Mytesi Prescribing & Dosing Schedule

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

Mytesi (crofelemer)

Mytesi 125 MG Delayed Release Oral Tablet

NO BOXED WARNING

Dosage & Administration

* Before starting MYTESI, rule out infectious etiologies of diarrhea.
* The recommended adult dosage is 125 mg taken orally twice a day, with or without food.
* Do not crush or chew the tablets. Swallow whole.

drug label

Mytesi Prescribing Information

Report Adverse Event

prior authorization

Mytesi 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 Request

Coverage Authorization Appeals

pharmacy

Mytesi Preferred Pharmacy

Pharmacy List

financial assistance

Mytesi Financial Assistance Options

Copay savings program

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

Mytesi 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 Mytesi

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

View How to Take Mytesi

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

Mytesi FAQs

How is the dosage of Mytesi ?Mytesi is available in 1 dosages, including 125 mg DR Tab

What does Mytesi treat?Mytesi treats Diarrhea

What is Mytesi made of?Mytesi contains crofelemer which is a Antidiarrheal

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

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Mytesi Prescribing Information

prior authorization

Mytesi Prior Authorization Resources

Most recent state uniform prior authorization forms

pharmacy

Mytesi Preferred Pharmacy

financial assistance

Mytesi Financial Assistance Options

Copay savings program

patient education

Mytesi Patient Education

Patient toolkit

people also ask

Mytesi FAQs