Jaypirca(pirtobrutinib)
Jaypirca 50 MG Oral Tablet
NO BOXED WARNING

Dosage & Administration

Get Your Patient on Jaypirca

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Insurance Carrier
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Jaypirca 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
Complete Letter of Medical Necessity

Benefits investigation

Lilly Oncology Patient Enrollment Form

Jaypirca Preferred Pharmacy

Pharmacy List

Jaypirca Financial Assistance Options

Bridge program

Lilly Oncology Patient Enrollment Form
Learn More

Jaypirca PubMed™ News

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

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

Jaypirca FAQs