Halaven Prescribing & Dosing Schedule | PrescriberPoint

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

Halaven(eribulin mesylate)

Halaven 1 MG in 2 ML Injection

NO BOXED WARNING

drug label

Halaven Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Halaven 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

Complete Letter of Medical Necessity

Checklist for Claims Submission

Insurance Verification Form

Halaven Annotated CMS-1500 Form

Halaven Annotated CMS-1450 Form

financial assistance

Halaven Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program

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

Eisai Patient Assitance Program Enrollment Form

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 copays) 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

Halaven 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

About Halaven: Advanced Liposarcoma

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

Receiving Halaven: Advanced Liposarcoma

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

Possible Side Effects: Advanced Liposarcoma

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

Information For Family and Friends: Advanced Liposarcoma

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

Patient Brochure: Advanced Liposarcoma

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

About Halaven: Metastatic Breast Cancer

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

Receiving Halaven: Metastatic Breast Cancer

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

Is Halaven Right for Me?: Metastatic Breast Cancer

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

Possible Side Effects: Metastatic Breast Cancer

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

Tips for Managing Side Effects: Metastatic Breast Cancer

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

Tips for Living with Metastatic Breast Cancer

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

Metastatic Breast Cancer Blog

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

Information for Family and Friends: Metastatic Breast Cancer

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

Halaven Side Effects Tip Sheet: Metastatic Breast Cancer

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

Halaven Patient Brochure: Metastatic Breast Cancer

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

Halaven Patient Brochure (Spanish): Metastatic Breast Cancer

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

Discussion Guide: Metastatic Breast Cancer

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

people also ask

Halaven FAQs

How is the dosage of Halaven?Halaven is available in 1 dosages, including 0.5 mg/ml Injection 2 ml

What does Halaven treat?Halaven treats Breast Neoplasms and Liposarcoma

What is Halaven made of?Halaven contains eribulin which is a Microtubule Inhibitor

How Is Halaven Administered?Halaven is administered as a Injectable

FAQ Data Source