Koselugo(selumetinib)
Koselugo 10 MG Oral Capsule
NO BOXED WARNING

Dosage & Administration

Koselugo 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
Complete Letter of Medical Necessity
Prior Authorization Criteria

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

Koselugo Preferred Pharmacy

Pharmacy List

Koselugo Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program
Learn More

Koselugo PubMed™ News

Koselugo 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 Koselugo
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Koselugo
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
Treatment Journal
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Symptom Guide for Caregivers
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Koselugo Information Guide For Caregivers
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Koselugo FAQs