Mylotarg Prescribing & Dosing Schedule

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

Mylotarg (gemtuzumab ozogamicin)

MYLOTARG 4.5 MG Injection

Dosage & Administration

* Newly-diagnosed, de novo AML (combination regimen)
Adults:
* Induction: 3 mg/m2 (up to one 4.5 mg vial) on Days 1, 4, and 7 in combination with daunorubicin and cytarabine .
* Consolidation: 3 mg/m2 on Day 1 (up to one 4.5 mg vial) in combination with daunorubicin and cytarabine .
Pediatric patients 1 month and older:
* 3 mg/m2 for patients with body surface area (BSA) 0.6 m2 or greater .
* 0.1 mg/kg for patients with BSA less than 0.6 m2 .
* See Full Prescribing Information for complete dosing information .

* Newly-diagnosed AML (single-agent regimen):
Adults:
* Induction: 6 mg/m2 (not limited to one 4.5 mg vial) on Day 1 and 3 mg/m2 (not limited to one 4.5 mg vial) on Day 8 .
* Continuation: For patients without evidence of disease progression following induction, up to 8 continuation courses of MYLOTARG 2 mg/m2 (not limited to one 4.5 mg vial) on Day 1 every 4 weeks .

* Relapsed or refractory AML (single-agent regimen):
* Adults and pediatric patients 2 years and older:

* 3 mg/m2 (up to one 4.5 mg vial) on Days 1, 4, and 7 .

* Premedicate with a corticosteroid, antihistamine, and acetaminophen .

Mylotarg Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Mylotarg Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Jul 26, 2024Arizona - Uniform Prior Authorization Form

Verified: Jul 26, 2024Colorado - Uniform Prior Authorization Form

Verified: Jul 26, 2024Hawaii - Uniform Prior Authorization Form

Verified: Jul 26, 2024Illinois - Uniform Prior Authorization Form

Verified: Jul 26, 2024Indiana - Uniform Prior Authorization Form

Verified: Jul 26, 2024Louisiana - Uniform Prior Authorization Form

Verified: Jul 26, 2024Minnesota - Uniform Prior Authorization Form

Verified: Jul 26, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Jul 26, 2024New Mexico - Uniform Prior Authorization Form

Verified: Jul 26, 2024Oregon - Uniform Prior Authorization Form

Verified: Jul 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 Appeal

Formulary Exception Letter

Benefits investigation

Pfizer Oncology Together Form

Pfizer Oncology Together Form - Spanish

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

pharmacy

Mylotarg Preferred Pharmacy

Pharmacy List

financial assistance

Mylotarg Financial Assistance Options

Copay savings program

Pfizer Oncology Together Form

Pfizer Oncology Together Form - Spanish

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

Foundation programs

Pfizer Oncology Together Form

Pfizer Oncology Together Form - Spanish

Pfizer Patient Assistance Program

Learn More

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 copays) 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

Mylotarg 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

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

Mylotarg FAQs

How is the dosage of Mylotarg ?Mylotarg is available in 1 dosages, including 4.5 mg Injection

What does Mylotarg treat?Mylotarg treats Acute Myeloid Leukemia and Acute Myelomonocytic Leukemia

What is Mylotarg made of?Mylotarg contains gemtuzumab ozogamicin which is a CD33-directed Immunoconjugate

How Is Mylotarg Administered?Mylotarg is administered as a Injectable

What Are The Mylotarg Mechanism Of Action?Mylotarg mechanism of action is CD33-directed Antibody Interactions

FAQ Data Source

Dosage & Administration

Dosage & Administration

Most viewed Mylotarg resources

drug label

Mylotarg Prescribing Information

prior authorization

Mylotarg Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

Reimbursement help (FRM)

pharmacy

Mylotarg Preferred Pharmacy

financial assistance

Mylotarg Financial Assistance Options

Copay savings program

Overview

Patient benefit

Patient eligibility

How to sign up

Foundation programs

Overview

Patient benefit

Patient eligibility

How to sign up

patient education

Mylotarg Patient Education

Patient toolkit

people also ask

Mylotarg FAQs