Qelbree(viloxazine)
Qelbree 100 MG 24HR Extended Release Oral Capsule

Dosage & Administration

Get Your Patient on Qelbree

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
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Qelbree Prescribing Information

Request Qelbree Samples

Online Sample Form
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Qelbree Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Coverage Authorization Request

Qelbree Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program
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Qelbree PubMed™ News

Qelbree 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 Qelbree: Adults
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Starting Qelbree: Pediatrics
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: Pediatrics
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Qelbree: Adults
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Starting Qelbree: Adults
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: Adults
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: Adults
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Qelbree FAQs