Imlygic

(herpesvirus 1, human)
1 ML talimogene laherparepvec 1000000 UNT/ML Injection [Imlygic]1 ML talimogene laherparepvec 100000000 UNT/ML Injection [Imlygic]
NO BOXED WARNING

Dosage & administration

drug label

Imlygic prescribing information

prior authorization

Imlygic prior authorization resources

Most recent Imlygic prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Medicare Prescription Drug Medication Request Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Short Acting Opioid Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Specialty Drug Prior Authorization Form
Verified: Feb 01, 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
Coverage Authorization Request
Benefit Verification & PA Form
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Benefits investigation

Benefit Verification & PA Form
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Imlygic financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
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PubMed™ | Imlygic

Imlygic PubMed™ News

patient education

Imlygic 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 Imlygic
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Imlygic
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
Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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people also ask

Imlygic FAQs

How is the dosage of Imlygic?Imlygic is available in 2 dosages, including 1,000,000 unt/ml Injection 1 ml and 100,000,000 unt/ml Injection 1 ml
What does Imlygic treat?Imlygic treats Melanoma
How Is Imlygic Administered?Imlygic is administered as a Injectable
FAQ Data Source