What is the dosage of Gocovri?

Gocovri is available in 2 dosages, including 137 mg 24 HR XR Cap and 68.5 mg 24 HR XR Cap

What does Gocovri treat?

Gocovri treats Drug-Induced Dyskinesia, Dystonia, Human Influenza, Parkinson Disease, Secondary Parkinson Disease and Drug-Induced Akathisia

What is Gocovri made of?

Gocovri contains amantadine which is a Influenza A M2 Protein Inhibitor

How is Gocovri administered?

Gocovri is administered as a Oral Pill

What is Gocovri mechanism of action?

Gocovri mechanism of action is M2 Protein Inhibitors

Dosage & Administration Drug label Samples Prior authorization Financial assistance

Patient education

Gocovri

(amantadine)

24 HR amantadine 137 MG Extended Release Oral Capsule [Gocovri]24 HR amantadine 68.5 MG Extended Release Oral Capsule [Gocovri]

NO BLACK BOX WARNING

Dosage & administration

* Administer orally once daily at bedtime
* The initial daily dosage is 137 mg; after 1 week, increase to the recommended daily dosage of 274 mg
* Swallow whole; may sprinkle contents on soft food
* May be taken with or without food; avoid use with alcohol
* A lower dosage is recommended for patients with moderate or severe renal impairment

Gocovri prescribing information

Need to report a Gocovri issue?

ONLINE FORMReport adverse event

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samples

Request Gocovri samples

NOT PROVIDED BY BRANDView Online Sample Form

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prior authorization

Gocovri Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRANDCoverage Authorization Request

Coverage Authorization Appeals

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Benefits investigation

Gocovri Onboard and Prescription Form

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Reimbursement help (FRM)

NOT PROVIDED BY BRANDReimbursement help (FRM) resources

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financial assistance

Gocovri Financial assistance options

Co-pay savings program

commercial only

Gocovri Onboard and Prescription Form

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

Bridge program

commercial only

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Overview

Provide patient immediate access to therapy during an insurance delay (typically new starts; some may cover change in insurance)
Limited time/ fill (typically 7-30 days; some may offer additional fill for continued delay up to certain limit)

Patient benefit

100% free (outside of insurance)

Patient eligibility

HCP must enroll patient
May be limited to commercially insured patients (i.e., no government beneficiaries); some programs may allow government beneficiaries

How to sign up

Typically HCP assisted enrollment (via form)

Foundation programs

under insured

no insurance

goverment insurance

65+

Patient Assistance Program

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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

Gocovri Patient education

Getting started on Gocovri

NOT PROVIDED BY BRANDNot Provided By Brand

Patient toolkit

Patient Brochure

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

About Gocovri

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

Patient Stories

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

Patient Resources

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

NOT PROVIDED BY BRANDInstructions For Use - Parkinson's Disease

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Please note:

Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
Samples are provided at the discretion of the brand.
We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.

Gocovri

Dosage & administration

Most viewed Gocovri resources

drug label

Gocovri prescribing information

Need to report a Gocovri issue?

samples

Request Gocovri samples

Is my patient elegible for Gocovri samples?

How do I find out who my Gocovri rep is?

prior authorization

Gocovri Prior authorization resources

Benefits investigation

Reimbursement help (FRM)

financial assistance

Gocovri Financial assistance options

Co-pay savings program

Overview

Patient benefit

Patient eligibility

How to sign up

Bridge program

Overview

Patient benefit

Patient eligibility

How to sign up

Foundation programs

Overview

Patient benefit

Patient eligibility

How to sign up

patient education

Gocovri Patient education

Getting started on Gocovri

Patient toolkit

Can't find what you're looking for?