Monjuvi

(tafasitamab)

MONJUVI 200 MG Injection

NO BLACK BOX WARNING

Dosage & administration

* Administer premedications prior to starting MONJUVI.
* The recommended dosage of MONJUVI is 12 mg/kg as an intravenous infusion according to the following dosing schedule:
* Cycle 1: Days 1, 4, 8, 15 and 22 of the 28-day cycle.
* Cycles 2 and 3: Days 1, 8, 15 and 22 of each 28-day cycle.
* Cycle 4 and beyond: Days 1 and 15 of each 28-day cycle.

* Administer MONJUVI in combination with lenalidomide for a maximum of 12 cycles and then continue MONJUVI as monotherapy until disease progression or unacceptable toxicity.
* See Full Prescribing Information for instructions on preparation and administration.

biomarker testing

Monjuvi clinical details

Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.

drug label

Monjuvi prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Monjuvi prior authorization resources

Most recent Monjuvi prior authorization forms

View By Payer

Updated: May 31, 2023Cigna - Monjuvi Prior Authorization Form

Updated: May 24, 2023Aetna - Monjuvi Prior Authorization Form

Updated: May 23, 2023Aetna - Medicare Part B Monjuvi Prior Authorization Form

PDFComplete Letter of Medical Necessity

PDFCoverage Authorization Appeals

PDFLetter of Medical Exception

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Benefits investigation

PDFMy Mission Support Enrollment Form

PDFMy Mission Support Enrollment Form - Spanish

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Reimbursement help (FRM)

OTHERReceive Assistance from an FRM Regarding Reimbursement Information

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pharmacy

Monjuvi preferred pharmacy

PDFPharmacy List

financial assistance

Monjuvi financial assistance options

Co-pay savings program

commercial only

PDFMy Mission Support Enrollment Form

PDFMy Mission Support Enrollment Form - Spanish

OTHEREnroll in Patient Savings Program

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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

Foundation programs

under insured

no insurance

goverment insurance

65+

PDFMy Mission Support Enrollment Form

PDFMy Mission Support Enrollment Form - Spanish

OTHERMorphoSys Foundation Patient Assistance Program

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Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.

How to sign up

Patients submit proof of out-of-pocket drug costs to charities for reimbursement

patient education

Monjuvi patient education

Getting started on Monjuvi

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link