Qalsody

(tofersen)
QALSODY 100 MG in 15 ML Injection
NO BOXED WARNING

Dosage & administration

QALSODY is administered intrathecally

Dosing Information

Preparation and Administration Instructions


drug label

Qalsody prescribing information

prior authorization

Qalsody prior authorization resources

Most recent Qalsody 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
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Benefits investigation

Qalsody Start Form
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financial assistance

Qalsody financial assistance options

Co-pay savings program

commercial only
Qalsody Start Form
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PubMed™ | Qalsody

Qalsody PubMed™ News

patient education

Qalsody 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 Qalsody
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Treatment Locator
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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people also ask

Qalsody FAQs

How is the dosage of Qalsody?Qalsody is available in 1 dosages, including 100.5 mg/15ml Injection 15 ml
What does Qalsody treat?Qalsody treats
How Is Qalsody Administered?Qalsody is administered as a Injectable
FAQ Data Source