Palforzia Prescribing & Dosing Schedule

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

Palforzia(peanut (Arachis hypogaea) allergen-dnfp)

Palforzia 0.5 MG Oral Powder

Dosage & Administration

For oral administration only ( 2)

* Do not swallow capsule(s).
* Do not inhale powder.
* Open capsule(s) or sachet and empty the entire dose of PALFORZIA powder onto refrigerated or room temperature semisolid food.
* Mix well.
* Consume the entire volume.

Initial Dose Escalation
Total Dose	Dose Configuration
0.5 mg	One 0.5 mg capsule
1 mg	One 1 mg capsule
1.5 mg	One 0.5 mg capsule; One 1 mg capsule
3 mg	Three 1 mg capsules
6 mg	Six 1 mg capsules

Up-Dosing
Total Daily Dose	Daily Dose Configuration
3 mg	Three 1 mg capsules
6 mg	Six 1 mg capsules
12 mg	Two 1 mg capsules; One 10 mg capsule
20 mg	One 20 mg capsule
40 mg	Two 20 mg capsules
80 mg	Four 20 mg capsules
120 mg	One 20 mg capsule; One 100 mg capsule
160 mg	Three 20 mg capsules; One 100 mg capsule
200 mg	Two 100 mg capsules
240 mg	Two 20 mg capsules; Two 100 mg capsules
300 mg	One 300 mg sachet

Maintenance
Total Daily Dose	Daily Dose Configuration
300 mg	One 300 mg sachet

drug label

Palforzia Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Palforzia 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

Benefits investigation

Palforzia Pathway Enrollment & Prescription Form

Palforzia Pathway Enrollment & Prescription Form - Spanish

pharmacy

Palforzia Preferred Pharmacy

Pharmacy List

financial assistance

Palforzia Financial Assistance Options

Copay savings program

Palforzia Pathway Enrollment & Prescription Form

Palforzia Pathway Enrollment & Prescription 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

Palforzia Pathway Enrollment & Prescription Form

Palforzia Pathway Enrollment & Prescription Form - Spanish

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

Palforzia 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 Palforzia

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

View How to Take Palforzia

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

Palforzia FAQs

How is the dosage of Palforzia?Palforzia is available in 17 dosages, including 0.5 mg Pwdr, 1 mg Pwdr, 10 mg Pwdr, 100 mg Pwdr, 20 mg Pwdr, mixed Pack, mixed Pack, mixed Pack, mixed Pack, mixed Pack, mixed Pack, mixed Pack, mixed Pack, mixed Pack, mixed Pack, mixed Pack and mixed Pack

What does Palforzia treat?Palforzia treats

What is Palforzia made of?Palforzia contains peanut allergenic extract which is a Non-Standardized Food Allergenic Extract

How Is Palforzia Administered?Palforzia is administered as a Oral Powder or Pack

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Palforzia Prescribing Information

prior authorization

Palforzia Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

pharmacy

Palforzia Preferred Pharmacy

financial assistance

Palforzia Financial Assistance Options

Copay savings program

Foundation programs

patient education

Palforzia Patient Education

Patient toolkit

people also ask

Palforzia FAQs