Orilissa

(elagolix)
Orilissa 150 MG Oral TabletOrilissa 200 MG Oral Tablet
NO BLACK BOX WARNING

Dosage & administration

Normal liver function or mild hepatic impairment: 150 mg once daily for up to 24 months or 200 mg twice daily for up to 6 months.

Moderate hepatic impairment: 150 mg once daily for up to 6 months.

drug label

Orilissa prescribing information

prior authorization

Orilissa prior authorization resources

Most recent Orilissa prior authorization forms

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Updated: May 25, 2023Blue Cross Blue Shield of South Carolina - Orilissa Prior Authorization Form

PDF
Complete Letter of Medical Necessity

OTHER
Coverage Authorization Request

PDF
Coverage Authorization Appeals

PDF
Prior Authorization Guide
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financial assistance

Orilissa financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
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patient education

Orilissa patient education

Getting started on Orilissa

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

BRAND PAGE
About Orilissa
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories
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Scan QR Code & Tap Link

OTHER
View How to Take Orilissa
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Scan QR Code & Tap Link

BRAND PAGE
Side Effects
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OTHER
Doctor Discussion Guide
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Patient Brochure
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Other resources

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people also ask

Orilissa FAQs

How is the dosage of Orilissa?Orilissa is available in 2 dosages, including 150 mg Tab and 200 mg Tab
What does Orilissa treat?Orilissa treats Abdominal Pain
How Is Orilissa Administered?Orilissa is administered as a Oral Pill
FAQ Data Source