Lorbrena

(lorlatinib)
lorlatinib 100 MG Oral Tablet [Lorbrena]lorlatinib 25 MG Oral Tablet [Lorbrena]
NO BLACK BOX WARNING

Dosage & administration

Recommended dosage: 100 mg orally once daily.

Severe Renal Impairment: 75 mg orally once daily.

drug label

Lorbrena prescribing information

Have more Lorbrena questions?

Submit MSL Request
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Need to report a Lorbrena issue?

ONLINE FORM
Report adverse event
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samples

Request Lorbrena samples

Online Sample Form
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prior authorization

Lorbrena Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request
Coverage Authorization Appeals
Formulary Exception Letter
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Benefits investigation

Pfizer Oncology Together Form
Pfizer Oncology Together Form: Spanish
Learn More

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Lorbrena Financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
HCP Office: Attest & Print Co-Pay Card
Learn More

Bridge program

commercial only
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+
Pfizer Oncology Together Form
Pfizer Oncology Together Form: Spanish
Pfizer Patient Assistance Program
Learn More

patient education

Lorbrena Patient education

Getting started on Lorbrena

NOT PROVIDED BY BRAND
Instructions for Use: NSCLC

Patient toolkit

Pfizer Oncology Patient Access Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Pfizer Oncology Patient Access Guide - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Lorbrena
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Lorbrena & Side Effects
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
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Lorbrena Starter Kit
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.