazyva prescribing information

prior authorization

Gazyva prior authorization resources

Most recent Gazyva prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Mar 02, 2024Highmark BCBS Northeastern NY - Medicare Prescription Drug Medication Request Form
Verified: Mar 02, 2024Highmark BCBS Northeastern NY - Short Acting Opioid Prior Authorization Form
Verified: Mar 02, 2024Highmark BCBS Western NY - Specialty Drug Prior Authorization Form
Verified: Mar 02, 2024Highmark BCBS Western NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Feb 27, 2024Arizona - Uniform Prior Authorization Form
Verified: Feb 27, 2024Colorado - Uniform Prior Authorization Form
Verified: Feb 27, 2024Hawaii - Uniform Prior Authorization Form
Verified: Feb 27, 2024Illinois - Uniform Prior Authorization Form
Verified: Feb 27, 2024Indiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Louisiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Michigan - Uniform Prior Authorization Form
Verified: Feb 27, 2024Minnesota - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Mexico - Uniform Prior Authorization Form
Verified: Feb 27, 2024Oregon - Uniform Prior Authorization Form
Verified: Feb 27, 2024Texas - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
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
Learn More

pharmacy

Gazyva preferred pharmacy

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
Genentech Patient Foundation Application Form (1/2)
Learn More

PubMed™ | Gazyva

Gazyva PubMed™ News

patient education

Gazyva patient education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

Patient Brochure: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Untreated Follicular Lymphoma - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Gazyva: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Questions To Ask Your Doctor: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Preparing For Infusion: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Gazyva: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: Untreated Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Relapsed/Refractory Follicular Lymphoma - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Gazyva: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Preparing For Infusion: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receving Gazyva: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Questions To Ask Your Doctor: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: Relapsed/Refractory Follicular Lymphoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Gazyva: Untreated Chronic Lymphoid Leukemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link