What is the dosage of Izervay?

Izervay is available in 1 dosages, including 20 mg/ml Injection 0.1 ml

What is Izervay mechanism of action?

Izervay mechanism of action is Complement Inhibitors

Izervay Prescribing & Dosing Schedule

Q: What does Izervay treat?

Izervay treats Geographic Atrophy

Q: What is Izervay made of?

Izervay contains avacincaptad pegol which is a Complement Inhibitor

Q: How is Izervay administered?

Izervay is administered as a Injectable

Dosage & Administration

The recommended dose for IZERVAY is 2 mg (0.1 mL of 20 mg/mL solution) administered by intravitreal injection to each affected eye once monthly (approximately 28 ± 7 days) for up to 12 months .

Get Your Patient on Izervay

See your patient's specific prior authorization requirements including coverage restrictions and step therapies

Or select your Insurance from the list below:

Izervay Prescribing Information

Report Adverse Event

Request Izervay Samples

Online Sample Form

Learn More

Izervay Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form

Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form

Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form

Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form

Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form

Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form

Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form

Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form

Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form

Coverage Authorization Appeals

Izervay My Way Enrollment Form

Letter of Medical Exception

Complete Letter of Medical Necessity

Benefits investigation

Izervay My Way Enrollment Form

Izervay 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

Foundation programs

Izervay My Way Enrollment Form

Learn More

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

Izervay PubMed™ News

Izervay 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 Izervay

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

Treatment with Izervay

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

Izervay FAQs

How is the dosage of Izervay?

What does Izervay treat?

What is Izervay made of?

How Is Izervay Administered?

What Are The Izervay Mechanism Of Action?

FAQ Data Source

Dosage & Administration

Get Your Patient on Izervay

Izervay Prescribing Information

Request Izervay Samples

Is my patient eligible for Izervay samples?

How do I find out who my Izervay rep is?

Izervay Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

Izervay Financial Assistance Options

Copay savings program

Overview

Patient benefit

Patient eligibility

How to sign up

Foundation programs

Overview

Patient benefit

Patient eligibility

How to sign up

Izervay PubMed™ News

Izervay Patient Education

Patient toolkit

Izervay FAQs