What is the dosage of Gazyva?

Gazyva is available in 1 dosages, including 25 mg/ml Injection 40 ml

What does Gazyva treat?

Gazyva treats Lymphoid Leukemia and Follicular Lymphoma

What is Gazyva made of?

Gazyva contains obinutuzumab which is a CD20-directed Cytolytic Antibody

How is Gazyva administered?

Gazyva is administered as a Injectable

What is Gazyva mechanism of action?

Gazyva mechanism of action is CD20-directed Antibody Interactions

Dosage & Administration Biomarker testing Drug label Prior authorization Pharmacy Financial assistance

Patient education People also ask

Gazyva

(obinutuzumab)

Gazyva 1000 MG in 40 ML Injection

BLACK BOX WARNING

Dosage & administration

* Premedicate for infusion-related reactions and tumor lysis syndrome.
* Administer only as intravenous infusion. Do not administer as an intravenous push or bolus.
* The recommended dosage for chronic lymphocytic leukemia is 100 mg on day 1 and 900 mg on day 2 of Cycle 1, 1,000 mg on day 8 and 15 of Cycle 1, and 1,000 mg on day 1 of Cycles 2–6.
* The recommended dosage for follicular lymphoma is 1,000 mg on day 1, 8 and 15 of Cycle 1, 1,000 mg on day 1 of Cycles 2-6 or Cycles 2-8, and then 1,000 mg every 2 months for up to 2 years.

biomarker testing

Gazyva clinical details

Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.

drug label

Gazyva prescribing information

Contact Medical Science Liaison Report Adverse Event

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

OTHERComplete Letter of Medical Necessity

OTHERCoverage Authorization Appeals

PDFPatient Consent Form

PDFPatient Consent Form - Spanish

Learn More

Benefits investigation

PDFGazyva Prescriber Service & Patient Consent Form

Gazyva Prescriber Service Form - Online Portal

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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

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pharmacy

Gazyva preferred pharmacy

OTHERPharmacy List

financial assistance

Gazyva financial assistance options

Co-pay savings program

commercial only

PDFGazyva Prescriber Service & Patient Consent Form

Gazyva Prescriber Service Form - Online Portal

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

Foundation programs

under insured

no insurance

goverment insurance

65+

PDFGazyva Prescriber Service & Patient Consent Form

Gazyva Prescriber Service Form - Online Portal

PDFGenentech Patient Foundation Application Form (1/2)

PDFGenentech Patient Foundation Application Form (2/2) - Patient Consent Form

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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.