Jaypirca Prescribing & Dosing Schedule

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

Jaypirca(pirtobrutinib)

Jaypirca 50 MG Oral Tablet

NO BOXED WARNING

Dosage & Administration

* Recommended dosage: 200 mg orally once daily; swallow whole with water, with or without food. Do not cut, crush, or chew tablets.
* Manage toxicity using treatment interruption, dosage reduction, or discontinuation.
* Reduce dose in patients with severe renal impairment.

drug label

Jaypirca Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Jaypirca 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

Coverage Authorization Appeals

Benefits investigation

Lilly Oncology Patient Enrollment Form

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

pharmacy

Jaypirca Preferred Pharmacy

Pharmacy List

financial assistance

Jaypirca 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

Bridge program

Lilly Oncology Patient Enrollment Form

Jaypirca Interim Access Program (Bridge Program)

Learn More

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)

patient education

Jaypirca 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 Jaypirca

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

View How to Take Jaypirca & Side Effects

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

Jaypirca FAQs

How is the dosage of Jaypirca?Jaypirca is available in 2 dosages, including 100 mg Tab and 50 mg Tab

What does Jaypirca treat?Jaypirca treats Mantle-Cell Lymphoma

What is Jaypirca made of?Jaypirca contains pirtobrutinib which is a Kinase Inhibitor

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

What Are The Jaypirca Mechanism Of Action?Jaypirca mechanism of action is Breast Cancer Resistance Protein Inhibitors, Bruton's Tyrosine Kinase Inhibitors, Cytochrome P450 2C19 Inhibitors, Cytochrome P450 2C8 Inhibitors, Cytochrome P450 3A Inhibitors or P-Glycoprotein Inhibitors

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Jaypirca Prescribing Information

prior authorization

Jaypirca Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

Reimbursement help (FRM)

pharmacy

Jaypirca Preferred Pharmacy

financial assistance

Jaypirca Financial Assistance Options

Copay savings program

Bridge program

patient education

Jaypirca Patient Education

Patient toolkit

people also ask

Jaypirca FAQs