Ocrevus

(ocrelizumab)

Ocrevus 300 MG in 10 ML Injection

NO BLACK BOX WARNING

Dosage & administration

* Hepatitis B virus and quantitative serum immunoglobulin screening are required before the first dose
* Pre-medicate with methylprednisolone (or an equivalent corticosteroid) and an antihistamine (e.g., diphenhydramine) prior to each infusion
* Administer OCREVUS by intravenous infusion
* Start dose: 300 mg intravenous infusion, followed two weeks later by a second 300 mg intravenous infusion
* Subsequent doses: 600 mg intravenous infusion every 6 months

* Must be diluted prior to administration
* Monitor patients closely during and for at least one hour after infusion

drug label

Ocrevus prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Ocrevus prior authorization resources

Most recent Ocrevus prior authorization forms

View By Payer

Verified: Oct 02, 2023Blue Cross Blue Shield of Michigan - FEP Ocrevus Prior Authorization Form (Medical Benefit)

Verified: Sep 28, 2023Cigna - Ocrevus Prior Authorization Form

Verified: Sep 26, 2023Blue Cross Blue Shield of Michigan - Ocrevus Prior Authorization Form (Medical Benefit)

Verified: Sep 21, 2023Aetna - Ocrevus Prior Authorization Form

Verified: Sep 20, 2023Aetna - Medicare Part B Ocrevus Prior Authorization Form

OTHERCoverage Authorization Appeals - Patients New to Ocrevus

OTHERCoverage Authorization Appeals - Patients Converting to Ocrevus

OTHERCoverage Authorization Appeals - Patients to Remain on Ocrevus

OTHERLetter of Medical Necessity - Patients New to Ocrevus

OTHERLetter of Medical Necessity - Patients Converting to Ocrevus

OTHERLetter of Medical Necessity - Patients to Remain on Ocrevus

PDFOcrevus Start Form

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Benefits investigation

PDFOcrevus Start Form

Ocrevus Start Form - Online Portal

PDFPatient Consent Form

PDFPatient Consent Form - Spanish

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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

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pharmacy

Ocrevus preferred pharmacy

OTHERPharmacy List

financial assistance

Ocrevus financial assistance options

Co-pay savings program

commercial only

PDFOcrevus Start Form

Ocrevus Start Form - Online Portal

PDFPatient Consent Form

PDFPatient Consent Form - Spanish

Enroll 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+

PDFOcrevus Start Form

Ocrevus Start Form - Online Portal

PDFPatient Consent Form

PDFPatient Consent Form - Spanish

PDFGenentech Patient Assistance Program Application - Prescriber Form

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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

Ocrevus patient education

Getting started on Ocrevus

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link