Keveyis Prescribing & Dosing Schedule

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

Keveyis(dichlorphenamide)

Keveyis 50 MG Oral Tablet

NO BOXED WARNING

Dosage & Administration

* Initiate dosing at 50 mg by mouth once or twice daily ( 2.1)
* Titrate up or down dose based on individual response ( 2.1)
* The minimum recommended dosage is 50 mg daily, and the maximum recommended dosage is 200 mg daily ( 2.1)
* Evaluate response to KEVEYIS after 2 months of treatment ( 2.2)

drug label

Keveyis Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Keveyis 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

Formulary Exception Appeal Letter

PA Checklist

Benefits investigation

Keveyis Start Form

pharmacy

Keveyis Preferred Pharmacy

Pharmacy List

financial assistance

Keveyis Financial Assistance Options

Copay savings program

Keveyis Start Form

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

patient education

Keveyis 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 Keveyis

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

Patient Stories

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

Other resources

PPP Mentor Connect

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

Keveyis FAQs

How is the dosage of Keveyis?Keveyis is available in 1 dosages, including 50 mg Tab

What does Keveyis treat?Keveyis treats Glaucoma

What is Keveyis made of?Keveyis contains dichlorphenamide which is a Carbonic Anhydrase Inhibitor

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

What Are The Keveyis Mechanism Of Action?Keveyis mechanism of action is Carbonic Anhydrase Inhibitors

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Keveyis Prescribing Information

prior authorization

Keveyis Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

pharmacy

Keveyis Preferred Pharmacy

financial assistance

Keveyis Financial Assistance Options

Copay savings program

patient education

Keveyis Patient Education

Patient toolkit

Other resources

people also ask

Keveyis FAQs