Gilotrif Prescribing & Dosing Schedule

Dosage & Administration Drug label Prior authorization Pharmacy Financial assistance Patient education People also ask

Gilotrif (afatinib)

Gilotrif 20 MG Oral Tablet

NO BOXED WARNING

Dosage & Administration

* Recommended dosage: 40 mg orally once daily
* Renal impairment: 30 mg orally once daily in patients with severe renal impairment
* Instruct patients to take GILOTRIF at least 1 hour before or 2 hours after a meal

drug label

Gilotrif Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Gilotrif Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Jun 26, 2024Arizona - Uniform Prior Authorization Form

Verified: Jun 26, 2024Colorado - Uniform Prior Authorization Form

Verified: Jun 26, 2024Hawaii - Uniform Prior Authorization Form

Verified: Jul 26, 2024Illinois - Uniform Prior Authorization Form

Verified: Jun 26, 2024Indiana - Uniform Prior Authorization Form

Verified: Jun 26, 2024Louisiana - Uniform Prior Authorization Form

Verified: Jun 26, 2024Minnesota - Uniform Prior Authorization Form

Verified: Jun 26, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Jun 26, 2024New Mexico - Uniform Prior Authorization Form

Verified: Jun 26, 2024Oregon - Uniform Prior Authorization Form

Verified: Jun 26, 2024Texas - Uniform Prior Authorization Form

Verified: Jul 07, 2024Washington - Uniform Prior Authorization Form

Verified: Jul 07, 2024Wisconsin - Uniform Prior Authorization Form

pharmacy

Gilotrif Preferred Pharmacy

Pharmacy List

financial assistance

Gilotrif Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program

Learn More

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

patient education

Gilotrif 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

Gilotrif 14-day Tear Sheet

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

Gilotrif My Guide

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

Track Your Treatment Diary

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

Gilotrif FAQs

How is the dosage of Gilotrif ?Gilotrif is available in 3 dosages, including 20 mg Tab, 30 mg Tab and 40 mg Tab

What does Gilotrif treat?Gilotrif treats Non-Small-Cell Lung Carcinoma and Squamous Cell Carcinoma

What is Gilotrif made of?Gilotrif contains afatinib which is a Kinase Inhibitor

How Is Gilotrif Administered?Gilotrif is administered as a Oral Pill

What Are The Gilotrif Mechanism Of Action?Gilotrif mechanism of action is Protein Kinase Inhibitors

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Gilotrif Prescribing Information

prior authorization

Gilotrif Prior Authorization Resources

Most recent state uniform prior authorization forms

pharmacy

Gilotrif Preferred Pharmacy

financial assistance

Gilotrif Financial Assistance Options

Copay savings program

patient education

Gilotrif Patient Education

Patient toolkit

people also ask

Gilotrif FAQs