Plegridy (peginterferon beta-1a)
NO BOXED WARNING
Dosage & Administration
Get Your Patient on Plegridy
See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Or select your Insurance from the list below:
Plegridy Prescribing Information
Plegridy Prior Authorization Resources
Most recent state uniform prior authorization forms
Verified: Oct 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Oct 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Oct 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Oct 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Oct 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Oct 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Oct 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Oct 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Oct 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Oct 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Oct 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Benefits investigation
Reimbursement help (FRM)
Plegridy Financial Assistance Options
Copay 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
Plegridy PubMed™ News
Plegridy Patient Education
Getting started on Plegridy
Instructions For Use - Single-Dose Prefilled Pen (SC) Starter Pack: Multiple Sclerosis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Instructions For Use - Single-Dose Prefilled Pen (SC) 125 mcg: Multiple Sclerosis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Instructions For Use - Single-Dose Prefilled Syringe (SC) Starter Pack: Multiple Sclerosis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Instructions For Use - Single-Dose Prefilled Syringe (SC) 125 mcg: Multiple Sclerosis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Instructions For Use - Single-Dose Prefilled Syringe (IM): Multiple Sclerosis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
Instructions For Use - Titration Kit Single-Dose Prefilled Syringe (IM): Multiple Sclerosis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link
Patient toolkit
Plegridy FAQs
Plegridy is available in 10 dosages, including 0.188 mg/ml Auto-Injector 0.5 ml, 0.25 mg/ml Auto-Injector 0.5 ml, 0.25 mg/ml Prefilled Syringe 0.5 ml, 0.126 mg/ml Auto-Injector 0.5 ml, 0.25 mg/ml Prefilled Syringe 0.5 ml, 0.126 mg/ml Prefilled Syringe 0.5 ml, 0.188 mg/ml Prefilled Syringe 0.5 ml, mixed Pack, mixed Pack and 0.126 mg/ml Prefilled Syringe 0.5 ml
Plegridy treats Multiple Sclerosis
Plegridy contains peginterferon beta-1a which is a Interferon beta
Plegridy is administered as a Injectable or Pack
We receive information directly from the FDA and PrescriberPoint is updated as frequently as change are made available