Qalsody Prescribing & Dosing Schedule

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

Qalsody(tofersen)

QALSODY 100 MG in 15 ML Injection

NO BOXED WARNING

Dosage & Administration

QALSODY is administered intrathecally

Dosing Information

* Recommended dose: 100 milligrams (15 mL) per administration
* Initiate QALSODY treatment with 3 loading doses administered at 14day intervals. A maintenance dose should be administered once every 28 days thereafter.

Preparation and Administration Instructions

* Allow to warm to room temperature prior to administration
* Administer within 4 hours of removal from vial
* Prior to administration, remove approximately 10 mL of cerebrospinal fluid
* Administer as an intrathecal bolus injection over 1 to 3 minutes

drug label

Qalsody Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Qalsody 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

Benefits investigation

Qalsody Start Form

financial assistance

Qalsody Financial Assistance Options

Copay savings program

Qalsody Start Form

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

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

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 Amyotrophic Lateral Sclerosis

What is Qalsody made of?Qalsody contains tofersen which is a Antisense Oligonucleotide

How Is Qalsody Administered?Qalsody is administered as a Injectable

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Qalsody Prescribing Information

prior authorization

Qalsody Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

financial assistance

Qalsody Financial Assistance Options

Copay savings program

patient education

Qalsody Patient Education

Patient toolkit

people also ask

Qalsody FAQs