Radicava

(edaravone)
100 ML edaravone 0.3 MG/ML Injection [Radicava]edaravone 21 MG/ML Oral Suspension [Radicava]
NO BLACK BOX WARNING

Dosage & administration

drug label

Radicava prescribing information

prior authorization

Radicava prior authorization resources

Most recent Radicava prior authorization forms

View By Payer
Verified: Oct 02, 2023Blue Cross Blue Shield of Michigan - FEP Radicava Prior Authorization Form (Medical Benefit)
Verified: Sep 28, 2023Cigna - Radicava Prior Authorization Form
Verified: Sep 26, 2023Blue Cross Blue Shield of Michigan - Radicava Prior Authorization Form (Medical Benefit)
Verified: Sep 21, 2023Aetna - Radicava Prior Authorization Form
Verified: Sep 21, 2023Aetna - Medicare Part B Radicava Prior Authorization Form

PDF
Complete Letter of Medical Necessity

PDF
Coverage Authorization Appeals

PDF
Formulary Exception Letter

PDF
Exceptions & Appeals Checklist
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Benefits investigation

PDF
Radicava Enrollment Form
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Reimbursement help (FRM)

OTHER
Receive Assistance from an FRM Regarding Reimbursement Information
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pharmacy

Radicava preferred pharmacy

PDF
Pharmacy List

financial assistance

Radicava financial assistance options

Co-pay savings program

commercial only

PDF
Enroll in Patient Savings Program

PDF
Out of Pocket Reimbursement Form
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Foundation programs

under insured
no insurance
goverment insurance
65+

PDF
Radicava Enrollment Form
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patient education

Radicava patient education

Getting started on Radicava

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

ALS Care Locator
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Scan QR Code & Tap Link

BRAND PAGE
About Radicava
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OTHER
View How to Take Radicava ORS
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OTHER
Receiving Radicava IV
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VIDEO
Patient Stories
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OTHER
Patient Resources
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VIDEO
Patient Resources: Videos
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PDF
Patient Brochure
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PDF
Caregiver Brochure
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PDF
Doctor Discussion Guide
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PDF
Steps On Your Way To Treatment
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Other resources

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

Radicava FAQs

How is the dosage of Radicava?Radicava is available in 2 dosages, including 0.3 mg/ml Injection 100 ml and 105 mg/5ml Susp
What does Radicava treat?Radicava treats Amyotrophic Lateral Sclerosis
How Is Radicava Administered?Radicava is administered as a Injectable or Oral Liquid
FAQ Data Source