Opdualag

(nivolumab / relatlimab)
Opdualag 240 MG / 80 MG in 20 ML Injection
NO BOXED WARNING

Dosage & administration

drug label

Opdualag prescribing information

prior authorization

Opdualag prior authorization resources

Most recent Opdualag prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Medicare Prescription Drug Medication Request Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Short Acting Opioid Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Feb 27, 2024Arizona - Uniform Prior Authorization Form
Verified: Feb 27, 2024Colorado - Uniform Prior Authorization Form
Verified: Feb 27, 2024Hawaii - Uniform Prior Authorization Form
Verified: Feb 27, 2024Illinois - Uniform Prior Authorization Form
Verified: Feb 27, 2024Indiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Louisiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Michigan - Uniform Prior Authorization Form
Verified: Feb 27, 2024Minnesota - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Mexico - Uniform Prior Authorization Form
Verified: Feb 27, 2024Oregon - Uniform Prior Authorization Form
Verified: Feb 27, 2024Texas - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
Coverage Authorization Appeals
Commercial Claim Denial Appeal/Redetermination Letter
Medically Unlikely Edit (MUE) Appeal Letter
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Benefits investigation

Opdualag Enrollment Form
Opdualag Enrollment Form - Spanish
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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Financial Assistance

Financial Assistance Programs

Opdualag retails for $766 per dose without insurance or financial assistance.Depending on your patient's insurance situation and other eligibility criteria, they may be able to get Opdualag for significantly less. Review the program information below to determine what program can offer your patient the most benefits.
CoPay Card Program$0 Co Pay
Available for
commercial
Program Details
  • $766 for mL
  • Program Expires Calendar Year
Forms
Opdualag Enrollment Form
Opdualag Enrollment Form - Spanish
Enroll in Patient Savings Program

PubMed™ | Opdualag

Opdualag PubMed™ News

patient education

Opdualag 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 Opdualag
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Side Effects
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Receiving Opdualag
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Patient Resources
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Infusion Tips Guide
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Doctor Discussion Guide
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Patient Brochure
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Side Effect Tracker
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Caregiver Brochure
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people also ask

Opdualag FAQs

How is the dosage of Opdualag?Opdualag is available in 1 dosages, including 12-4 mg/ml Injection 20 ml
What does Opdualag treat?Opdualag treats Urinary Bladder Neoplasms, Non-Small-Cell Lung Carcinoma, Squamous Cell Carcinoma, Kidney Neoplasms, Lymphoma and Melanoma
What is Opdualag made of?Opdualag contains nivolumab / relatlimab which is a Programmed Death Receptor-1 Blocking Antibody
How Is Opdualag Administered?Opdualag is administered as a Injectable
What Are The Opdualag Mechanism Of Action?Opdualag mechanism of action is Programmed Death Receptor-1-directed Antibody Interactions
FAQ Data Source