Dosage & Administration Drug label Prior authorization Financial assistance

Parsabiv

(etelcalcetide)

Parsabiv 2.5 MG in 0.5 ML InjectionParsabiv 5 MG in 1 ML Injection

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NO BLACK BOX WARNING

Dosage & administration

* Ensure corrected serum calcium is at or above the lower limit of normal prior to initiation, dose increase, or re-initiation.
* The recommended starting dose is 5 mg administered by intravenous bolus injection three times per week at the end of hemodialysis treatment.
* The maintenance dose is individualized and determined by titration based on parathyroid hormone (PTH) and corrected serum calcium response. The dose range is 2.5 to 15 mg three times per week.
* The dose may be increased in 2.5 mg or 5 mg increments no more frequently than every 4 weeks.
* Measure serum calcium within 1 week after initiation or dose adjustment and every 4 weeks for maintenance.
* Measure PTH after 4 weeks from initiation or dose adjustment.
* Decrease or temporarily discontinue PARSABIV in individuals with PTH levels below the target range.
* Consider decreasing or temporarily discontinuing PARSABIV or use concomitant therapies to increase corrected serum calcium in patients with a corrected serum calcium below the lower limit of normal but at or above 7.5 mg/dL without symptoms of hypocalcemia.
* Stop PARSABIV and treat hypocalcemia if the corrected serum calcium falls below 7.5 mg/dL or patients report symptoms of hypocalcemia.
* Do not mix or dilute prior to administration.
* Administer by intravenous bolus injection into the venous line of the dialysis circuit after hemodialysis, during rinse back or intravenously after rinse back.
* Administer a sufficient volume of saline, e.g. 150 mL of rinse back, after injection into the dialysis tubing.
* If administered after rinse back, administer PARSABIV intravenously followed by at least 10 mL of saline flush.

drug label

Parsabiv prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Parsabiv prior authorization resources

Most recent Parsabiv prior authorization forms

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

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

PDFComplete Letter of Medical Necessity

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financial assistance

Parsabiv financial assistance options

Co-pay savings program

commercial only

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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+

OTHERAmgen Safety Net Foundation Eligibility Check

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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

Parsabiv patient education

Getting started on Parsabiv

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link